East End Health & Rehab Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Sep 12, 2025

  Based on observations and staff interview, it was determined that the facility failed to maintain sanitary conditions in the dish room and kitchen which created the potential for cross contamination in the designated main kitchen. Findings include: During an observation of the main designated kitchen on 9/08/25, at 9:30 a.m. the following was observed: -Dish room walls, brown debris, paint peeling-Ice machine, brown debris During an interview on at om 9/8/25 at 10:30 a.m. Dietary Manager Employee E7 couldn't provide proof of documentation when the ice machine was last serviced. During an interview on 9/8/25 at 10:45 a.m., Dietary Manager Employee E7 confirmed that the facility failed to maintain sanitary conditions which created the potential for food borne illness. 28 Pa. […]

• No harm, potential for more than minimal, widespreadF881Sep 12, 2025

  Based on review of the facility's infection control policies and procedures and staff interview, it was determined that the facility failed to implement an antibiotic stewardship program for eleven of eleven months (September 2024 thru August 2025).Findings include: Review of facility policy Antibiotic Stewardship Program last reviewed 4/1/25, indicated the Antibiotic Stewardship will focus on improving antibiotic/antimicrobial use by avoiding unnecessary or inappropriate antibiotics. The antimicrobial stewardship process will be overseen and managed by the Infection Preventionist who works collaboratively with the medical director, pharmacist, nursing and administrative leadership. […]

• No harm, potential for more than minimal, widespreadF882Sep 12, 2025

  Based on a review of facility policy and staff interview, it was determined the facility failed to ensure that the Infection Prevention and Control Program (IPCP) was overseen by an individual who adequately assesses, develops, implements, monitors, manages and has appropriate knowledge, skills and time to perform the IPCP for eleven of twelve months.Findings included: Review of the facility policy Infection Prevention and Control Program last reviewed 4/1/25, indicated to maintain an organized, effective facility-wide program designed to systematically prevent, identify, control and reduce the risk of acquiring and transmitting infections among employees, volunteers, visitors, and contracted healthcare workers; to conduct surveillance of communicable disease and infectious outbreaks; and… […]

• No harm, potential for more than minimal, widespreadF812Nov 2, 2023

  Based on a review of facility policy, observations and staff interview, it was determined that the facility failed to properly label food products in the dry storage area and maintain sanitary conditions in the dish room and kitchen which created the potential for cross contamination in the designated main kitchen (Main kitchen). Findings include: A review of the facility Kitchen Sanitation policy dated 7/1/23 , indicated food and nutriton staff will maintain the sanitation of the kitchen. During an observation of the main designated kitchen on 10/30/23, at 8:50 a.m. […]

• No harm, potential for more than minimal, patternF554Sep 12, 2025

  Based on observations, resident, and staff interviews, it was determined that the facility failed to determine the ability to self-administer medications for four of eight residents (Residents R25, R81, R88 and R104). Findings include: Review of the facility policy Self-Administration of Medication last reviewed 4/1/25, indicated the facility, in conjunction with the interdisciplinary care team, should access and determine whether self-administration of medications is safe and clinically appropriate. The facility should ensure that orders for self-administration list the specific medication(s) the resident may self-administer. […]