Extendicare Health and Rehab

In the surveyor’s words

From the most serious findings on record at Extendicare Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 18, 2022

  Based on observations, interviews, and review of a facility policy titled, Policy and Procedures Food Storage and Labeling, the facility failed to ensure frozen food items were labeled and dated properly in one of one kitchen and failed to ensure two of three fans in the kitchen area were maintained in clean condition. This had the potential to affect 122 residents who received an oral diet. Findings included: A review of an undated facility policy titled, Policy and Procedures Food Storage and Labeling, revealed, The facility will ensure the safety and quality of food by following good storage and labeling procedures. In accordance with F-371, 483.35 (i)(2) Sanitary Conditions: The facility must store, prepare, distribute, and serve food under sanitary conditions. […]

• No harm, potential for more than minimal, patternF758Jun 18, 2022

  Based on observations, interviews, record review, and review of facility policies titled, Pharmacy Consultant Review and [CONDITION(S)] Drugs, the facility failed to ensure the medication regimen was free of unnecessary [CONDITION(S)] medications for one (Resident Identifier [RI] #58) of four sampled residents reviewed for unnecessary [CONDITION(S)] medications. Specifically, the facility: - failed to ensure attempts were made to gradually reduce the dose of antipsychotic and antianxiety medication prescribed for a resident with dementia in the absence of physician's documentation of specific reasons why a dose reduction would be contraindicated for RI #58. […]

• No harm, potential for more than minimal, isolatedF700Jun 18, 2022

  Based on observations, interviews, record review, and review of a facility policy titled, Bed Rail Policy,'' the facility failed to ensure an assessment was conducted and documented for the type of bed rails that were in use and failed to ensure a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] #73) of six sampled residents reviewed for bed rails. Findings included: Review of a facility policy titled, Bed Rail Policy-[Facility Name], revised 05/01/2018, revealed, Individual bed rail evaluations will include data collection analysis and determination of potential alternatives to bed rail use. […]

• No harm, potential for more than minimal, isolatedF759Jun 18, 2022

  Based on observation, record review, interview, and review of facility policies titled, Medication Administration and Policy and Procedure for the Silent Knight Tablet Crushing System, the facility failed to maintain a medication error rate of less than 5% for one (Resident Identifier [RI] #4) of five residents observed during medication administration. Medication errors were made by one of five facility nurses observed administering medications. The medication error rate was 13.79% based on observation of 29 medications administered and a total of four medication errors detected. […]