Ghent Health and Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 7, 2023

  Based on observation, staff interview, facility document review, and clinical record review, the facility staff failed to prohibit unsafe smoking practices for two (2) of 11 residents in the survey sample, Residents #1 and #6. Resident #1 was inaccurately assessed to be safe to have a cigarette lighter at the bedside. On 2/26/23, he lit a cigarette in his room, while receiving continuous oxygen therapy, resulting in harmful burns on his lip, ear, chest, and back. When the resident returned to the facility, the facility did not implement the newly revised care plan for 1:1 supervision to keep the resident safe. Resident #6, who was assessed to be an unsafe smoker, was observed by the surveyor lighting his own cigarette on 2/28/23 and 3/1/23. […]

• Actual harm, isolatedF600Nov 11, 2021

  Based on interview, record review, and review of facility policy, the facility failed to protect residents from abuse resulting in harm for two residents of five residents (Resident (R) 191, and R89) reviewed for abuse in a total sample of 65 residents. Specifically, physical altercations resulted in R89 requiring an evaluation at the hospital for treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: Review of the facility's policy, Abuse, Neglect, Exploitation, and Misappropriation, dated 11/28/17 documented It is inherent in the nature and dignity of each resident at the center that he/she be afforded basic human rights, including the right to be free from abuse. physical abuse includes. hitting. biting. The center is committed to the prevention of abuse, neglect. […]

• No harm, potential for more than minimal, widespreadF584Feb 26, 2026

  Based on observations, resident and staff interviews, facility document review, and clinical record review, it was determined that the facility staff failed to maintain a clean and homelike environment for residents across four of the facility's four units, which constituted substandard quality of care (SQC). The findings include: 1. The facility staff failed to maintain a clean and homelike environment for Resident #35 (R35). Observation of the bathroom for room [ROOM NUMBER] on 2/3/26 evidenced no hot water. Water was left running for 4 minutes without it getting warm. […]

• No harm, potential for more than minimal, widespreadF887Feb 26, 2026

  Based on observations, staff interview, and facility document review, it was determined that the facility staff failed to provide COVID-19 vaccinations to residents 2025 and failed to maintain COVID-19 staff vaccination status. The findings include:During the facility task of Infection Prevention and review of facility documents, on 2/10/26 and 2/11/26, there was no evidence of resident COVID-19 vaccination for 2025 and no evidence of maintenance of staff COVID-19 vaccination status.On 2/11/26 at 9:00 AM an interview was conducted with LPN (licensed practical nurse) #4, the Infection Preventionist. LPN #4 stated, this role is new for me as of June of 2025. […]

• No harm, potential for more than minimal, widespreadF584Oct 24, 2022

  Based on observation, resident/staff interviews, family interview, complaint investigation, facility records review and facility policy, the facility staff failed to provide a safe, sanitary, comfortable homelike environment on 4 out of 4 units (Unit 1-A, 1-B, 2-A and 2-B) which represented Wide Spread deficient practice. The findings include: 1. Unit 1-A: a. Comfort concerns were identified on 10/19/22 and 10/20/22 where residents were observed on Unit 1-A wearing winter coats and gloves. On 10/19/22 at approximately 1:34 p.m., Resident #16 was observed sitting on the side of her bed wearing a thin dress. She had no shoes or socks on and stated the floor was cold. […]