Cliffside Rehab & Residential Health Care Center

In the surveyor’s words

From the most serious findings on record at Cliffside Rehab & Residential Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF604Jul 23, 2025

  Based on observation, record review, and interviews during the Recertification Survey conducted from 07/16/2025 to 07/23/2025, the facility failed to ensure that residents were free from physical restraints for purposes of discipline or convenience and that are not required to treat the resident's medical symptoms. This was evident for 5 (Residents #29, 142, #206, #125, and #3) of 8 residents reviewed for physical restraints out of 35 total sampled residents. Specifically, 1.) Residents #29, 142, #206, #125, and #3 were observed on multiple occasions in bed with both upper and lower half side rails raised on both sides. […]

• No harm, potential for more than minimal, patternF688Jul 23, 2025

  Based on observation, record review, and interviews during the Recertification Survey conducted from 07/16/2025 to 07/23/2025, the facility failed to ensure that residents admitted with a limited Range of Motion and/or mobility, are provided services and/or treatment to increase range of motion/mobility and/or to prevent further decrease in range of motion/mobility, including the provision of equipment for limited mobility. This was evident for 2 (Residents # 20 and #85) of 4 residents reviewed for Position Mobility/Limited Range of Motion, out of 35 total sampled residents. Specifically, Residents #20 and #85, who had contractures, were observed without hand rolls as ordered by the physician to improve the residents' contractures. […]

• No harm, potential for more than minimal, isolatedF584Jul 23, 2025

  Based on observation, record review, and interviews during the Recertification Survey conducted from 07/16/2025 to 07/23/2025, the facility failed to ensure residents are provided comfortable and homelike environment. This was evident for 1 (Unit1) of 3 resident units observed. Specifically, Resident #93's room appeared cluttered and disorderly, with lack of storage for resident's items. The findings include but are not limited to: Resident #93 was admitted to the facility with diagnoses of End Stage Renal Disease. The Quarterly Minimum Data Set, dated [DATE] documented Resident #93 had intact cognition, had no behaviors, and had impairment on both upper extremities. […]

• No harm, potential for more than minimal, isolatedF640May 16, 2023

  Based on record review and interviews conducted during the recertification survey 5/9/23 to 5/16/23, the facility did not ensure Minimum Data Set 3.0 (MDS) assessments were electronically transmitted to the Quality Improvement Evaluation System (QIES) Assessment Submission and Processing (ASAP) system in a timely manner. This was evident for 2 (Resident #108 and #144) of 4 residents reviewed for Resident Assessment out of a sample size of 35 residents. Specifically, the MDS assessments for Resident #108 and #144 were not submitted and transmitted within 14 days of the completion date. The findings are: The CMS RAI Version 3.0 Manual (Dated October 2018), documented the MDS completion date must be no later than 14 days after the assessment reference date (ARD). […]

• No harm, potential for more than minimal, isolatedF641May 16, 2023

  Based on record review and interview conducted during the Recertification survey from 5/9/23 to 5/16/23, the facility did not ensure Minimum Data Set 3.0 (MDS) assessments accurately reflected the resident's status. This was evident for 2 (Resident #112 and #23)of 35 sampled residents. Specifically, 1) the MDS assessment for Resident #112 did not document the resident's dialysis treatment, and 2) the MDS assessment for Resident #23 did not document the resident's Gradual Dose Reduction (GDR) status. The findings are: The facility policy titled Assessments, Comprehensive (Minimum Data Set 3.0) dated 8/2022 documented the MDS is inclusive to all pertinent issues for the resident. 1) Resident #112 had diagnoses of anemia and coronary artery disease. […]