Bennington Health & Rehab

In the surveyor’s words

From the most serious findings on record at Bennington Health & Rehab, in the surveyor’s own words.

• Immediate jeopardy, widespreadF726Oct 14, 2022

  Based on observations, record review and interviews the facility failed to ensure that all nursing staff possess the competencies and skills necessary to protect residents from exposure to COVID-19 during an outbreak by maintaining proper infection control practices, and to provide care to residents based on their individual medical care needs. The lack of staff training and competency in infection prevention and control placed the residents in immediate jeopardy of harm and/or death related to exposure to COVID-19. Findings include: 1. During observation on 10/9/2022 at approximately 9:15 PM a Licensed Nursing Assistant (LNA) assigned to 3 South was observed entering the room of a COVID-19 positive resident (room [ROOM NUMBER]) without applying a gown or gloves. […]

• Immediate jeopardy, widespreadF880Oct 14, 2022

  Based on observations, interviews, and review of documentation, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to prevent the development and transmission of COVID-19 and other communicable diseases and infections. The deficient practices related to lack of infection control measures specifically to source control and containment led to the determination that the residents who resided in the facility were in immediate jeopardy of harm and/or death. […]

• Immediate jeopardy, isolatedF658Mar 25, 2025

  Based on interview and record review the facility failed to ensure that services being provided meet professional standards of quality for one of 3 sampled residents [Resident #1]. Resident #1 was receiving the medication Lithium Carbonate and physician orders for blood work were not completed as ordered and the physician was not notified of this or changes in the resident's condition. Additionally, the facility failed to act upon signs and symptoms of lithium toxicity while continuing to administer the medication, which eventually ended in the resident's death, and altered the resident's record to reflect compliance and notifications after they had been transferred out to the facility. […]

• Immediate jeopardy, isolatedF758Mar 25, 2025

  Based on interview and record review, the facility failed to carry out critical medication level monitoring that was ordered and failed to consider whether the onset or worsening of symptoms, or a change of condition, may be related to the medication and failed to respond to the presence of adverse consequences related to the use of a high-risk medication for 1 of 3 sampled residents [Resident #1], which resulted in Resident #1's death. This citation is at the immediate jeopardy level due to the lack of an effective process to ensure medications are only administered with adequate monitoring of laboratory values, per manufacturers specifications and accepted professional standards for high risk medications, and not administered in the presence of adverse consequences which indicate the… […]

• Actual harm, patternF760Nov 1, 2023

  Based on observation, interview, and record review the facility failed to ensure that 2 of 29 residents in the sample were free from significant medication errors related to the administration of a medication prescribed for seizure management (Resident #1), and an antithrombotic (treatment and prevention of blood clots) medication (Resident #9). 1. Per observation of the lunch meal on 10/30/2023 at 11:45 AM Resident #1 was sitting in a specialized wheelchair eating her/his meal. S/he was observed with her/his arms raised above her/his head with a scared facial expression and drool coming from her/his mouth. […]