Henrico Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Henrico Health & Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Sep 10, 2021

  Based on interviews, record review, review of facility policy, and review of Center for Disease Control and Prevention (CDC) guidelines, the facility failed to initiate appropriate Personal Protective Equipment (PPE) to include N95 and eye protection for all staff, failed to initiate quarantine of residents during an outbreak, and failed to ensure all staff, visitors, and vendors were screened for COVID-19 signs and symptoms prior to entrance into the facility. These failures had the likelihood of increasing the risk of transmission of COVID-19 to all residents. […]

• Immediate jeopardy, widespreadF886Sep 10, 2021

  Based on interview, record review, review of policies and procedures, and review of the Centers for Medicare and Medicaid Services (CMS) QSO 20-38-NH Revised memo, the facility failed to implement outbreak testing of staff and residents to prevent the spread of COVID-19 upon identification that a North Wing Unit Manager (NWM) tested positive for COVID-19 on 09/03/21. This failure increased the likelihood of COVID-19 transmission to the 82 residents living at the facility. As of 09/08/21 at 7:01 PM, the facility had not begun outbreak testing per CMS guidance. […]

• Immediate jeopardy, patternF607Oct 4, 2023

  Based on resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to implement their abuse policy affecting 2 residents (#53 and #85), resulting in harm for Resident #53. Immediate Jeopardy (IJ) was identified on 09/27/2023 at 5:25 p.m., at which time the facility Administrator and Director of Nursing were made aware. Following verification of the removal of immediacy, the facility abated IJ on 10/04/2023 at 10:45 a.m. The scope and severity was lowered to a level 3, pattern. The findings included: 1. The facility staff failed to implement their abuse policy by permitting facility staff to work when their criminal background status was unknown. […]

• Immediate jeopardy, patternF607Jan 26, 2023

  Based on staff interview, clinical record review, and facility documentation review , the facility staff failed to implement their abuse policy for 2 Residents (Resident #15, and 13) in a survey sample 9 Residents. In addition, the facility staff permitted a known perpetrator of abuse (CNA B) to work in the facility having direct contact with Residents on 1 of 2 nursing units. Immediate Jeopardy (IJ) was identified on 1/20/23 at 3:55 PM, at which time the facility Administrator and Director of Nursing were made aware. Following verification of the removal of immediacy the facility abated IJ on 1/26/23 at 4:07 PM. The scope and severity was lowered to a level 2, pattern. The findings included: 1. […]

• Immediate jeopardy, isolatedF689Sep 6, 2024

  Based on interviews, clinical record review, and facility documentation, the facility staff failed to ensure the Residents were free of accident hazards and provided adequate supervision for two (2) Residents (#3 and #4) in a survey sample of nine (9) Residents. This resulted in immediate jeopardy for Resident #3 and potential for harm for Resident #4. The findings included: 1. For Resident # 3, the facility staff failed to provide supervision while smoking outside of the building, allowing Resident #3 to leave the facility grounds unsupervised. […]