Halstead Health and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF686May 20, 2024

  The facility identified a census of 41 residents with 12 residents sampled, which included one resident reviewed for pressure ulcers (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction). Based on observations, interviews, and record review, the facility failed to assess and provide treatment to prevent a pressure injury for Resident (R)13. On 05/08/24, staff observed two intact blisters on R13's coccyx (area at the base of the spine). Staff failed to notify the provider until 05/14/24, six days later, when the two areas developed into stage two (partial-thickness skin loss into but no deeper than the dermis including intact or ruptured blisters) pressure ulcers. […]

• Actual harm, isolatedF689May 20, 2024

  The facility census totaled 41 residents with 12 residents included in the sample, including one resident reviewed for accidents. Based on observation, interview, and record review, the facility failed to ensure a safe environment for one cognitively impaired Resident (R)35, when staff failed to check the temperature of a bowl of soup before serving it to the resident. Resident (R35) suffered burns, that developed blisters, on two fingers of his right hand when he placed them in the hot bowl of soup during mealtime. […]

• No harm, potential for more than minimal, widespreadF812Apr 15, 2026

  Based on observation, interview, and record review, the facility failed to provide sanitary conditions for food storage and preparation in the facility's one kitchen to prevent the spread of food borne illness to the residents of the facility. Findings included:- Initial tour of the kitchen on 04/13/2026 at 8:00 AM with Dietary Manager CC revealed the following areas of concern:Various containers and plates were not inverted on the drying rack in the kitchen which exposed the eating surfaces to potential contaminants.Two packages of cheese slices wrapped in plastic and one plastic bag with ham slices in the kitchen cooler with the dates 04/09 and 04/12, absent of year.One container with barbeque sauce dated 03/26; one large container of picante sauce dated 02/24; one large container of… […]

• No harm, potential for more than minimal, widespreadF812May 20, 2024

  The facility reported a census of 41 residents with one main kitchen. Based on observation, interview, and record review, the facility failed to store foods safely and under sanitary conditions to the residents of the facility to prevent the potential for food borne bacteria by the staff's failure to date and reseal open food items in the refrigerators and freezer, and the failure to clean the thermometer between food items while taking food temperatures prior to serving. This had the potential to affect all 41 of the residents' receiving meals from the main kitchen. […]

• No harm, potential for more than minimal, widespreadF880May 20, 2024

  The facility reported a census of 42 residents with 12 residents sampled. Based on observation, interview, and record review, the facility failed to maintain an effective infection control program with the failure of the facility to implement and staff to follow enhanced barrier precautions as required for three residents in the facility, Resident (R) 13 related to pressure ulcer treatment, R24 related to care of a urinary catheter (a hollow flexible tube that collects urine and leads to a drainage bag) and R26 related to tracheostomy (an opening though the neck into the trachea through which an indwelling tube may be inserted). […]