Casa de Ramana Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Casa de Ramana Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF604Sep 3, 2024

  Based on interviews and records reviewed, for one of three sampled residents (Resident #1) who was moderately cognitively impaired, with behaviors that included unsafe rising and disrobing, the Facility failed to ensure Resident #1 was free from the use of a physical restraint imposed for the purpose of staff convenience when on 08/14/24 during the overnight shift, sometime between 5:30 A.M. and 6:00 A.M. (exact time unknown), Certified Nurse Aide (CNA) #1 and CNA #2 transferred Resident #1 into his/her a tilt back wheelchair, CNA #1 then placed a blanket across Resident #1's torso/lap area, then tied the blanket behind his/her wheelchair securing it snuggly in place, and then both CNA's left the room to care for other residents. […]

• No harm, potential for more than minimal, widespreadF812Mar 21, 2022

  Based on observation and interview, the facility kitchen failed to ensure the strips used to test the pH (a measure of how acidic/basic water is) of the water in the sanitizing sink were of current date. Findings include: During a tour of the kitchen on [DATE] at 7:29 A.M. with the Food Service Director (FSD), the surveyor observed the FSD check the pH of the water in the sink with the sanitizer solution in it. The result was 300. The surveyor observed a poster above the three compartment sink that indicated the pH range should be between ,d+[DATE]. The surveyor reviewed the packaging of the pH strips and noted the expiration date of the strips to be [DATE]. During an interview on [DATE] at 7:30 A.M., the FSD said the pH strips were outdated and should not have been used. […]

• No harm, potential for more than minimal, patternF585Nov 26, 2024

  Based on interview, and record review, the facility failed to ensure that information to file a grievance or complaint was readily available to residents during their facility stay, for seven Residents out of 13 residents. Specifically, for seven residents attending the Resident Council group meeting during the facility survey, the facility failed to ensure residents had access to grievance/concern/complaint forms so the residents could formulate grievances anonymously, should they choose not to alert a staff member of their concern(s). […]

• No harm, potential for more than minimal, patternF880Jan 12, 2021

  Based on policy review, observation, interview and record review, the facility failed to ensure staff (1.) Properly monitored employees, visitors and residents for fever based on the current threshold per the Centers for Disease Control and Prevention (CDC); (2.) Adhered to proper infection control measures on two out of two units related to (A.) the use of Personal Protective Equipment (PPE) and (B.) hand hygiene and the handling of soiled linen; and (3.) Failed to ensure two residents (#9 and #10) were cohorted based on COVID-19 status. Findings include: Review of the facility Infection Prevention and Control Guideline policy, revised 12/20/19, indicated: -Important facets of preventing infection included following established disease-specific guidelines such as those of the CDC. 1. […]

• No harm, potential for more than minimal, isolatedF645Nov 26, 2024

  Based on record review, and interview, the facility failed to accurately complete a Level I Preadmission Screening and Resident Review (PASARR- screen to determine if a resident had an intellectual or developmental disability (ID or DD) and/or serious mental illness (SMI) and needed further evaluation) for one Resident (#87), out of a total sample of 22 total residents. Specifically, for Resident #87, the facility failed to accurately complete a Level I PASRR indicating that the Resident had a diagnosis of Bipolar Disorder, and received emergency psychiatric services while hospitalized within the last two years in the community, resulting in a Level II PASRR Evaluation (an evaluation conducted to determine if an individual who screened positive for an SMI or ID/DD requires specialized… […]