Berkshire Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Berkshire Health & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jun 18, 2024

  Based on observation, staff interview, and facility document review, the facility staff failed to store, monitor, and discard refrigerated cold food properly and failed to maintain cleanliness of food preparation equipment in accordance with professional standards for food safety. The findings include: The facility staff failed to monitor and discard out-of-date, perishable food items stored in the walk-in and reach-in facility refrigerators, failed to store food in proper containers in the reach-in refrigerator, and failed to maintain cleanliness of the convection oven to protect the equipment from grease contamination in the facility main kitchen. On 6/10/24 at 12:42 PM, surveyor entered the facility kitchen for initial tour with Other Staff#1 (OS#1). […]

• No harm, potential for more than minimal, patternF582Aug 18, 2022

  Based on interviews and facility document review, it was determined the facility staff failed to provide Beneficiary Protection Notifications, when discharged from a Medicare covered Part A stay with benefit days remaining, for three (3) of three (3) residents sampled for beneficiary notice review (Resident #17, Resident #72, and Resident #225). The findings include: Three (3) residents (Resident #17, Resident #72, and Resident #225) were selected for review from the Beneficiary Notice - Residents discharged Within the Last Six Months form completed by the facility staff. On 8/17/22 at 1:00 p.m., Administrative Staff Member (ASM) #6 reported the Beneficiary Protection Notifications for the aforementioned three (3) residents were not available. […]

• No harm, potential for more than minimal, isolatedF755May 27, 2026

  Based on staff interview, clinical record review and facility document review, the facility staff failed to ensure medications were available for administration for 1 of 3 residents in the survey sample, Resident #2. The findings included: For Resident #2 the facility staff failed to ensure the medication Morphine sulfate was available for administration. Resident #2's clinical record listed diagnoses which included but not limited to polyneuropathy, pressure ulcer of sacral region, and polyarthritis. Resident #2's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/21/26 assigned the resident a Brief Interview for Mental Status (BIMS) score of 15 out of 15 in section C, cognitive patterns. This indicates that the resident is cognitively intact. […]

• No harm, potential for more than minimal, isolatedF622Jun 18, 2024

  Based on interviews and document review, the facility staff failed to ensure clinical documentation supported the need for the resident's transfer for one (1) of 40 sampled residents (Resident #219). The findings include: Resident #219's clinical documentation failed to include information to support the need for the resident to be transferred to a local hospital under an emergency custody order (ECO). Resident #219's Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 7/6/23, was signed as completed on 7/13/23. Resident #219 was assessed as able to make self understood and as able to understand others. Resident #219's Brief Interview for Mental Status (BIMS) summary score was documented as a five (5) out of 15; this indicated severe cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF656Jun 18, 2024

  Based on resident interview, staff interview, and clinical record review, facility staff failed to implement a person-centered care plan that addressed the resident's actual reported pain for 1 of 33 current residents in the survey sample (Resident #50). Resident #50 was admitted with diagnoses which included cerebral infarction, bilateral hemiplegia/hemiparesis, morbid obesity, type 2 diabetes mellitus, chronic osteomyelitis right thigh, epilepsy, heart failure, abscess of bursa left hip, primary osteoarthritis, hypertension, and chronic kidney disease. […]