Dockside Health & Rehab Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Jan 31, 2024

  Based on observations, staff interviews, facility documentation review, and clinical record review, the facility staff failed to ensure CPR (Cardiopulmonary Resuscitation) was provided for one (1) Resident (Resident # 3) in a survey sample of six (6) residents. For Resident# 3, the facility staff failed to continue CPR after starting it before EMS arrival which placed the resident in an immediate jeopardy situation. Without intervention, the likelihood of immediate jeopardy situations existed for all current full-code residents in the facility. The findings included: Resident # 3 was admitted to the facility on [DATE] with diagnoses that included but were not limited to Dementia, Hypertension, Dysphagia, Gout, and Diabetes. […]

• Actual harm, isolatedF760Oct 25, 2021

  Based on staff interview, facility documentation review, clinical record review, and in the course of a complaint investigation, the facility staff failed to ensure Residents were free from significant medication errors for four Residents (Resident #40, #24, #178, and #62) in a survey sample of 41 Residents, which resulted in harm for Resident #40. The findings included: 1. For Resident #40, the facility staff failed to follow physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] #40 having a [CONDITION(S)] and being sent to the hospital, this constituted harm. On 10/12/21 at 2:10 PM, the family member/Resident Representative of Resident #40 met with the survey team. She shared concern that Resident #40 had been hospitalized and during the course of her hospital stay had seizures. […]

• Actual harm, isolatedF770Oct 25, 2021

  Based on staff interview, clinical record review and facility documentation review and in the course of a complaint investigation, the facility staff failed to ensure Laboratory services were provided to meet the needs of one resident (Resident # 128) in a survey sample of 41 residents resulting in harm. The Findings Included: 1. For Resident # 128, the facility staff failed to obtain a Complete Blood Count, Basic Metabolic Profile as ordered to be drawn on 8/28/2021. The labs were not drawn prior to Resident # 128 being hospitalized on [DATE] for [CONDITION(S)] (low blood pressure), increased confusion and dysphagia (difficulty swallowing). When the labs were checked in the emergency room , there were several values at Critical levels. […]

• No harm, potential for more than minimal, patternF812May 31, 2024

  Based on observation and staff interview the facility staff failed to maintain a clean and sanitary food preparation area in accordance with professional standards for food service safety. The findings included; On 5-28-24 at approximately 12:40 PM, the kitchen area of the facility was inspected. The fire suppression hood over the large industrial stove was covered in debris and dust with a fur like appearance, which could not be removed by simply wiping, as the debris was adhered with a sticky greasy substance. The metal food preparation tables in the center of the kitchen immediately parallel to the stove had a shelf under each one running the entire length under the tables. Those shelves were also coated with the sticky substance which could not be wiped off. […]

• No harm, potential for more than minimal, patternF880Jun 15, 2022

  Based on observation, staff interview, and facility documentation review, the facility staff failed to implement infection control practices as per the CDC (Centers for Disease Control and Prevention) and CMS (Centers for Medicare & Medicaid Services) guidance/requirements to prevent the spread of COVID-19 within the facility by 3 nursing staff members, LPN B, CNA C, and CNA F, out of 3 nursing staff observed providing resident care. The facility nursing staff, LPN B, CNA C, and CNA F, failed to implement proper use of PPE (personal protective equipment) while providing direct resident care for Resident #10. […]