Helen Bernardy Center D/P SNF

In the surveyor’s words

From the most serious findings on record at Helen Bernardy Center D/P SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 22, 2024

  Based on observation, interview and record review, the facility failed to ensure food safety and sanitation practices were met in the kitchen according to standards of practice when: 1. Two (2) floor sinks had piping without an air gap of at least 1 (inch) between the pipe and drain. 2. Three (3) cutting boards with deep cuts and food stains were stored in the clean area. 3. Two (2) ice machines had debris inside the storage parts of the ice bin. 4. Food thermometers were not calibrated per facility policy. These failures exposed residents to unsanitary practices, which had the potential to place them at risk of developing foodborne illness. 1. […]

• No harm, potential for more than minimal, patternF761Oct 20, 2023

  Based on observation, interview, and record review, the facility failed to ensure: 1. All controlled medications/drugs (medications/drugs with a potential for addiction and abuse) were stored separately in locked, permanently affixed compartments for storage of controlled drugs when three out of six medication carts had controlled medications stored among the non-controlled medications. 2. A medication cart located inside the medication room, containing controlled medications, was locked. As a result of this deficient practice, a controlled medication was unaccounted for. In addition, there was the potential for drug diversion (unauthorized distribution of controlled drugs for purposes not intended by the prescriber). […]

• No harm, potential for more than minimal, isolatedF689Aug 18, 2026

  Based on interview and record review, the facility staff failed to ensure the hook of the sling was securely in place related to the use of a sling when safely transferring a resident using a mechanical lift (a device used to safely transfer residents who cannot independently bear weight), for one of one sampled resident reviewed for accidents (Resident 1). As a result, Resident 1 fell off the mechanical lift on 7/29/26. Findings: A review of Resident 1's admission and Discharge Record indicated the resident was admitted to the facility on [DATE] with diagnoses which included cerebral palsy (CP, a group of neurological conditions that affect muscle movement, posture and coordination), myotonic dystrophy (an inherited multisystem condition that mainly causes progressive muscle loss,… […]

• No harm, potential for more than minimal, isolatedF558Mar 11, 2026

  Based on observation, interview and record review, the facility did not honor a resident's responsible party's preference for showers for one of 13 residents (Res 1).As a result, Resident 1 did not receive showers in over two years as requested by the responsible party. Findings:Per the Facility admission Record, Resident (Res) 32 was admitted to the facility on [DATE], with diagnosis that included epilepsy (a chronic neurological {brain and nerve} disorder characterized by seizures {a sudden surge of abnormal electrical activity in the brain, leading to symptoms like uncontrollable muscle jerking, staring spells, confusion, or loss of consciousness}). […]

• No harm, potential for more than minimal, isolatedF583Mar 11, 2026

  Based on observation, interviews, and record review, the facility failed to ensure a resident's privacy and dignity were protected during personal care for one of 13 residents (Res 4). This had the potential to cause embarrassment for Res 4 by being exposed during personal care.According to the Resident admission Record, Resident 4 (Res 4) was admitted to the facility on [DATE], with diagnosis that included cerebral palsy (a group of permanent disorders that affect movement, muscle tone, and posture, caused by abnormal brain development or brain injury) and repeated Urinary Tract Infections (UTI- common bacterial infection). […]