Camden Healthcare & Rehab Center

In the surveyor’s words

From the most serious findings on record at Camden Healthcare & Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, patternF600Apr 17, 2024

  Based on policy review, medical record review, observation, and interview, the facility failed to ensure all residents' right to be free from abuse for 6 of 16 (Resident #6, #13, #20, #24, #25, and #38) sampled residents reviewed for abuse. The facility's failure to ensure residents' right to be free from abuse resulted in Immediate Jeopardy (IJ) when on 1/25/2024, Resident #38, a cognitively impaired resident who self-propels in his wheelchair, began episodes of inappropriate sexual behaviors that continued after being started on Medroxyprogesterone (a hormone, that can be administered to males for sexually inappropriate behaviors) 10 milligrams (mg) daily, for inappropriate sexual behavior on 1/26/2024. […]

• Immediate jeopardy, patternF609Apr 17, 2024

  Based on policy review, job description review, facility investigation review, medical record review, observation, and interview, the facility failed to report allegations of abuse to the appropriate agencies for 7 of 16 (Residents #5, #6, #13, #20, #24, #25, and #38) sampled residents reviewed for abuse. The facility's failure to report incidents of abuse to the State Survey Agency and to other State Agencies (Adult Protective Services and Ombudsman) resulted in Immediate Jeopardy (IJ) when the facility failed to report allegations of verbal abuse for Resident #5, and failed to report allegations of sexual abuse for Resident #38 who was a cognitively impaired resident who self-propelled in his wheelchair and had frequent episodes of inappropriate sexual behaviors towards staff upon his… […]

• Immediate jeopardy, patternF610Apr 17, 2024

  Based on policy review, medical record review, facility investigation review, and interview, the facility failed to have evidence that all alleged violations were thoroughly investigated for 6 of 16 (Resident #6, #13, #20 #24, #25, and #38) sampled residents reviewed for abuse. The facility's failure to thoroughly investigate allegations resulted in Immediate Jeopardy (IJ) related to Residents #6, #13, #20, #24, #25 and #38 when on an unknown date Resident #38 gave Resident #6 an unwanted touch on her arms and legs, and on a separate occasion wheeled up behind Resident #6 in his wheelchair and grabbed her wheelchair, on 2 different occasions Resident #38 entered Resident #6's room unwanted and uninvited, and on one of those occasions wheeled directly up to Resident #6's bed. […]

• No harm, potential for more than minimal, patternF689Apr 17, 2024

  Based on policy review, medical record review, observation, and interview, the facility failed to ensure a safe and secure environment when 4 of 7 (Resident #14, #16, #25, and #41) sampled residents reviewed for smoking were observed using an existing lit cigarette to light another cigarette, and when 3 of 3 (Resident #18, #24, and #53) sampled residents reviewed for fall investigations did not have witness statements, and when 2 of 49 (Resident #13's room and #30's room) resident rooms observed during random observations had unsecured and unattended razors. […]

• No harm, potential for more than minimal, patternF835Apr 17, 2024

  Based on review of the Board of Examiners of Nursing Home Administrators (BENHA) Form, policy review, job description review, and interview, the facility's Administration failed to provide oversight to ensure systems and processes were developed and consistently followed, failed to provide oversight of nursing staff, failed to identify the root cause of concerns identified in the facility. Administration failed to provide oversight that established and implemented policies and procedures to ensure residents were free from verbal, physical, and sexual abuse. Administration failed to provide oversight that established and implemented policies and procedures to ensure facility staff thoroughly investigated allegations of abuse. […]