Collinsville Healthcare & Rehab

In the surveyor’s words

From the most serious findings on record at Collinsville Healthcare & Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 13, 2025

  Based on observations, interviews, and review of facility policies titled POLICY AND PROCEDURE ON LABELING AND DATING FOOD ITEMS and POLICY AND PROCEDURE CLEANING INSTRUCTIONS: HOOD (and) FILTERS, the facility failed to ensure the kitchen was maintained with food labeled and a clean environment on 02/10/2025 during the initial kitchen tour when the following observations were made: 1) food items in dry storage and the freezer were not labeled with an opened and use by date; 2) vents in the stove hood were not free of dust and grease like substance. This had the potential to affect 161 of 161 residents receiving meals from the kitchen. Findings include: 1) An undated facility policy titled POLICY AND PROCEDURE ON LABELING AND DATING FOOD ITEMS documented: . […]

• No harm, potential for more than minimal, isolatedF550Feb 13, 2025

  Based on observations, interviews, resident record review, and review of the facility policy titled Privacy/Dignity Protocol Prior to Providing Resident Care, the facility failed to ensure Housekeeping (HK) #8, delivering breakfast meal trays, honored residents' right to privacy when she failed to knock on doors and gain permission to enter residents' rooms before entering on 02/11/2025. This had the potential to affect Resident Identifier (RI) #112 and RI #143, two of 27 sampled residents. Findings include: Review of a facility policy titled Privacy/Dignity Protocol Prior to Providing Resident Care, with an revised date of 06/02/2016, revealed the following: 1. Knock and gain permission before entering resident's room . 3. […]

• No harm, potential for more than minimal, isolatedF583Feb 13, 2025

  Based on observation, interviews, resident record review, and review of a facility policy titled Administration of medication the facility failed to ensure Registered Nurse (RN) #6 took action to protect Resident Identifier (RI) #99's right to privacy, during medication administration, when RN #6 failed to ensure the Electronic Medication Administration Record (EMAR) screen was properly closed and not displaying information about RI #99 while she stepped away from the medication cart on 02/11/2025 on Station Three. This deficient practice affected RI #99, one of seven residents observed during medication administration. Finding include: Review of a facility policy titled Medication Administration Policy and Procedure with an revised date of 01/10/2025 revealed the following: . […]

• No harm, potential for more than minimal, isolatedF641Feb 13, 2025

  Based on an interviews, resident record review, and review of the Centers for Medicare & (and) Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, the facility failed to ensure Minimum Data Set (MDS) assessments were completed accurately to reflect care needs and services at the time the assessments were completed. Specifically: 1) Resident Identifier (RI) #74's quarterly Minimum Data Set (MDS) assessment with an Assessment Reference Date (ARD) of 12/05/2024 documented RI #74 was receiving hospice services during the assessment period when RI #74 was not receiving hospice services; and 2) RI #92's quarterly MDS assessment with an ARD of 01/03/2025 documented RI #92 was utilizing a trunk restraint during the assessment period when trunk restraints… […]