Beaumont Rehab & Skilled Nursing CTR - Natick

In the surveyor’s words

From the most serious findings on record at Beaumont Rehab & Skilled Nursing CTR - Natick, in the surveyor’s own words.

• Actual harm, isolatedF656Jan 17, 2024

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who was assessed and care planned to be totally dependent on two staff members for bed mobility, incontinence care and turning and repositioning in bed, the Facility failed to ensure nursing staff consistently implemented and followed interventions from his/her Plan of Care while meeting his/her care needs, when on the 11:00 P.M. to 7:00 A.M. shift on 11/24/23 into 11/25/23, Nurse Aide #1 provided Resident #1 with incontinence care and repositioning in bed, without the assistance of another staff member. On 11/25/23 on the 7:00 A.M. to 3:00 P.M. shift, Resident #1 was found with a new area of bruising of unknown origin to his/her left upper arm. […]

• Actual harm, isolatedF689Jan 17, 2024

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who was assessed to be totally dependent on two staff members with bed mobility, turning and repositioning, and incontinence care, the Facility failed to ensure his/her plan of care was followed to maintain his/her safety and prevent an incident or accident resulting in a major injury, when on the 11:00 P.M. to 7:00 A.M. shift on 11/24/23 into 11/25/23, Nurse Aide #1 provided Resident #1 with incontinence care and repositioning in bed, without the assistance of another staff member. On 11/25/23, on the 7:00 A.M. to 3:00 P.M. shift, Resident #1 was found with a new area of bruising of unknown origin to his/her left upper arm. […]

• No harm, potential for more than minimal, widespreadF727Nov 16, 2023

  Based on review of the facility's Nurse Staff Schedule and interviews, the facility failed to provide evidence that the services of a Registered Nurse (RN) were used for at least eight consecutive hours a day, seven days a week. Specifically, the facility failed to provide evidence that at least eight consecutive hours of RN coverage was provided over three 24-hour periods when no Nurse staff waivers were in place. Findings include: Review of the Weekly Nurse Staff Schedule provided by the facility for 10/15/23 through 10/21/23 indicated no evidence that the required eight consecutive hours of RN coverage was provided on either 10/15/23 or 10/21/23. […]

• No harm, potential for more than minimal, widespreadF732Nov 16, 2023

  Based on observations and interviews, the facility failed to post nursing staff data daily, at the start of each shift, relative to licensed and unlicensed nursing staff directly responsible for resident care per shift. Specifically, the facility failed to post this data, in a prominent place readily accessible to residents and visitors, to include: a) facility name, b) current date, c) total number and hours for Registered Nurses (RNs), Licensed Practical Nurses (LPNs), Certified Nurse Aides (CNAs), and d) resident census. Findings include: On 11/14/23 at 7:00 A.M., the surveyor observed the facility's main entrance and lobby area and did not find nursing staff data posted in the area. […]

• No harm, potential for more than minimal, widespreadF882Dec 6, 2021

  Based on interview, the facility failed to designate one or more individuals as the infection preventionist (IP); who had completed specialized training in infection prevention and control and worked at least part-time in the facility. Findings include: During an interview on 12/6/21 at 8:50 A.M., the Director of Nursing (DON) said there were no staff members in the facility who had completed specialized training in infection prevention and control. She further said a new IP had been hired but the facility was not planning on having the new IP complete specialized training in infection prevention and control until January 2022. The DON further said there was no IP on staff part-time while the new IP was in orientation and the facility had not had an IP since the end of September 2021. […]