Caring Acres Nursing and Rehab Center

In the surveyor’s words

From the most serious findings on record at Caring Acres Nursing and Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, patternF741Aug 3, 2023

  Based on clinical record review, family interviews, resident interviews, staff interviews and facility policy review the facility failed to provide sufficiency of staff (including both quantity and competency of staff) to care for the behavioral health of 5 of 5 residents reviewed (Resident #3, #4, #5, #6, and #10). The State Agency (SA) informed the facility on 7/27/23 at 2:00 PM of the Immediate Jeopardy (IJ) that began as of 1/24/23 at 2:42 PM. The Facility Staff removed the Immediate Jeopardy on 7/28/23 through the following actions: a. On 7/18/23 order received to increase monitoring of behaviors for Resident #5. b. On 7/18/23 Resident #5 assessed by Primary Care Physician. c. On 7/28/23 obtained an order pharmacy medication review for Resident #5. d. […]

• Immediate jeopardy, isolatedF600Aug 2, 2024

  Based on clinical record review, facility record review, staff and resident interviews, and facility policy reviews the facility failed to ensure 1 of 3 residents (Resident #1) was free from abuse and psychological harm. Resident #1 reported to staff that Staff A CNA had provided peri-cares in a rough manner, had called her names and used curse words in front of her. The facility suspended Staff A while they completed their investigation and allowed her to come back to work as long as she did not provide cares to Resident #1. Staff reported when Staff A would come to work, Resident #1's demeanor would change: she would become guarded, shaky, stay by other staff member's side, tear up, was fearful for her safety. […]

• Immediate jeopardy, isolatedF609Aug 2, 2024

  Based on clinical record review, facility investigative file review, resident and staff interviews, and facility policy review the facility failed to report 1 of 3 resident's (Resident #1) allegation of abuse to the appropriate staff members to ensure timely reporting to the State Agency. On 7/23/24 at roughly 8:30 PM Staff A and Staff B had assisted Resident #1 with getting ready for bed. Resident #1 told staff she was upset and yelling that she had asked two hours prior to be put to bed. Staff explained to her they were assisting others with baths, passing the snack cart out and assisting others to bed. Resident #1 yelled I asked you two f***ing hours ago. Staff A replied with I am not putting up with your shit tonight. Resident #1 replied I am not dealing with your attitude either. […]

• Immediate jeopardy, isolatedF600Aug 3, 2023

  Based on clinical record review, family interview, resident interview, staff interview and facility policy review the facility failed to protect residents from alleged sexual abuse for 3 of 5 residents reviewed (Resident #4, #5, and #6). The State Agency (SA) informed the facility of the Immediate Jeopardy (IJ) on 7/27/23 at 2:00 PM that began as of 1/24/23 at 2:42 PM. The Facility Staff removed the immediacy on 7/28/23 through the following actions: a. On 7/18/23 Regional Director of Operations (RDO), Administrator, Director of Nursing (DON), Assistant Director of Nursing (ADON), and Social Worker ad-hoc meeting to discuss potential root cause of occurrence. […]

• Immediate jeopardy, isolatedF609Aug 3, 2023

  Based on clinical record review, family interview, resident interview, staff interview and facility policy review the facility failed to protect residents from alleged sexual abuse for 2 of 5 residents reviewed (Resident #4 and #5). The State Agency (SA) informed the facility on 7/27/23 at 2:00 PM of the Immediate Jeopardy (IJ) that began as of 1/24/23 at 2:42 PM. The Facility Staff removed the immediacy on 7/28/23 through the following actions: a. Root Cause Analysis was completed 7/28/23. Root Cause findings: Administrator did not report the incident to the appropriate agency within 2 hours. b. […]