Caroline Nursing and Rehab

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF730Mar 13, 2026

  Based on review of employee files and interviews with facility staff, it was determined that the facility failed to conduct required performance reviews of Geriatric Nursing Assistants (GNAs) at least once every 12 months. This was evident for 5 (GNA #23, #24, #25, #26, #27) out of 5 GNAs' employee files reviewed during the facility's recertification survey. The findings include:Performance reviews are to be completed for each GNA at least every 12 months to identify specific, in-service education based on the outcome of those individual performance reviews. […]

• No harm, potential for more than minimal, widespreadF947Mar 13, 2026

  Based on review of employee files and interviews with facility staff, it was determined that the facility failed to develop, implement, and maintain an in-service training program for nurse aides to ensure all nurses' aides received 12 hours of training that included abuse prevention and dementia management annually and addressed areas of weakness as determined in nurse aides' performance reviews. This was evident for 5 (GNA #23, #24, #25, #26, #27) out of 5 GNAs' (Geriatric Nursing Assistants) employee files reviewed during the facility's recertification survey. The findings include:Performance reviews are to be completed for each GNA at least every 12 months to identify specific, in-service education based on the outcome of those individual performance reviews. […]

• No harm, potential for more than minimal, widespreadF726Nov 22, 2024

  Based on record review and interviews, it was determined that the facility failed to ensure that all nursing staff had competency evaluations. This was evident for six (Licensed Practical Nurses #19, #40, #41, Geriatric Nursing Aides #42, #43, and #44) of the six randomly selected nursing staff reviewed for competencies. The findings include: The American Nurses Association defines nursing competence as an expected level of performance that integrates knowledge, skills, abilities, and judgment. A review of the employee training files on 11/19/2024 at 9:39 AM revealed the following: 1. Licensed Practical Nurse (LPN) #19 was hired in May 2023. No competency evaluation was found for LPN #19 for 2023. 2. LPN #40 was hired on 10/09/2023. No competency evaluation was found for LPN #40. 3. […]

• No harm, potential for more than minimal, widespreadF800Nov 22, 2024

  Based on complaint #MD00206921, complaint #MD00199493, resident interviews and staff interviews, it was determined that 1) the facility failed to provide sufficient food of adequate quality to meet residents' dietary needs and preferences which has the potential to affect all residents in the facility, and 2) the facility failed to ensure diabetic residents received snacks to meet their dietary needs which was evident in 1 (anonymous resident) of 3 Residents reviewed for meal accuracy during the recertification survey. The Findings Include: 1)On 11/12/2024 11:49 AM, in an interview with Resident#19, the resident stated that when he/she does not like the food served at the facility, he/she orders a salad or grilled cheese sandwich, but it was not always available. […]

• No harm, potential for more than minimal, widespreadF812Nov 22, 2024

  Based on the kitchen tour and staff, it was determined that the facility failed to ensure that stored food items were labeled and were not expired. This deficient practice has the potential to affect all residents in the facility. The Findings Include: During the initial kitchen tour on [DATE] with the Food Service Director (FSD, Staff #12), the following deficient practices were revealed: On [DATE] at 9:23 AM, observation of the walk-in refrigerator revealed: a large open container of salsa was dated [DATE] but also had a handwritten facility label of [DATE]; a large open container of sour cream best-by date of [DATE]; a 5lb bag of cubed potatoes unlabeled; a 2lbs of open pasteurized liquid eggs undated; and a bag of mixed salad open and undated. […]