Haverhill Rehabilitation and Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF689Feb 6, 2025

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who on 11/28/24 was readmitted to the Facility during the day shift and per nursing required assistance of two staff members for bed mobility and during the provision of care because he/she had not been re-evaluated by rehab. The Facility failed to ensure he/she was provided the necessary level of staff assistance during care, when the Certified Nurse Aide (CNA) assigned to meet his/her care needs for the evening shift was not given report by nursing regarding his/her change in care status, the CNA provided care alone, Resident #1 rolled out of bed to the floor, and sustained a head laceration that required two staples to close. […]

• Actual harm, isolatedF688May 30, 2024

  Based on observation, record review and interview, the facility failed to identify and address a new onset of limited range of motion for one Resident (#18) out of a total of 23 sampled residents. Findings include: On 5/30/24 the Administrator informed the the surveyor that the facility does not have a policy regarding limited range of motion or contracture management. Review of the National Library of Medicine articles titled Range of Motion and Limited Range of Motion 9/20/22, indicated: Range of motion (ROM) means the extent or limit to which a part of the body can be moved around a joint or a fixed point; the totality of movement a joint is capable of doing. Range of motion of a joint is gauged during Passive ROM (assisted) PROM or Active ROM (independent) AROM. […]

• Actual harm, isolatedF686Mar 14, 2022

  Based on observation, record review and interview, the facility failed to provide appropriate treatment and interventions to prevent the worsening of a pressure injury and traumatic wound for 1 Resident (#63) out of a total of 21 sampled Residents. Findings include: Resident #63 was admitted to the facility in June 2021 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident #63's most recent Minimum Data Set assessment dated [DATE] indicated he/she is severely cognitively impaired and requires assistance with bathing and dressing. […]

• Actual harm, isolatedF692Mar 14, 2022

  Based on interview, record review and policy review the facility failed to ensure significant weight changes were addressed and interventions implemented timely to prevent further significant weight loss/gain for 2 Residents (#12 and #15) out of a total sample of 21 residents. Findings include: Review of facility policy titled 'Weighing & Measuring' revised 10/2019 indicated the following: *Policy- Residents are weighed and measured per the following protocol to provide a baseline and an on-going record of the resident's body weight: -To determine and monitor nutritional status and medical condition. *Procedure: - Notify the licensed nurse if weight is 3 or more pounds different (gain or loss) from prior weight (excluding residents on a weight reduction diet). […]

• No harm, potential for more than minimal, widespreadF867Apr 24, 2025

  Based on record review and interview, the facility failed to maintain an effective way to track and measure performance of the Quality Assurance and Performance Improvement (QAPI) program. Findings include: Review of the facility policy titled Quality Assurance and Performance Improvement (QAPI), dated 3/1/25, indicated the following: - It is the policy of this facility to develop, implement, and maintain an effective, comprehensive, data-driven QAPI program that focuses on indicators of the outcomes of care and quality of life and addresses all the care and unique services the facility provides. - The QAPI plan shall address the following elements: * Process addressing how the committee will conduct activities necessary to identify and correct quality deficiencies. […]