Eastway Health & Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Dec 9, 2021

  Based on interview, record review and the facility's policy, it was determined the facility failed to protect three (3) of 18 (eighteen) sampled residents from abuse (Resident #69, Resident #410 and Resident #420). 1. The facility failed to protect Resident #69 and Resident #410 from sexual abuse. Staff observed Resident #69 and Resident #410 lying on the floor in Resident #69's room, with their knees touching. Resident #69 was wearing a gown, and Resident #410 had his/her pants and brief pulled down below his/her knees, with his/her genitalia exposed to Resident #69. The facility had assessed the residents as unable to consent to having sexual contact with another person. Both residents had displayed sexually inappropriate behaviors in the recent past. […]

• Immediate jeopardy, isolatedF609Dec 9, 2021

  Based on interview, record review and facility policy review it was determined the facility failed to ensure staff reported alleged violations and potential abuse of one (1) of eighteen (18) sampled residents (Resident #420). Nurse Aid (NA) #3 witnessed Certified Nursing Assistant (CNA) #94 poke Resident #420 in the forehead while the resident was sitting on the toilet. Resident #420 became agitated at CNA #94, and started to walk toward the CNA, becoming unsteady on his/her feet. NA #3 observed CNA #94 place his open hands on Resident #420's chest, pushing the resident backwards. Resident #420 fell and sustained an abrasion to his/her back. NA #3 told CNA #94, See what you did. […]

• Immediate jeopardy, isolatedF656Dec 9, 2021

  Based on interview, record review, and review of the facility's documents, it was determined the facility failed to develop and implement the Comprehensive Person-Centered Care Plan for one (1) of eighteen (18) sampled residents (Resident #69). Review of Resident #69's Comprehensive Care Plan revealed the resident expressed no desire to have sexual contact with another person, after assessments on 07/27/2021, 08/24/2021 and 09/23/2021. The interventions included: for staff to encourage Resident #69 to notify them if he/she had the desire to have sexual contact with another person. […]

• Immediate jeopardy, isolatedF835Dec 9, 2021

  Based on interview, record review, review of the facility's policy, and review of the facility's Plan of Correction (PoCs) for the 07/03/2021 Recertification Survey and the 12/06/2019 Recertification Survey, it was determined the facility failed to have an effective Administration responsible for establishing and implementing policies regarding management and operation of the facility. The facility was re-cited at F-600, F-609, and F-656. Review of the 12/06/2019 Recertification Survey revealed the facility was cited at 42 CFR 483.12 Freedom from Abuse, Neglect and Exploitation (F-600) at a Scope and Severity of an E; and, at 42 CFR 483.21 Comprehensive Resident Centered Care Plans (F-656) at a Scope and Severity of a G. […]

• Immediate jeopardy, isolatedF837Dec 9, 2021

  Based on interview, record review, review of the facility's policy and previous Plans of Correction (POCs) for the 12/06/2019 and the 07/03/2021 Recertification Surveys, it was determined the facility failed to have an effective Governing Body responsible for establishing policies and ensuring the implementation of the policies regarding the management and operation of the facility. The facility failed to maintain substantial compliance, in the areas of 42 CFR 483.12 Freedom from Abuse, Neglect and Exploitation (F600 and F609); and, 42 CFR 483.21 Comprehensive Resident Centered Care Plan (F656). […]