Derry Center for Rehabilitation and Healthcare

In the surveyor’s words

From the most serious findings on record at Derry Center for Rehabilitation and Healthcare, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Mar 27, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to follow return to work guidelines for health care personnel who were positive for COVID-19 illness from working in the facility (Staff identifiers are C, I, J, and K); and failed to ensure that staff were aware of which residents were COVID-19 positive and what type of personal protective equipment (PPE) was required while caring for COVID-19 positive residents. (Staff identifiers are E, F, and G.) The facility also failed to have policies and procedures consistent with national standards and conduct annual reviews of them. […]

• No harm, potential for more than minimal, widespreadF835Mar 27, 2023

  Based on interview and record review, the facility failed to administer effectively during a COVID-19 outbreak consistent with national standards with a census of 47 residents. Findings include: Observation, interview and record review revealed administration failed to ensure that the facility had updated and implemented policies and procedures for infection control that were consistent with national standards including return to work guidelines for healthcare personnel who were positive for COVID-19 illness and proper personal protective (PPE) equipment for staff while caring for COVID-19 positive residents. […]

• No harm, potential for more than minimal, patternF584Aug 26, 2026

  Based on observation, interview, and review, the facility failed to provide comfortable and safe temperature levels over several weeks in the main lobby and resident rooms in a facility initially certified in 2003. (Resident identifiers are #1, #2, #3, and #4).Findings include:Observation on 8/26/26 at approximately 11:30 a.m. of the lobby revealed a large portable air conditioner unit powered on. The temperature was set at 64 degrees Fahrenheit and the air conditioning unit indicted the in the room was 75 degrees Fahrenheit. The air was damp and humid, with a noticeable musty odor. The lights were dimmed low and it appeared dark. There were four residents in wheelchairs watching television.Interview on 8/26/26 at approximately 11:50 a.m. […]

• No harm, potential for more than minimal, patternF761Oct 16, 2024

  Based on observations, interviews, and record review, it was determined that the facility failed to ensure that multi dose medications were labeled appropriately in 1 out of 1 medication carts observed. Findings include: Observation on 10/14/24 at approximately 8:20 a.m. of the East Medication Cart with Staff A (Licensed Practical Nurse) revealed the following: Resident #6's open Humalog pen with no open or discard dates; Resident #11's open Lispro insulin pen with a hand written open date of 9/20/24 and an incorrect hand written discard date of 9/1/24; Resident #19's open Lispro insulin vial with no open date or discard date; Resident #19's open Lantus insulin pen with no open date or discard date; Resident #24's two open Humalog insulin pens with no open or discard dates; Resident… […]

• No harm, potential for more than minimal, patternF887Mar 27, 2023

  Based on interview, record review, and policy review, it was determined that the facility failed to offer COVID-19 vaccination for 2 out of 5 residents reviewed for COVID-19 Immunization (Resident identifiers are #3 and #12). Findings include: Resident #12 Review on 3/23/23 of Resident #12's medical record revealed Resident #12 admitted to the facility on [DATE]. Further review of Resident #12's medical record revealed a physician's order for pneumococcal and influenza vaccination dated 3/3/23. There was no current order for COVID-19 vaccination. Review on 3/23/23 of Resident #12's medical record revealed a consent for COVID-19 vaccination signed by Resident #12's resident representative dated 3/3/23. […]