Eastside Health and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF686Apr 13, 2023

  Based on interview, observation and record review, the facility failed to appropriately reposition to prevent shearing and pressure, ensure pressure ulcer treatment performed as ordered and dressing intact for 1 of 2 resident (R26) reviewed for pressure ulcers in the sample of 32. This failure resulted in R26's sustaining a shear / pressure ulcer of the right buttocks and coccyx. Finding include: R26's Profile Face Sheet, undated, documents that R26 was admitted on [DATE] with diagnoses of Heart Failure, Type 2 diabetes and morbid obesity. R26's Nursing Admission Assessment, dated 2/13/23, documents that R26 had no open areas on her buttocks. […]

• Actual harm, isolatedF689Apr 13, 2023

  Two Deficienct Practice Statements are needed for this level due to multiple deficiencies. A. Based on interview, observation and record review, the facility failed to provide supervision, investigate falls, develop a root cause analysis and implement progressive interventions to prevent further falls for 1 of 3 residents (R30) reviewed for falls in the sample of 32. This failure resulted in R30 sustaining a head laceration which required 6 staples. Findings include: R30's Profile Face Sheet, undated, documents that R30 was admitted on [DATE] and has diagnoses of Fx (fracture) of neck of right femur, Parkinson's disease and Dementia. […]

• No harm, potential for more than minimal, widespreadF812Jun 6, 2025

  Based on interview, observation, and record review, the Facility failed to ensure food was stored in a manner that prevents foodborne illness. This has the potential to affect all 55 residents living in the Facility. Findings include: On 6/4/25 at 9:15 AM, in the standing freezer there was a plastic bag with uncooked steak that was not labeled or dated. The bag was previously opened and was not resealed, leaving the meat open to air. There was a bag of uncooked chicken that was not labeled or dated. The steak and chicken were both stored on the top shelf next to a sponge cake and directly above a box of dinner rolls. V4, Dietary Manager, stated, We can probably get rid of those. […]

• No harm, potential for more than minimal, widespreadF727May 2, 2024

  Based on record review and interview the facility failed to provide a Registered Nurse (RN) 8 hours a day seven days a week. This has the potential to affect all 50 residents residing at the facility. Findings include: On 04/29/24 at 1:20 PM, the facility daily staffing sheets were reviewed. The staffing sheets documents there was no RN coverage for 8 hours a day in the facility for the following dates: 4/6/24, 4/7/24, 4/20/24 and 4/21/24. On 4/29/2024 at 3:09 PM, V1, Administrator, stated the facility does not have a policy on staffing. V1 stated a RN should be on duty 8 hours a day seven days a week. The CMS 671 Facility Application for Medicare and Medicaid, dated 4/29/2024, documents a census of 50 residents.

• No harm, potential for more than minimal, widespreadF727Jan 8, 2024

  Based on interview and record review, the facility failed to provide 8 hours of consecutive Registered Nurse coverage. This failure has the potential to affect all 51 residents living in the facility. Findings include: On 1/4/24 at 11:20 AM, V2, Director of Nurses, stated, We do have days that I work the floor because we are short. There are days when we do not have our 8 hours of consecutive Registered Nurse (RN) coverage. V1 stated that the facility just hired a few RN's hopefully it will get better. […]