Cambridge Nursing & Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Feb 19, 2026

  Based on observation, interview, and review of the facility's policies, the facility failed to ensure resident food was stored and prepared in a safe and sanitary manner. The deficient practice potentially affected 106 current residents who received food from the kitchen. The findings include:Review of the facility's policy titled, Food Storage, last reviewed 08/20/2025, revealed foods would be stored, prepared, distributed, and served in accordance with professional standards for food service safety. Further review revealed all foods should be covered, dated, and labeled to assure foods would be safely consumed by their use by or expiration dates. […]

• No harm, potential for more than minimal, widespreadF880Feb 19, 2026

  Based on observation, interview, record review, review of the manufacturer's recommendations for the facility's glucometers, review of the Centers for Disease Control and Prevention (CDC) guidelines, and review of the facility's policy, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent and control the development and transmission of communicable diseases. […]

• No harm, potential for more than minimal, patternF584Feb 19, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure each resident's right to a safe, clean, comfortable and homelike environment by providing maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for 11 of 25 sampled resident rooms, (Rooms 4, 25, 32, 34, 49, 50, 52, 53, 58, 60, and 67). Observation on 02/16/2026 and 02/18/2026 revealed the listed rooms had maintenance issues which included damaged drywall, damaged baseboards, cracked flooring, unpainted drywall patches, an air conditioner with a corroded grille containing a black substance, wall stains, and dirty floors and baseboards.In addition, observation on 02/15/2026 revealed 2 of 2 working shower rooms with cleanliness issues. […]

• No harm, potential for more than minimal, patternF761Feb 19, 2026

  Based on observation, interview, and review of the facility's policy, the facility failed to ensure appropriate storage of resident medications, with loose pills and undated medications found in 3 of 8 medication carts, East 1, [NAME] 1, and [NAME] 3, and 1 of 2 medication rooms, the East Wing.The findings include:Review of the facility's policy titled, Medication Storage in the Facility, dated [DATE], revealed the policy's purpose was to ensure that medications and biologicals were stored safely, securely and properly, and following manufacturer's recommendations or those of the supplier. Further review revealed all medications dispensed by the pharmacy were stored in containers with the pharmacy label. […]

• No harm, potential for more than minimal, patternF880Aug 22, 2024

  Based on observation, interview, record review, review of the facility's policy and signage, and review of the Centers for Disease Control and Prevention (CDC) Guidelines, the facility failed to maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections for 4 of 42 sampled residents, Resident (R) 9, 19, 35, and 36. The findings include: Review of the Centers for Disease Control and Prevention (CDC) guidelines Infection Control Guidance: SARS-CoV-2, dated 06/24/2024, revealed adherence to infection prevention and control practices was essential to providing safe and high quality patient care across all settings where healthcare was delivered. […]