Helen Porter Healthcare & Rehab

In the surveyor’s words

From the most serious findings on record at Helen Porter Healthcare & Rehab, in the surveyor’s own words.

• Actual harm, isolatedF622Nov 3, 2022

  Based on interview and record review the facility did not ensure a resident's discharge was completely assessed, evaluated, and documented for 1 of 1 [Resident #1] residents who were involuntarily discharged from the facility. The facility initiated Resident #1's discharge based on the facility's inability to meet the resident's needs and because the behavioral status of the resident endangered the safety of other individuals in the facility. However, upon complaint investigation, it was determined by interview and record review that, while Resident #1 had challenging aggressive behavior requiring staff attention, s/he did not have needs which could not be met in that facility, and there was evidence that the facility was caring for other residents with aggressive behaviors. […]

• Actual harm, isolatedF626Nov 3, 2022

  Based on interview and record review the facility failed to establish a protocol on permitting resident to return to the facility after they are hospitalized or placed on therapeutic leave and failed to allow one of one sampled residents [Resident #1] to return to the facility while pending an appeal for discharge. Findings include: Record review reveals that Resident #1 was transferred to an acute facility on 9/7/2022 for an evaluation due to physical aggressive behaviors. A progress note written by Resident #1's physician on 9/8/2022 states the facility initiated discharge, discussed on 9/8/2022, is due to safety concerns for staff and vulnerable residents and that the facility does not feel they can meet his/her care needs. […]

• Actual harm, isolatedF740Nov 3, 2022

  Based on record review and staff interviews, the facility failed to develop individualized interventions related to a resident's diagnosed conditions, recommendations from a geriatric psychiatric consultation, and identified triggers in order to attain or maintain their highest practicable physical, mental and psychosocial well being for 1 of 3 residents [Resident #1]. Findings include: Record review reveals that Resident #1 was initially admitted to the facility on [DATE] and most recently readmitted to the facility on [DATE] following a hospital stay. At the time of this readmittance his/her diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF741Nov 3, 2022

  Based on record review and staff interviews, the facility failed to provide sufficient staff who have the training to address behavioral health care needs for 1 of 2 residents [Resident #1] Findings include: Record review reveals that Resident #1 was initially admitted to the facility on [DATE] and most recently readmitted to the facility on [DATE] following a hospital stay. At the time of this readmittance his/her diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A readmission note written by Resident #1's physician describes Resident #1 as having a problem with anxiety and depression and that s/he has had issues related to dysregulated behavior, verbal abuse and aggression directed toward staff in nursing home setting. […]

• No harm, potential for more than minimal, widespreadF726Aug 5, 2026

  Based on interview and record review, the facility failed to ensure that licensed nurses and licensed nursing assistants were assessed for competency and skill sets to provide care and respond to each resident's individualized needs for 5 of 5 sampled Licensed Nursing Assistants (LNAs) and 1 sampled Licensed Nurse. This has the potential to affect all residents. Findings include: Per review of employee training and competency files 3 LNAs had no documented evidence that they had been assessed for any competencies of skills required to care for residents in their care, and 2 LNAs had only hand hygiene and personal protective equipment (PPE). […]