Cabot Health and Rehab, LLC

In the surveyor’s words

From the most serious findings on record at Cabot Health and Rehab, LLC, in the surveyor’s own words.

• Actual harm, isolatedF609Oct 13, 2022

  Based on observation, record review, and interview, the facility failed to report an injury of unknown origin for 1 (Resident #64) of 10 (Residents #18, #70, #37, #61, #65, #10, #19, #60, #64 and #50) sampled residents who had a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] Resident #64 had a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . a. The Care Plan dated 2/28/22 documented, .The resident is at risk for impaired skin integrity related to decreased physical mobility, left side weakness/paralysis secondary to [CONDITION(S)] [[CONDITION(S)]], incontinence, prolonged sitting/lying . Identify/document potential causative factors and eliminate/resolve where possible . Follow facility protocols for treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] b. […]

• Actual harm, isolatedF610Oct 13, 2022

  Based on observation, record review, and interview, the facility failed to investigate an injury of unknown origin for 1 (Resident #64) of 10 (Residents #18, #70, #37, #61, #65, #10, #19, #60, #64 and #50) sampled residents who had a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] Resident #64 had a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . a. The Care Plan dated 2/28/22 documented, .The resident is at risk for impaired skin integrity related to decreased physical mobility, left side weakness/paralysis secondary to [CONDITION(S)] [[CONDITION(S)]], incontinence, prolonged sitting/lying . Identify/document potential causative factors and eliminate/resolve where possible . Follow facility protocols for treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] b. […]

• No harm, potential for more than minimal, widespreadF812Dec 12, 2024

  Based on observations, interviews, and facility policy review, it was determined that the facility failed to prepare, distribute, and serve food under sanitary conditions. Specifically, the facility failed to ensure that dietary staff performed hand hygiene in between tasks for three (3) of three (3) staff (Dietary Aide #1, Dietary Aide #2 and Cook) observed in the kitchen. The findings are: A review of a facility policy titled Handwashing dated 05/15/2020, indicated, Purpose: To remove contamination after entering the kitchen, touching bare human body parts, using the toilet, coughing, sneezing, using a handkerchief or disposable tissue, using tobacco, eating or drinking, handlining soiled utensils or equipment, during food preparation, when switching between raw food and working with… […]

• No harm, potential for more than minimal, widespreadF812Dec 8, 2023

  Based on observation, record review and interview, the facility failed to ensure leftover food items were discarded to maintain food quality; foods stored in the freezer, refrigerator, and dry storage area were covered, sealed, and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; failed to ensure dented food cans were promptly removed/ discarded to prevent the growth of bacteria; failed to properly clean and sanitize food thermometer between raw ground meat and cooked meat; failed to properly store frozen raw beef in freezer to prevent cross contamination; failed to removed expired food items to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF636Oct 13, 2022

  Based on record review and interview, the facility failed to complete a comprehensive assessment using the Resident Assessment Instrument (RAI) process within regulatory timeframe of 14 days for 4 (Residents #15, #63, #14 and #5) of 15 (Resident #15, #63, #14, #5, #12, #11, #3, #7, #61, #6, #10, #2, #1, #64 and #13) sampled residents whose Minimum Data Sets (MDS) were reviewed. The findings are: 1. On 10/12/22 at 9:21 AM, Resident #15's Annual MDS with an Assessment Reference Date (ARD) of 9/7/22 documented, In Process. The Clinical MDS Page in the Electronic Record documented the MDS was 23 days late. 2. On 10/12/22 at 9:24 AM, Resident #63's Annual MDS with an ARD of 7/28/22 documented, In Process. The Clinical MDS Page in the Electronic Record documented the MDS was 61 days late. 3. […]