Craneville Rehabilitation and Skilled Care Center

In the surveyor’s words

From the most serious findings on record at Craneville Rehabilitation and Skilled Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Jan 4, 2023

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), whose advanced directives indicated he/she was a Full Code (in the event of cardiac or respiratory arrest, attempts at resuscitation will be initiated) and that he/she wanted to be transferred to the hospital for care, the Facility failed to ensure nursing staff provided adequate basic life support (BLS - a level of care for victims of a life threatening illness), including the need to take immediate steps to identify the residents code status and to promptly initiate the appropriate procedures for administering cardiopulmonary resuscitation (CPR) in accordance with the resident's advanced directives and physician's orders. […]

• Immediate jeopardy, isolatedF726Jan 4, 2023

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), whose advanced directives indicated he/she was Full Code, (staff to attempt Resuscitation in the event of cardiac or respiratory arrest) and to be transferred to the hospital, the Facility failed to ensure that nursing staff were competent in identifying a resident's code status and activating Emergency Medical Services (EMS) promptly as well as ensuring nursing staff had the skill sets needed to provided adequate basic life support (BLS - a level of care for victims of a life threatening illness), including administration of cardiopulmonary resuscitation (CPR) in accordance with the resident's advanced directives and physician's orders and utilizing emergency medical equipment which included the… […]

• No harm, potential for more than minimal, widespreadF726Jan 18, 2024

  Based on interview and record review, the facility failed to ensure that nursing staff possessed the competencies and skill sets necessary to provide nursing and related services to meet the residents' needs safely. Specifically, the facility failed to provide documentation and could not verify that three Licensed Nurses (#3, #4, and #5) out of a sample of three Licensed Nurses, had completed orientation training/competencies (Nurse #3), or annual competencies (Nurse #4, Nurse #5) as outlined in the Facility Assessment Tool Findings include: Review of the Facility Assessment Tool, most recent revision undated, indicated but was not limited to the following: >Section 1.4: If we have a referral that we have screened and we are not certain we are able to care for the person, we would… […]

• No harm, potential for more than minimal, widespreadF812Jan 18, 2024

  Based on observation, interview and policy review, the facility failed to ensure that food in three unit kitchenettes (Unit 1, Unit 2, and Unit 3) out of three units observed, were labeled and dated as required, and the cleanliness of the refrigerators and freezers were maintained to prevent contamination and the spread of food borne diseases. Findings include: Review of the facility policy titled Labeling and Storage of Food, dated 9/1/16 indicated the following: -All food must be discarded 3 days after it is opened. -All food belonging to a specific resident must be labeled with their name and the date that it was put in the refrigerator. […]

• No harm, potential for more than minimal, widespreadF812Jul 19, 2022

  Based on observation and interview, the facility failed to ensure that its staff: 1) Followed the facility policy for food storage and 2) Properly stored clean steam table pans in the main kitchen. Findings Include: Review of the facility policy titled: Food Storage and Preparation, reviewed on 9/21, indicated the following: -All food items will be wrapped properly and tightly, or stored in clean, covered containers clearly marked, including the preparation date and discard date. 1. The facility failed to ensure staff properly stored a frozen bag of chicken in the walk-in freezer and failed to ensure a frozen bag of cake pieces was dated in the stand-up freezer. […]