Jewish Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF697Jul 21, 2023

  Based on record review, interviews, and observations, the facility failed to assess, manage, and effectively treat one Resident (#394) out of a total sample of 26 residents for pain. Specifically, the facility staff failed to assess Resident #394 in a timely manner for pain, provide pain medication as needed upon the Resident's request, and re-assess for the effectiveness of the Resident's pain medication, which prevented the Resident from participating in his/her scheduled Physical Therapy session. […]

• Actual harm, isolatedF656Dec 1, 2022

  Based on records reviewed and interviews, for one of three sampled residents, (Resident #1), who was assessed by nursing as being at an increased risk for falls and who required the use of a personal alarm while in a chair, the facility failed to ensure interventions related to maintaining Resident #1's safety were consistently implemented by staff. On 11/06/22, after transferring Resident #1 into a stationary recliner at the nurses' station, his/her chair alarm was not put in place. Resident #1 was able to get up undetected and fell . Resident #1 sustained four fractured ribs, as a result of the fall. […]

• Actual harm, isolatedF689Dec 1, 2022

  Based on records reviewed and interviews, for one of three sampled residents, (Resident #1), who was assessed by nursing as being at an increased risk for falls, and whose care plan for safety included the use of a chair alarm, the Facility failed to ensure his/her assistive device was in place to prevent incidents and/or accidents resulting in an injury. On 11/06/22, after transferring and seating Resident #1 in a recliner near the nurses' station, Certified Nurse Aide (CNA) #1 did not put his/her chair alarm in place, Resident #1 was able to get up undetected by staff, fell , and was found lying on the floor on his/her right side. Resident #1 sustained four fractured ribs, as a result of the fall. […]

• No harm, potential for more than minimal, widespreadF880Sep 7, 2021

  Based on document review, observation and interview, the facility failed to don (put on) the required Personal Protective Equipment (PPE) after a staff member tested positive for COVID-19. Findings include: Review of the Center for Disease Control and Prevention recommendations to prevent, [CONDITION(S)]-CoV-2 Spread in Nursing Homes, updated on 3/29/21, indicated the following: -Because of the high risk of unrecognized infection among residents, a single new case of [CONDITION(S)]-CoV-2 infection in any Health Care Personal (HCP) or a nursing home-onset [CONDITION(S)]-CoV-2 infection in a resident should be evaluated as a potential outbreak. […]

• No harm, potential for more than minimal, patternF883Jun 14, 2023

  Based on record review and interview, the facility failed to provide education, assess for eligibility, and offer Pneumococcal immunization per the Centers for Disease Control and Prevention (CDC) recommendations for four Residents (#1, #3, #4, and #5) out of a total sample of five residents. Findings include: Review of the facility policy titled Immunization: Influenza and Pneumonia, last revised 5/11/23, indicated the following: -It is the policy of the Jewish Healthcare Center to offer vaccines to all patients/residents admitted to the facility, and to educate the elderly population regarding the flu and Pneumonia vaccine, stressing the need to build their immune system thru immunization. -Pneumonia to be given when needed. -Pneumonia will be asked annually . […]