Eagle Health & Rehabilitation

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 1, 2023

  Based on observations, staff interviews, record review, and a review of the facility's policy titled, Food Preparation and Distribution and Storage Areas, the facility failed to store and prepare food in accordance with professional standards for food service safety. Specifically, the facility failed to ensure meal temperatures were documented and failed to ensure dented cans were removed from the dry storage area and were not available for use. This failure had the potential to affect 37 of 39 residents who received meals from the kitchen. […]

• No harm, potential for more than minimal, widespreadF812May 4, 2021

  Based on observations, staff interviews, record review, and the facility policies Storage Area and Cleaning and Sanitizing, the facility failed to ensure that food items were being prepared in a clean sanitary environment free of dirt, debris, and pests, food was stored in a manner to prevent food contamination, refrigerator vents were clean, food items are labeled and dated, and all expired food items were discarded. This had the potential to effect 34 of 41 residents receiving an oral diet. Findings include: Record review of policy titled Storage Area dated 2020 documented: It is the intent of this center to store food in a manner that maintains quality and safety . 1(a). Guidelines -items will be covered sealed, labeled, and dated appropriately 7(c). […]

• No harm, potential for more than minimal, patternF805Apr 25, 2025

  Based on observations, staff interviews, and record review, the facility failed to ensure each resident received food that was prepared in a form designed to meet individual needs for two residents (R) (R4 and R20) of six residents who required a pureed diet. Specifically, the facility failed to ensure that the consistency of the pureed diet was appropriate to meet the needs of the residents. Findings included: Review of the IDDSI (International Dysphagia Diet Standardization Initiative) dated 2019 read in part: Level 4 Pureed - Have a smooth with no lumps .not sticky .do not require chewing .Food characteristic to AVOID .tough or fibrous foods .food with skins or outer shell, food with husks, bone or gristle .stringy food .visible lumps. […]

• No harm, potential for more than minimal, patternF600Apr 6, 2025

  Based on observation, staff interview, record review, review of the facility's policy titled, Abuse Prohibition, the facility failed to protect the residents' right to be free from sexual abuse by another resident for two of three residents (R) (R1 and R4) reviewed for abuse prohibition. Specifically, the facility failed to develop or implement interventions to address R2's sexual behavior to protect R1 and R4 from sexual abuse. Findings included: Review of the facility's policy titled, Abuse Prohibition, dated 12/27/2024, revealed the Intent section included, It is the intent of this center to actively preserve each patient's right to be free from mistreatment, neglect, abuse, or misappropriation of patient property. […]

• No harm, potential for more than minimal, patternF609Apr 6, 2025

  Based on staff interviews, record review, and facility document review, and review of the facility's policy titled, Abuse Prohibition-Reporting and Investigating, the facility failed to ensure allegations of sexual abuse for three of three residents (R) (R1, R3, and R4) reviewed for abuse prohibition were reported to the state survey agency (SSA) no later than two hours after the allegations were made. Findings included: Review of the facility's policy titled, Abuse Prohibition-Reporting and Investigating, dated 12/27/2024, revealed the Guidelines section included, Any person hearing a complaint of abuse, corporal punishment, involuntary seclusion, neglect, mistreatment, misappropriation of patient property, or exploitation must immediately tell the Administrator, the Director of… […]