Effingham Care & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Effingham Care & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 12, 2026

  Based on observation, interviews, document review and policy review, the facility failed to ensure food items were labeled and dated. In addition, the facility failed to maintain sanitary conditions when serving food and washing dishes. These deficient practices had the potential to increase the risk of cross contamination and foodborne illness for 84 residents in the facility who received food from dietary. Findings include:Observation on 02/09/2026 at 9:12AM revealed that inside the refrigerator in the kitchen on a shelf was a plastic container with no label and covered with plastic wrap. The Dietary Manager (DM) stated there was tuna salad in the container and confirmed no label was present. […]

• No harm, potential for more than minimal, isolatedF641Feb 12, 2026

  Based on record review, interviews, and policy review, the facility failed to ensure the Minimum Data Set (MDS) assessment accurately reflected the condition and needs for three residents (R) (R9, R20 and R69) from a sample of 26 residents reviewed for MDS accuracy. The deficient practice created the potential for inaccurate and/or omitted care planning. Findings include: 1.Review of R9's electronic medical record (EMR) Face Sheet tab revealed admission date of 07/07/2022 with diagnoses including but not limited to Paranoid schizophrenia dated 09/20/2023. Review of R9's PASARR II document in the EMR under the Documents tab revealed that a PASARR II had been completed on 10/26/2023. […]

• No harm, potential for more than minimal, isolatedF679Feb 12, 2026

  Based on observation, interviews, record review, and policy review, the facility failed to provide an ongoing activity program to meet the individual interests and needs to enhance the quality of life for one of six residents (R) (R8) reviewed for activities. The deficient practice had the potential to affect resident physical, mental, and psychosocial well-being.Findings include: Review of R8's Face Sheet, located in the electronic medical record (EMR) under the Face Sheet tab, indicated the resident was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF687Feb 12, 2026

  Based on observations, record reviews, and interviews, the facility failed to ensure a resident received assistance with toenail care by podiatry (a medical specialty that focuses on feet, ankles and legs) as ordered by the physician for one of four residents (R) (R4) reviewed for Activities of Daily Living (ADL) care. The deficient practice increased the risk of clinical complications of the feet.Findings include:Review of R84's Face Sheet located under the Face Sheet tab of the electronic medical record (EMR) indicated the resident was admitted to the facility on [DATE] with diagnoses of but not limited to diabetes mellitus with diabetic neuropathy and primary osteoarthritis of both ankles and feet. […]

• No harm, potential for more than minimal, isolatedF791Feb 12, 2026

  Based on record review, interview, and facility policy review, the facility failed to arrange dental services regarding poorly fitted dentures for one resident (R) (R20) reviewed for dental services from a sample of 20 residents. This deficient practice had the potential for adverse oral health and diminished nutrition.Findings include:Review of R20's Face Sheet located under the Face Sheet tab of the Electronic Medical Record (EMR) indicated the resident was admitted to the facility on [DATE] with diagnoses of but not limited to vascular dementia, bipolar disorder, generalized anxiety disorder, post-traumatic stress disorder (PTSD), Iron deficiency anemia, peripheral vascular disease, and diabetes mellitus.Review of R20's Care Plan located under the Care Plan tab of the EMR, dated… […]