Huntington Drive Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Huntington Drive Health and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF600Feb 11, 2022

  Based on observation, interview, and record review the facility failed to ensure 69 (Residents 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, and 69) out of 75 residents residing in the facility were free from neglect, when residents were not given their scheduled medications as prescribed by their physician and in accordance with residents' plan of care, and the facility's policy and procedure for the months of January and February 2022. […]

• Immediate jeopardy, widespreadF760Feb 11, 2022

  Based on observation, interview, and record review, the facility failed to ensure that residents were free from significant medication (medications which causes the resident discomfort or jeopardizes his or her health and safety) errors and follow its policy and procedure to administer medications as ordered by the physician for nine reviewed residents out of 69 sampled residents with missed dosed medications in the facility for two months, for the months of January and February 2022. […]

• Immediate jeopardy, isolatedF604Feb 24, 2022

  Based on observation, interview and record review, the facility failed to ensure residents were free from physical restraints (any device attached or adjacent to the body that cannot be easily removed and restricts freedom of movement) for one of two sampled residents (Resident 1). Certified Nursing Assistant (CNA) 1 tied Resident 1 with a bed sheet by the waist and around the wheelchair with a knot tied at the back to prevent the resident from sliding off the wheelchair and falling on 2/16/22 during the 3 p.m. to 11 p.m. shift. CNA 2 tied Resident 1 with a bedsheet around the resident ' s lap to prevent the resident from falling and another bed sheet tied around the wheels of Resident 1 ' s wheelchair to prevent the wheelchair from moving, on 2/16/22, during the 11 p.m. to 7 a.m. […]

• Actual harm, patternF880Jan 13, 2022

  Based on interviews and record reviews, the facility failed to ensure to follow the facility's COVID-19 Mitigation Plan to manage the impact of COVID-19 (an infectious disease caused by the [CONDITION(S)]-CoV-2 virus) to 21 (1, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, and 25) of 25 sampled residents and 4 of 4 sampled staff by failing to: 1. Ensure residents that test positive from COVID-19 and asymptomatic (does not manifest physical signs and symptoms of COVID-19) was isolated for 10 days from the date of their positive test (as long as they have not subsequently developed symptoms). […]

• Actual harm, isolatedF725Feb 4, 2022

  Based on interviews and record review, the facility failed to ensure there were sufficient number of nursing staff to provide nursing care, supervision, and related services to respond to each resident's needs and safety that included the weekends for Direct Care Service Hours Per Patient Day ([DHPPD] a legally required form which indicated if the facility is providing the sufficient amount of nursing staff) reviewed for two sampled days out of 30 days for the month of [DATE] ([DATE]- Friday, [DATE] -Saturday), three out of 31 days for the month of [DATE] ([DATE] -Saturday, [DATE] Sunday, and [DATE]- Monday). […]