Eastern Shore Rehabilitation and Health Center

In the surveyor’s words

From the most serious findings on record at Eastern Shore Rehabilitation and Health Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF578Mar 26, 2021

  Based on interview, record review, and review of facility policy, the facility failed to ensure each resident's right to determine their advance directives for four (Resident Identifier (RI) #11, RI #26, RI #50, and RI #116) of seven residents reviewed for advance directives. Expressed wishes for No Code or Do Not Resuscitate (DNR) status were not followed up on to assure that the facility had all documentation and that required forms were complete and notarized, if required, to validate that this was the resident's current request per their code status. The failure to assure that all needed documentation regarding advance directives was obtained creates the potential for the resident to receive services which are not requested or per their informed preference. […]

• No harm, potential for more than minimal, isolatedF585Mar 26, 2021

  Based on interview, record review, review of the facility's grievance log, and review of facility policy, the facility failed to ensure the grievance process was followed consistently for two (Resident Identifier (RI) # 37 and RI # 59) of two residents reviewed for grievances. The facility failed to keep a record of grievances, take prompt action, and investigate, and inform the complainant of the results of the investigation regarding grievances in such area as staff language and/or missing clothes. Findings included: A review of a facility policy titled, Resident Grievances, with an effective date of 03/2018, revealed, The resident has a right to voice grievances without discrimination or reprisal. […]

• No harm, potential for more than minimal, isolatedF688Mar 26, 2021

  Based on observation, interview, and record review, the facility failed to ensure one (Resident Identifier (RI) #12) of one sampled residents reviewed for range of motion received care and services to prevent potential further decline in his range of motion. RI #12's right-hand splint was not applied routinely per his plan of care. Findings include: Review of RI #12's undated Face Sheet, found in the Electronic Medical Record (EMR) under the Demographics Tab, revealed RI #12 was a long-term resident with [DIAGNOSES REDACTED]. RI #12's Functional Management Program, dated 01/14/19, read, Splint: Right hand/wrist. Wear 6 hours per day. […]