Cherry Hill Rehabilitation & Healthcare Center

In the surveyor’s words

From the most serious findings on record at Cherry Hill Rehabilitation & Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF803Dec 14, 2022

  Based on observation, interview, the facility's policy for Menus, the facility's Meal Guide Report for Week 3, the facility's Recipe Report for Pudding Parfait, and the facility's chart for scoop size and capacity; the facility failed to ensure Pureed Lasagna and Chocolate Pudding Parfait were served in the portion sizes as indicated on the menu for Tuesday, 12/13/2022. This had the potential to affect 67 of 97 residents receiving meals from the kitchen. Findings Include: The facility's policy for Menus, dated 6/2017, included the following: Policy: Menus are planned to meet the nutritional needs of the residents in accordance with the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council, National Academy of Sciences. […]

• No harm, potential for more than minimal, isolatedF580Dec 14, 2022

  Based on interviews, medical record review, and a review of a facility policy titled, Change in Medical Condition of Residents, the facility failed to ensure that Resident Identifier (RI) #18's sponsor/family was notified when RI #18's medication, Oxcarbazepine was increased on 08/16/2022. This deficient practice affected RI #18; one of one sampled resident reviewed for notification. Findings Include: A review of facility's policy titled, Change in Medical Condition of Residents, with an effective date of 02/01/2004, documented, .Notification of . legal representative, or interested family member, should occur promptly, according to federal regulations, when there is a change in the resident's condition. […]

• No harm, potential for more than minimal, isolatedF638Dec 14, 2022

  Based on interview, record review and a facility policy with the subject, Resident Assessment Instrument, the facility failed to ensure a quarterly resident Minimum Data Set (MDS) assessment instrument was transmitted within the required timeframes. This affected Resident Identifier (RI) #61, one out of two residents investigated for resident assessments. Findings Include: A facility policy with the subject, Resident Assessment Instrument, with a revision date of 10/2013, revealed, . PURPOSE: Residents are assessed, using a comprehensive assessment process, in order to identify care needs and to develop a plan of care. PROCESS: . V. MDS Version 3.0 Quarterly Assessment . […]

• No harm, potential for more than minimal, isolatedF656Dec 14, 2022

  Based on observation, interviews, record reviews and a review of the Long-Term Care Facility Resident Assessment Instrument (RAI), the facility failed to ensure Resident Identifier (RI) #79 and RI #90 had a care plan for Foley catheters. This deficient practice affected RI #79 and RI #90, two of four residents sampled for catheters. Findings Include: A review of the Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual Version 1.17.1 dated October 2019 revealed, . Chapter 4 Care Area Assessment Process and Care Planning . 4.7 . The care plan is driven not only by identified resident issues and/or conditions but also by a resident's unique characteristics, strengths and needs. […]

• No harm, potential for more than minimal, isolatedF693Dec 14, 2022

  Based on observation, interviews, record review the facility failed to ensure the feeding tube containers for Resident Identifier (RI) #79 were labeled appropriately. This deficient practice affected RI #79; one of three residents sampled receiving tube feedings. Findings Include: RI #79 was admitted to the facility on [DATE] and readmitted on [DATE] with a diagnosis to include Dysphagia following Cerebral Infarction. RI #79's December 2022 Physician's Orders documented, Jevity at 20 CC/HR (cubic centimeter/hour) with flush of 25 CC/HR x 23 HRS. On 12/12/2022 at 9:36 AM, RI #79 was observed lying in bed with head elevated, feeding hanging and machine beeping. The feeding containers were not labeled. […]