Edward J Healey Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at Edward J Healey Rehabilitation and Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF686May 21, 2026

  Based on observation, interview and record review, the facility failed to provide care and services to prevent the development of new pressure ulcers, as evidenced by, failure to implement the physician's order for soft boots and to properly document the resident's refusal of them for 1 of 2 sampled residents reviewed for pressure ulcers (Resident #6). The findings included:Review of the facility's policy and procedure titled, Prevention of Pressure Injury, revised on 04/2020 documented, 1. Interventions will be implemented in accordance with practitioner's orders, including the type of devices to be used, and the frequency of performing the tasks. 2. […]

• No harm, potential for more than minimal, isolatedF688May 21, 2026

  Based on observation, interview, policy review and record review, the facility failed to provide care and services to maintain range of motion for 2 of 4 sampled residents, as evidenced by failure to follow a physician's order for use of self-feeding adaptive equipment for Resident #84, and failure to provide bilateral boots for contracture prevention for Resident #76. The findings included:1) Review of the policy titled, Use of Assistive Devices-Procedure effective date 05/15/20, documented, in part, 1. Assistive devices include: f. Orthotic or prosthetic equipment, g. Eating utensils 3. The facility will provide assistive devise for residents who need them. […]

• No harm, potential for more than minimal, isolatedF700May 21, 2026

  Based on observations, record review and interviews, the facility failed to properly complete quarterly assessments for bed rails/assist bars for 3 of 4 sampled residents reviewed for accidents (Resident #20, Resident #57 and Resident #81). The findings included:Review of the State Operations Manual (SOM) revealed the definition of Bed Rails are adjustable metal or rigid plastic bars that attach to the bed. They are available in a variety of types, shapes, and sizes ranging from full to one-half, one-quarter, or one-eighth lengths. Also, some bed rails are not designed as part of the bed by the manufacturer and may be installed on or used along the side of a bed. Examples of bed rails include, but are not limited to: Side rails, bed side rails, safety rails; Grab bars and assist bars. […]

• No harm, potential for more than minimal, isolatedF880May 21, 2026

  Based on policy review, observation, interview and record review, the facility failed to ensure staff maintained sterile technique during tracheostomy care and suctioning as evidenced by improper handling of sterile supplies, failure to prevent contamination of the sterile field, failure to change gloves after contact with potentially contaminated surfaces and equipment. This deficient practice had the potential for increased risk for infection for 1 of 1 sampled resident (Resident #52); and failed to change gloves during wound care for 1 of 1 sampled resident (Resident #28).The findings included:The facility policy titled Tracheostomy Care and Suction Policy and Procedure, dated 05/04/26, indicated the purpose of the policy was to establish standardized, evidence based best practices for… […]

• No harm, potential for more than minimal, isolatedF810Dec 12, 2024

  Based on observations, interviews and record review, the facility failed to provide adaptive equipment for a resident when consuming liquids for 1 out of 2 sampled residents reviewed for adaptive equipment, affecting Resident #6. The findings included: Review of the facility's policy titled, Adaptive Feeding Equipment Policy and Procedure, with an effective date of 09/25/24, included in part, the following: To provide adaptive equipment to obtain and/or maintain a resident highest practicable level. Residents requiring assistance in feeding are potential candidates for a restorative dining program or adaptive utensil use, as determined by the occupational therapist. […]