Hebrew Center For Health And Rehabilitation

In the surveyor’s words

From the most serious findings on record at Hebrew Center For Health And Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF760Jul 29, 2026

  Based on clinical record review, facility documentation review, facility policy review, and interviews for one of four residents (Resident #2) reviewed for a medication errors, the facility failed to ensure a medication to treat Parkinson's disease (Sinemet) was transcribed timely, and failed to ensure medication was administered in accordance with physician orders. The Sinemet was not administered for nineteen (19) days, in accordance with physician orders, which resulted in significant medication error and a significant decline in the resident's physical condition. […]

• No harm, potential for more than minimal, patternF584Jan 12, 2026

  Based on clinical record reviews, facility documentation, facility policy, observations, and interviews for 2 of 2 residents (Resident #43 and #168) reviewed for environment and during observation of dining on 3 North and 3 South wings, the facility failed to provide a homelike environment. The findings included: 1.Resident #43 was admitted to the facility in June 2025 with diagnoses that included chronic kidney disease, anxiety, and depression. The admission MDS dated [DATE] identified Resident #43 had intact cognition. 2. Resident #168 was admitted to the facility in March 2022 with diagnoses that included chronic pain and chronic obstructive pulmonary disease. The quarterly MDS dated [DATE] identified Resident #168 had intact cognition. […]

• No harm, potential for more than minimal, patternF804Jan 12, 2026

  Based on review of facility policy, observations, and interviews the facility failed to ensure that food items were maintained at a palatable and appetizing temperature at time of serving. The findings include:On 1/5/2026 at 12:38 PM, observation in the 4 North Dining Room identified Resident #2, Resident #54, Resident #59, Resident #109, Resident #130, Resident #178, and Resident # 201 complained that their food was cold. Resident #54 requested their meal to be reheated.On 1/6/2026 at 12:35 PM, a test /temperature tray test was conducted with Director of Dietary #1, and the following was identified: At 12:35 PM the test tray was prepared and plated in the kitchen located on the basement floor. […]

• No harm, potential for more than minimal, patternF812Jan 12, 2026

  Based on observation, review of facility policy and interviews, failed to ensure dishware and cookware were cleaned in a sanitary manner when using the three-bay sink. The findings include:An observation with the Dietary Director #2 on 1/6/2026 at 12:25 PM, identified Dietary Aide #1 at the 3-bay sink washing a rubber spatula and a metal serving spoon over the wash sink and then placing the items in the sanitizing sink filled with sanitizing solution. Dietary Aide #1 was observed not rinsing the items before being washed. The rinse sink faucet was off, and the rinse sink had no water. Additionally, the rinse sink contained a large metal bowl with a large amount of brown colored food residue. […]

• No harm, potential for more than minimal, patternF887Jan 12, 2026

  Based on review of the facility infection control program, facility documentation, facility policy, and interview, the facility failed to ensure all staff were educated regarding the Covid-19 vaccine, offered the vaccine or provided with education on benefits and risks of the vaccine. The findings include:An interview and review of facility documents on 01/8/2026 at 10:25 AM with RN #1 the Infection Preventionist identified education was provided to all staff members regarding influenza vaccine. RN #1 indicated education for Covid 19 was only done by word of mouth and only staff member received the covid vaccine so far this year; however, the facility was unable to provide evidence that all staff members were educated on the risk and benefits of Covid 19 vaccine yearly. […]