Harrison Nursing and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF656Feb 22, 2024

  Based on interview, record review, and review of the facility's policy, it was determined the facility failed to implement the intervention of the use of a mechanical lift for one (1) of three (3) sampled residents, Resident #39. The facility assessed Resident #39 and care planned the resident to require the use of a mechanical lift (an assistance device used to transfer residents from one (1) surface to another who required support more than the manual support provided by caregivers alone) with two (2) staff assisting. […]

• Actual harm, isolatedF689Feb 22, 2024

  Based on observation, interview, record review, and review of the facility's policies, it was determined the facility failed to ensure the use of assistance devices to prevent injury for one (1) of three (3) sampled residents (Residents #39). On 02/06/2024 staff transferred Resident #39 from the bed to chair then back to bed without using a mechanical lift (an assistance device used to transfer residents from one (1) surface to another who required support more than the manual support provided by caregivers alone). Resident #39 sustained an intertrochanteric comminuted fracture (the bone was broken in at least two (2) places) to the right proximal femur and a fracture to the thoracic (T)11 vertebrae. […]

• Actual harm, isolatedF656Jan 11, 2024

  Based on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident's rights set forth that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs for three (3) of thirty-seven (37) sampled residents (Residents #29, #12, and #26). Resident #29 sustained a laceration to the chin requiring six (6) sutures on 02/21/2023 when the bed the resident was in was not locked and rolled causing the resident to fall while receiving care per one (1) persons assistance when the resident was assessed and care planned for two (2) person assist. […]

• Actual harm, isolatedF657Jan 11, 2024

  Based on interview and record review it was determined the facility failed to revise the Care Plan for two (2) of thirty-seven (37) residents (Residents #5 and #39). Resident #39 was care planned to be nutritionally at risk. However, care plan interventions were not updated following a significant weight loss. Resident #5 experienced nine (9) falls from 01/12/2023 through 11/02/2023. One fall resulted in a fractured wrist. There was no evidence that interventions following the falls were placed on the care plan or dated. […]

• Actual harm, isolatedF689Jan 11, 2024

  Based on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to ensure adequate supervision and assistance devices to prevent falls for two (2) of thirty-seven (37) sampled residents (Residents #29 and #12). Resident #29 sustained a laceration to the chin requiring six (6) sutures on 02/21/2023 when the bed the resident was in was not locked and rolled causing the resident to fall while receiving care with only one (1) person assistance when the facility had assessed and care planned Resident #29 to require the assistance of two (2) person for toileting and bed mobility. […]