Dover Center for Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Dover Center for Health & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761Mar 10, 2023

  Based on observation, interview, and record review it was determine that the facility failed to ensure that opened medications were labeled with an open date or open expiration date on 1 of 3 medication carts observed, failed to ensure that expired supplements were removed from the medication room, and failed to ensure that medications were kept secured on 1 of 3 units observed (Resident Identifiers are #41, #52, and #7). Findings include: Passport Medication Room Observation on [DATE] at approximately 8:45 a.m. of the Passport Medication Room revealed: 13 Apple Ensure clear therapeutic drinks, expiration date [DATE] 10 Berry Ensure clear therapeutic drinks, expiration date [DATE] Interview on [DATE] at approximately 8:45 a.m. […]

• No harm, potential for more than minimal, patternF921Apr 14, 2022

  Based on observation and interview, the facility failed to conduct testing in a safe environement that is consistent with current standards of practice for resident COVID- 19 testing. (Resident identifiers are #7 and #42.) Findings include: Observation on 4/12/22 at approximately 10:10 a.m. of the carpeted Central Unit common area revealed Staff A (Respiratory Therapist) to be wearing an N95 mask, eye protection, gloves and an isolation gown and perform a nasal swab on Resident #7 and then conduct a rapid antigen COVID-19 test, in the center of the common area. Further observation revealed a total of 3 other residents to be sitting in the common area watching television. Interview on 4/12/22 at approximately 10:12 a.m. […]

• No harm, potential for more than minimal, isolatedF554May 2, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to determine if self-administration of medications was clinically appropriate for 1 of 4 residents reviewed for choices in a final sample of 20 residents. (Resident identifier is #68.) Findings include: Observation on 4/30/25 at approximately 8:35 a.m. of Resident #68's bedside table revealed a bottle of Refresh tears and Fluticasone nasal spray. Interview on 4/30/25 at approximately 8:35 a.m. with Resident #68 revealed that the medication has been on his/her bedside table since he/she was admitted about a month ago. Further interview revealed that he/she self-administers the medications 1-2 times a day. Observation on 4/30/25 at approximately 11:15 a.m. […]

• No harm, potential for more than minimal, isolatedF656May 2, 2025

  Based on interview and record review, it was determined that the facility failed to develop and implement a comphrensive care plan for 1 of of 3 residents reviewed for accidents in a final sample of 20 residents (Resident Identifier is #6). Findings include: Review on 5/1/25 of Resident #6's progress notes revealed the following notes: On 3/19/25 at 11:34 a.m., Resident noted to have scissors in [pronoun omitted ] room. Resident states [pronoun omitted] got them from [pronoun] niece. […]

• No harm, potential for more than minimal, isolatedF658May 2, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to follow professional standards for medication storage and administration for 1 of 3 medication carts observed. (Resident identifier is #69.) Findings include: [NAME], [NAME] A., and [NAME] [NAME]. Fundamentals of Nursing. 10th edition St. Louis, Missouri: Elsevier, 2021. Page 608 . Right Medication . Because the nurse who administers the medication is responsible for any errors related to it, nurses administer only the medications they prepare. You cannot delegate preperation of medication to another person and then administer the medication to a patient . Observation on 4/30/25 at approximately 7:30 a.m. […]