Jewel Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Jewel Healthcare and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 1, 2022

  Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to adequately supervise a resident who was at risk for unsafe swallowing during medication administration resulting in actual harm for one of three sampled residents. (Resident 1) This deficiency is cited as past noncompliance. Findings include: Review of the facility policy entitled Medication Administration, dated February 2022, revealed that medication must only be accessible to licensed staff, and must be secured when left in a resident room. Review of the facility policy entitled Medication Safety, dated February 2022, revealed that medications were not to be left unattended at the bedside, and that nurses were to supervise residents while taking their medications. […]

• No harm, potential for more than minimal, widespreadF809Oct 6, 2021

  Based on review of the facility's meal cart delivery schedule, observation and staff and resident interview, it was determined that the facility failed to ensure that meals were served at regularly scheduled times in accordance with resident needs on three of three nursing units. (Nursing units First, Second and Third floor) In addition, three of four residents during the group interview, stated that the meal carts are often late. (Residents 20, 37, 74) Findings include: Review of the facility's meal cart delivery schedule revealed that the regularly scheduled time for Truck #7 on the second floor nursing unit rooms 211-221 was 8:30 a.m The regularly scheduled time for Truck #1 on the second floor nursing unit rooms 201-210 was 12:10 p.m The regularly scheduled time for Truck #6 on the… […]

• No harm, potential for more than minimal, widespreadF812Oct 6, 2021

  Based on policy review, observation, and staff interview, it was determined that the facility failed to properly store items and failed to maintain sanitary conditions in the dietary department. Findings include: Review of the facility's policy entitled Sanitation and Infection Control-Labeling and Dating, dated March 15, 2021, revealed that all foods were to be labeled, dated and securely covered and use-by dates were to be monitored and followed. Review of the facility's policy entitled HACCP (Hazard Analysis Critical Control Points) Food Safety Management System, dated March 15, 2021, revealed that staff must ensure that all critical control points (internal cooking temperatures and holding temperatures) were monitored and documented on the HACCP log which is done with every meal. […]

• No harm, potential for more than minimal, patternF584Apr 9, 2026

  Based on observations it was determined that the facility failed to maintain a clean and sanitary environment on two of three nursing units. (First and Second floor) Findings include: During an environmental tour of the first and second floor nursing units on April 9, 2026, from 12:15 p.m. until 1:30 p.m., the following was observed: Inside the residents' shared bathroom in room [ROOM NUMBER], the roll of toilet paper was too large to fit inside the toilet roller. Toilet paper was observed on top of the toilet. Inside the residents' shared bathroom in room [ROOM NUMBER], there were no paper towels inside the paper towel dispenser and no toilet paper. […]

• No harm, potential for more than minimal, patternF921Aug 4, 2025

  Based on observations during an environmental tour, it was determined that the facility failed to maintain a clean and sanitary environment for residents and staff on one of three nursing units. (Second Floor)Findings include:During an environmental tour of the second floor nursing unit on August 4, 2025, from 10:01 a.m. until 10:31 a.m., the following was observed: room [ROOM NUMBER], a heavy and pervasive odor of urine was present in the residents' shared bathroom. room [ROOM NUMBER], an odor of stool and urine in a toilet bowel that had not been flushed for a period of time was observed; the toilet seat was soiled.room [ROOM NUMBER], there was a strong odor of stool and urine in the shared bathroom and soiled clothing and bathing items were stored on the floor.room [ROOM NUMBER], there… […]