Berks Heim Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Berks Heim Nursing & Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 4, 2022

  Based on clinical record review, facility documentation review, observation, and staff interview, it was determined that the facility failed to provide adequate supervision and interventions to prevent accidents related to falls for two of 36 residents (Residents 94 and 187) which resulted in actual harm of a bone fracture for one resident. (Resident 187) Findings include: Clinical record review revealed that Resident 187 had diagnoses that included dementia (disease that causes progressive cognitive impairment that includes memory loss and personality changes), abnormalities of gait and mobility, unsteadiness on feet, muscle weakness (generalized), and repeated falls. […]

• No harm, potential for more than minimal, widespreadF812Sep 20, 2024

  Based on facility policy review, observation, and staff interview, it was determined that the facility failed to store foods in a sanitary manner in the dietary department to prevent the potential for foodborne illness. Findings include: Review of the facility policy entitled, Storing: Food and Equipment, last reviewed March 14, 2024, revealed that food was to be stored in a manner that ensured quality and freshness and safeguarded against foodborne illness. The policy indicated that staff was to ensure all food items were labeled. The label was to include product name, use by date, and date the product was prepared or opened. If applicable, the label was to include the date frozen or thawed. Containers were to be covered, labeled, and dated. All food bins were to be covered. […]

• No harm, potential for more than minimal, widespreadF812Dec 3, 2021

  Based on review of facility temperature logs, observation, and staff interview, it was determined that the facility failed to clean resident dishes under sanitary conditions in the main kitchen. Findings include: Review of facility documentation entitled, High Temperature Dish machine temperature log, dated November 2021, revealed final rinse temperature of the dish machine should be per manufacturers instruction or 180 degrees Fahrenheit. During an observation of the kitchen on November 30, 2021, at 11:07 a.m., the external temperature gauge on the dishwashing machine was observed to not display a value for the final rinse temperature. […]

• No harm, potential for more than minimal, patternF692Nov 4, 2022

  Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to monitor and assess nutrition status for three of seven sampled residents at nutritional risk. (Residents 74, 259, 266) Findings include: Review of facility policy entitled, Weighing of Residents and Point Click Care Documentation, dated January 12, 2022, revealed that if a resident exhibited a weight change of five or more pounds (lbs.) from their previous weight, and the resident was over 100 lbs., the resident should be re-weighed within 24 hours and the re-weigh should be recorded. A resident may be placed on weekly weights and nursing, medical doctor, and/or dietary designee will monitor the weekly weights. […]

• No harm, potential for more than minimal, patternF576Dec 3, 2021

  Based on clinical record review, resident interview, and staff interview, it was determined that the facility failed to provide the right to privacy regarding personal mail for two of 36 sampled residents. (Residents 26, 138) Findings include: During the Resident Council interview conducted on December 1, 2021, at 10:30 a.m., Resident 138 stated that mail addressed to him from the Veteran's Administration and insurance companies (including monthly renter's insurance statements) was opened by the facility prior to him receiving it. Resident 138 did not prefer to have the facility open his mail and had signed a statement indicating the same on June 14, 2018. […]