Binger Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Binger Nursing and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF558Apr 25, 2025

  Based on observation and interview, the facility failed to accommodate resident preferences of handwashing water temperatures for 1 (#10) of 4 resident sinks temped. The director of nursing identified 33 residents resided in the facility. Findings: On 04/16/25 at 12:59 p.m., Resident #10's hot water faucet handle was turned on and the water temperature reached 105.9 degrees F. An annual resident assessment, dated 04/09/25, showed the cognition for Resident #10 was moderately impaired. On 04/16/ at 12:58 p.m., Resident #10 stated, It's as cold as can be. On 04/16/25 at 12:55 p.m., the maintenance director stated some rooms take longer to heat/warm than others. On 04/16/25 at 1:20 p.m., the maintenance director stated to wash their hands it didn't need to be too hot.

• No harm, potential for more than minimal, patternF583Jan 23, 2025

  Based on observation, record review, and interview, the facility failed to provide privacy curtains for three (#1, 3, and #4) of four sampled residents reviewed for enteral nutrition. The DON/RN reported four residents resided in the facility with enteral nutrition. Findings: The Enteral Tube Feeding via Syringe (Bolus) policy, read in part, If the resident desires, return the door and curtains to the open position and if visitors are waiting, tell them they may now enter the room. On 01/22/25 at 1:45 p.m., LPN #1 was observed administering enteral nutrition to Resident #3 and did not provide privacy from their roommate Resident #4. LPN #1 was asked why they did not use privacy curtains and they stated they did not have a privacy curtain to separate the two residents. […]

• No harm, potential for more than minimal, patternF770Oct 28, 2024

  Based on record review and interview, the facility failed to obtain routine laboratory values per physician orders for two (#14 and #25) of five sampled residents reviewed for laboratory results. The administrator identified 37 residents resided in the facility. Findings: An undated Laboratory Services policy, read in part, Labs will only be obtained when ordered by the doctor, physician assistant, nurse practitioner, or clinical nurse specialist. 1. Resident #14 had diagnoses which included unspecified atrial fibrillation, essential hypertension, and unspecified dementia. A physician order, dated 04/17/23, documented to obtain labs every six months in May and November for CBC, CMP, lipids, and prealbumin. The resident's clinical record documented no lab results for May 2024. […]

• No harm, potential for more than minimal, patternF814Oct 28, 2024

  Based on observation and interview, the facility failed to ensure food and garbage from the kitchen were disposed of properly. The administrator identified 37 residents resided in the facility. Findings: The administrator reported the facility had no policy regarding food and garbage disposal in the kitchen. On 10/22/24 at 7:25 a.m., three large trash cans without lids were observed in the kitchen and two plungers were observed under the dishwashing sink. On 10/28/24 at 11:13 a.m., flies were observed near the back door inside the kitchen area. The dietary manager reported the garbage disposal had been broken for several months which caused the sink to get plugged. They reported a plunger had to be used to unstop it. […]

• No harm, potential for more than minimal, patternF919Aug 21, 2023

  Based on observation, record review, and interview, the facility failed to ensure an adequate call light system for 16 residents who resided on the 400 hall. The Resident Census and Conditions of Residents form, dated 08/16/23, documented 37 residents resided in the facility. Findings: On 08/16/23 at 10:30 a.m., the 400 hall was toured. Numerous residents reported the call light system had been non-working since 07/30/23. Residents were observed to have small tins with some beads and a couple of pennies inside to use as rattles in place of call lights. The residents reported the rattles didn't work because the aides couldn't hear them and no one came when they rattled them. […]