Jesmond Skilled Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Jesmond Skilled Nursing & Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF580Aug 15, 2024

  Based on observations, record review, and interviews, the facility failed to notify the physician of a change in nutritional status resulting in a hospitalization for dehydration and hypernatremia for one Resident (#24), out of a total sample of 20 residents. Findings include: Resident #24 was admitted to the facility in August 2022 with diagnoses including Alzheimer's Disease, mild protein-calorie malnutrition, and dysphagia. Review of Resident #24's most recent Minimum Data Set (MDS) dated [DATE], indicated he/she was unable to complete the Brief Interview for Mental Status (BIMS) and the staff assessed him/her to have severe cognitive impairment. […]

• Actual harm, isolatedF692Aug 15, 2024

  Based on observation, record review and interview, the facility failed to address the nutrition and hydration status of two Residents (#24, #32) out of a total sample of 20 residents. Specifically, the facility failed to: 1) provide one Resident (#24) with nutritional intervention leading to a diagnosis of severe dehydration. 2) Ensure Resident #32's documented significant weight losses and weight gains were addressed by the Registered Dietitian and develop a resident focused care plan for nutrition care. […]

• No harm, potential for more than minimal, patternF677Aug 15, 2024

  Based on observation, interview and record review, the facility failed to provide assistance with activities of daily living (ADLs) for five dependent Residents (#1, #2, #38, #19, #12) out of a total sample of 20 Residents. Specifically, the facility failed to: 1) Provide incontinence care timely and in accordance with the plan of care for Resident #1. 2) Provide supervision while eating for three Residents (#2, #38, #19). 3) Provide showers as ordered for Resident #12. Findings include: Review of the facility's policy titled Activities of Daily Living, effective date 01/01/2015 indicated the following: A program of activities of daily living (ADL) is provided to residents by the following method: The ability of each resident to meet the demands of daily living is assessed by a licensed… […]

• No harm, potential for more than minimal, patternF677Jun 21, 2023

  Based on observations, policy review, record review and interviews, the facility failed to provide assistance for meals for 4 Residents (#31, #23, #5, and #6) out of a total sample of 15 residents. Findings include: Review of the facility policy titled, Activities of Daily Living, dated 1/1/2015, indicated the following: *A program of activities of daily living (ADL) is provided to residents by the following method: The ability of each resident to meet the demands of daily living is assessed by a licensed nurse and/or member of the interdisciplinary team. A program of assistance and instruction in ADL skills is implemented. Assistive devices and adaptive equipment are provided by occupational therapy services. Education is provided to resident and family. […]

• No harm, potential for more than minimal, patternF812Oct 7, 2021

  Based on observation and staff interview, the Facility failed to ensure that food is distributed in accordance with professional standards for food safety and sanitation to prevent the spread of pathogens which could result in food borne illness. Findings include: On 10/06/21, at 8:30 A.M., the surveyor observed Certified Nurse's Aid (CNA) #1 in the dining room peeling an egg with her bare hands, contaminating the egg, and serve it to a resident. On 10/06/21, at 8:37 A.M. the surveyor observed CNA #1 open a juice carton by sticking her finger into the spout to pull it open, contaminating the carton, and then exit the room without performing hand hygiene (HH). On 10/06/21, at 8:42 A.M. the surveyor observed CNA #1 enter another resident's room with a breakfast tray. […]