Huntingdon Health & Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, patternF678Oct 6, 2021

  Based on policy review, medical record review, and interview, the facility failed to ensure there was at least one Cardiopulmonary Resuscitation (CPR) certified staff member on each shift to perform CPR for 1 of 3 sampled residents (Resident #161) reviewed as full code status (residents that could require CPR). The facility failed to have at least one current CPR certified licensed staff member working on each shift, which had the potential to affect the 36 full code status residents residing in the facility. The facility's failure resulted in Immediate Jeopardy (IJ) when Resident #161 was found without a pulse or respirations and CPR uncertified staff members performed CPR. […]

• Immediate jeopardy, patternF835Oct 6, 2021

  Based on policy review, job description review, and interview, the facility Administration failed to administer the facility in a manner that enabled the facility to use its resources effectively and efficiently to attain and maintain the highest practicable well-being of the residents. Administration failed to provide oversight to monitor and evaluate Cardiopulmonary Resuscitation (CPR) certification status when licensed staff members' CPR certifications had expired. The failure of the facility to ensure each shift had CPR trained personnel placed 1 of 3 sampled residents (Resident #161) in Immediate Jeopardy when Resident #161 was found unresponsive, without a pulse, and untrained and uncertified staff members provided CPR. […]

• Immediate jeopardy, patternF867Oct 6, 2021

  Based on policy review, job description review, nursing schedule review, Quality Assurance (QA) meeting sign in sheet review, and interview, the Quality Assurance Performance Improvement (QAPI) committee failed to ensure an effective QAPI program that identified opportunities for improvement related to nursing staff maintaining a Cardiopulmonary Resuscitation (CPR) certification. Failure of the QAPI committee to ensure the CPR certifications remained current allowed the facility to operate without at least one CPR certified staff member working on each shift. Resident #161 went into Cardiopulmonary Arrest, CPR uncertified staff members performed CPR, and Resident #161 expired. […]

• Immediate jeopardy, isolatedF600May 14, 2025

  Based on facility policy review, medical record review, hospital documentation review, observation and interview, the facility failed to protect the resident's right to be free from sexual abuse for 2 of 4 sampled residents (Resident #1 and Resident #2) reviewed. On [DATE] during group activities, the Former Activities Director (FAD) observed Resident #1 display unwanted behaviors towards Resident #4, leaning against him during conversation, putting her arms around him and touching him affectionately. The FAD intervened and reported the inappropriate behaviors to the Staff Development Coordinator (SDC). The SDC notified Medical Doctor (MD) T on [DATE] and obtained orders for medication to be given for hypersexual behaviors. […]

• No harm, potential for more than minimal, widespreadF880Oct 6, 2021

  Based on Centers for Disease Control and Prevention (CDC) guidelines, policy review, medical record review, daily working schedule, employee time detail reports, employee screening logs, observation, and interview, 2 of 4 staff members (Licensed Practical Nurse (LPN) #2 and #8) failed to perform hand hygiene for 2 of 4 sampled residents (Resident #4 and #21) observed during medication pass and 28 of 75 staff members (Licensed Practical Nurse (LPN) #1, #2, #3, #4, and #5, Certified Nurse Assistant (CNA) #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, and #12, Dietary Staff #1, #2, #3, #4, #5, #6, Housekeeping Staff #1, and #2, and Therapy Staff #1, #2 and #3) failed to complete the screenings log for COVID-19 prior to working 9 of 9 days (9/11/2021-9/19/2021) reviewed. […]