Haida Nursing and Rehab

In the surveyor’s words

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

• Actual harm, isolatedF658Oct 10, 2024

  Based on review of the Pennsylvania Nurse Practice Act and clinical records, as well as staff interviews, it was determined that the facility failed to clarify physician's orders and a diagnosis of diabetes resulting in hospitalization for one of five residents reviewed (Resident 2). Findings include: The Pennsylvania Code, Title 49, Professional and Vocational Standards, State Board of Nursing, 21.11 (a)(1)(2)(4) indicated that the registered nurse was to collect, complete, and review ongoing data to determine nursing care needs, analyze the health status of individuals and compare the data with the norm when determining nursing care needs, and carry out nursing care actions that promote, maintain, and restore the well-being of individuals. […]

• Actual harm, isolatedF600Aug 3, 2023

  Based on review of policies, clinical records and investigation reports, as well as staff interviews, it was determined that the facility failed to ensure that one of four residents reviewed (Resident 2) was free from abuse perpetrated by another resident (Resident 3) resulting in a fractured nose. Findings include: The facility's abuse policy, dated June 6, 2023, indicated that residents have the right to be free form abuse, neglect, misappropriation of resident property and exploitation. […]

• Actual harm, isolatedF689Jan 19, 2023

  Based on review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that the resident environment remained as free of accident hazards as possible, and failed to develop and implement new interventions for fall/injury prevention for two of 27 residents reviewed (Residents 27, 28) who had a history of falls, which resulted in a fracture. Findings include: The facility's policy for managing falls and fall risk, dated February 4, 2022, indicated that the fall risk factors that may contribute to a fall include footwear that is unsafe or absent and obstacles in the foot path. A fall without injury is still a fall. […]

• Actual harm, isolatedF604Jul 21, 2022

  Based on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that a resident was free from physical restraints for one of six residents reviewed (Resident 2). Findings include: The facility's policy on restraints, dated January 3, 2022, indicated that restraints shall only be used for the safety and well-being of the resident only after other alternatives have been tried unsuccessfully. Furthermore, restraints shall only be used to treat the resident's medical symptoms, and never for discipline, staff convenience, or for the prevention of falls. […]

• No harm, potential for more than minimal, patternF605Sep 4, 2025

  Based on a review of facility policies and clinical records as well as staff interviews, it was determined that the facility failed to ensure that residents medication regime was free from unnecessary psychotropic medication (drugs that affect a person's mental state, emotions, and behavior) for two of 5 residents reviewed (Residents 1 and 5). Findings Include: The facility policy related to the use of psychotropic medications, dated April 23, 2025, indicated that residents will only receive psychotropic medications when other nonpharmacological interventions are clinically contraindicated. Additionally, these medications should only be used to treat the resident's medical symptoms and not used for discipline or staff convenience, which would deem it a chemical restraint. […]