Gateway Health and Rehab

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880Aug 19, 2021

  Based on observation, interview and review of facility policy, the facility failed to implement infection control practices by not following proper glove use procedures and not utilizing a gown or other barrier to prevent cross-contamination when sorting laundry. These practices occurred during a COVID-19 outbreak at the facility. Findings include: The facility's policy Departmental (Environmental Services) - Laundry and Linen Version 2.2 revised 01/14 revealed that Standard Precautions 3. Consider all soiled linen to be potentially infectious and handle with standard precautions. Sorting Soiled Linen 1. Employees sorting or washing linen must wear a gown and gloves. A mask may be worn if aerosolization is expected. 2. Use heavy-duty rubber gloves for sorting laundry. […]

• No harm, potential for more than minimal, isolatedF578Mar 23, 2025

  Based on staff interviews, record review, and review of the facility's policy titled, Advance Directives, the facility failed to ensure that the electronic medical records, which included physician orders was consistent with the code status preference for one out of 25 sampled Residents (R) (R41). Findings include: Review of the facility's policy titled Advanced Directives dated November 2017 under the Policy Interpretation and Implementation section revealed, 10. The plan of care for each resident will be consistent with his or her documented treatments preferences and /or advance directive. Review of R41's Quarterly Minimum Data Sets (MDS) dated [DATE] revealed that the resident had a Brief Interview for Mental Status score of 15 indicating that the resident's cognition was intact. […]

• No harm, potential for more than minimal, isolatedF689Feb 8, 2023

  Based on document observations, resident and staff interviews, record review, and a review of the facility's policy titled, Completion of Accident and Incident Form, the facility failed to identify accident hazards and implement interventions to address/reduce hazards for 1of 3 sampled residents (R) (#25). Specifically, R#25's arm became stuck in the grab bar beside the toilet. The facility failed to identify the grab bar as an accident hazard for R#25 and failed to implement interventions that addressed the grab bar. Findings included: Review of the facility's policy titled, Completion of Accident and Incident Form, dated 07/20/2021, specified, 1. A & I (Accident and Incident) data collection will be completed on: a. Bruises. The policy further indicated 7. […]

• No harm, potential for more than minimal, isolatedF552Jul 23, 2021

  Based on observations, record review, interviews, and facility policy, the facility failed to inform the resident's representative of a significant weight loss for one Resident (R) #41 in accordance with the right to be informed. The sample size was 14. Findings include: Review of facility's policy entitled Residents Rights effective date 10/2017, noted the following Federal and State laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to: K. Appoint a legal representative of his or her choice, in accordance with state law. O. Be informed of his or her medical condition and of any changes in his or her condition. P. […]

• No harm, potential for more than minimal, isolatedF689Jul 23, 2021

  Based on observation, record reviews, interviews, and review of facility policy, it was determined for one of 13 sampled residents (Resident (R) #1) the facility failed to ensure that the resident's environment remained free of accident hazards as possible, and that the resident received adequate supervision as well as assistance to prevent accidents. Findings Include: Review of the policy entitled. Accidents and incidents investigating and Reporting, dated May 2009 revealed: SCOPE: This policy applies to the staff at the healthcare center. 1. Reporting of Accidents/Incidents: c. An employee witnessing an accident or incident should report the occurrence to his/her immediate supervisor as soon as practical and write a witness statement describing the accident/incident. […]