Essex Rehabilitation and Healthcare Center

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF602May 15, 2025

  Based on record review, interview, and facility document and policy review, the facility failed to ensure the residents' right to be free from misappropriation of property was maintained for 3 of 3 residents reviewed for misappropriation of resident property (Resident (R)45, R10, and R158). The findings include: Review of the facility policy titled, Abuse, Neglect, or Misappropriation of Resident Property, revised 10/15/2022, from the Administrative Policies manual, revealed the facility believed its residents had the right to be free from .or misappropriation of resident property. […]

• No harm, potential for more than minimal, isolatedF606May 15, 2025

  Based on interview, record review, and facility document and policy review, the facility failed to ensure it did not employ staff having been found guilty of abuse, neglect, exploitation, misappropriation of property, or mistreatment by a court of law, which affected 3 of 3 residents reviewed for misappropriation of resident property (Residents (Rs)45, R158, and R10), and had the potential to affect all residents that resided in the facility. The facility employed State Registered Nurse Aide (SRNA) 36, whose preemployment background check reflected a guilty finding for theft-receipt of stolen credit/debit card. […]

• No harm, potential for more than minimal, isolatedF609May 15, 2025

  Based on interview, record review, and facility document and policy review, the facility failed to report suspected misappropriation of resident property to the State Survey Agency (SSA) within 24 hours of forming suspicion of misappropriation for 1 of 3 residents reviewed for misappropriation of resident property (Resident (R)45). The findings include: Review of the facility's, Administrative Policies manual area titled, Abuse, Neglect, or Misappropriation of Resident Property Policy, revised 10/15/2022, revealed the Administrator was to ensure the Division of Licensure and Regulation (Office of Inspector General (OIG) and Adult Protective Services [APS] were notified immediately but no later than two hours after an allegation was received for all complaints of abuse .or misappropriation… […]

• No harm, potential for more than minimal, isolatedF610May 15, 2025

  Based on interview, record review, and facility document and policy review, the facility failed to ensure a thorough investigation was completed and submitted to the State Survey Agency (SSA) within five days of forming the suspicion a resident's financial information was being used fraudulently for 3 of 3 residents sampled for misappropriation of resident property (Residents (R)45, 158, and 10). On 01/09/2025, R45 reported suspicious charges on his/her financial statement to facility staff. However, the facility failed to submit an initial report of suspected misappropriation of resident property to the SSA or conduct interviews with residents to determine if other residents were potentially impacted, or interview staff to determine what knowledge they might have had until 01/20/2025. […]

• No harm, potential for more than minimal, isolatedF684May 15, 2025

  Based on observation, interview, record review, facility document and policy review, the facility failed to provide care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choice for 1 of 2 residents sampled for skin conditions out of the total sample of 32, (Resident (R)95). R95 sustained a skin tear; however, staff failed to notify the physician and obtain an order for treatment and failed to complete an incident report and/or skin assessment. Staff then provided treatment to the skin tear without an order. […]