Guest House Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Guest House Nursing and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Jul 30, 2025

  Based on observations and interviews, the facility failed to maintain a safe, clean, comfortable and homelike environment for 2 (#38, #100,) of 2 (#38, #100) sampled residents reviewed for environmental concerns. The facility failed to ensure that residents' wheelchairs were maintained in good repair.Findings:Resident #38 Review of Resident #38's record revealed an admit date of 01/04/2023 with diagnoses including chronic diastolic (congestive) heart failure, left knee primary osteoarthritis and chronic kidney disease. Further review of records revealed a quarterly Minimal Data Set (MDS) assessment dated [DATE] documented Resident #38 utilized a wheelchair for mobility and required moderate assistance with transferring.On 07/28/2025 at 9:53 a.m. […]

• No harm, potential for more than minimal, patternF761Mar 19, 2025

  Based on observation, review of the policy, and interviews, the facility failed to ensure that all drugs and biologicals are stored in locked compartments by having an unlocked, open medication room that was not being monitored by licensed nursing staff. Findings: Review of facility's policy and procedure for Administering Medications (no date) revealed the following: Medications and biological are stored safely, securely, and properly following manufacturer's recommendations or those of the supplier. The medication supply is accessible only to licensed nursing or medical personnel and pharmacy personnel. Observation on 03/18/2025 at 5:02 a.m. revealed the medication room (medication room a) door was unlocked and propped open by a wooden board. […]

• No harm, potential for more than minimal, patternF729Dec 30, 2024

  Based on record reviews and interviews, the facility failed to ensure that before allowing an individual to serve as a nurse aide, a facility must receive receive registry verification that the individual has met competency evaluation requirements for 1 Certified Nursing Assistant (S5CNA) of 3 (S5CNA, S6CNA, and S7CNA) personnel files reviewed. The facility allowed an employee to work as a CNA with an expired and out of State certification. Findings: Review of S5CNA's personnel file revealed his date of hire was on [DATE]. Further review revealed that S5CNA received his nurse aide certification in a different state from which he was currently empoyed. […]

• No harm, potential for more than minimal, patternF726Aug 13, 2024

  Based on record reviews and interviews, the facility failed to ensure nursing staff was competent in providing nursing and related services to assure resident safety and maintain resident's highest practicable physical, mental, and psychological well-being for each resident. The facility failed to ensure: 1) the Certified Nursing Assistants (CNAs) conducted a walk through round and provided a report on residents during shift change and 2) CNAs rounded on residents every 2 hours for 2 (#1, #2) of 3 (#1, #2, #3) sampled residents. […]

• No harm, potential for more than minimal, patternF640Jul 24, 2024

  Based on record review and interview the facility failed to electronically transmit encoded, accurate and complete Minimum Data Set (MDS) data to Centers for Medicare and Medicaid (CMS) in a timely manner for 3 (#43,#48, and #94) of 3 (#43,#48, and #94) residents reviewed for the completion of a fourteen day discharge assessment. Findings: Record review revealed resident #43 was admitted to the facility on [DATE] and discharged on [DATE]. The last transmitted MDS assessment in the electronic health record was an admission assessment completed on 03/19/2024. Record review revealed resident #48 was admitted to the facility on [DATE] and discharged on [DATE]. The last transmitted MDS assessment in the electronic health record was an admission assessment completed on 03/05/2024. […]