Jewish Home & Rehab Center D/P SNF

In the surveyor’s words

From the most serious findings on record at Jewish Home & Rehab Center D/P SNF, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 25, 2024

  Based on interview, observation, and record review, the facility failed to provide an environment free of accident hazards when Resident 1 (one sampled resident), spilled a cup of hot water onto her chest, left hand, and left thigh, and suffered 2nd degree burns from the hot water. The facility failed to provide adequate supervision to prevent an avoidable accident. Finding: Resident 1 was readmitted to the facility on [DATE] with diagnoses including history of falling, muscle weakness, heart failure, liver and kidney disease, gait and mobility abnormalities. […]

• Actual harm, isolatedF604Jan 23, 2023

  Based on interview and record review, the facility failed to keep one out of three sampled residents (Resident 1) free from confinement to his bed when a staff barricaded the right side of Resident 1's bed with two chairs and a side rail while the left side of his bed was against the wall. This failure resulted in Resident 1's family member expressing strong feelings about Resident 1 being confined and stated I saw him caged up like that with the chairs up against his bed .I took pictures and then I went to get the manager.it's not right caging someone up like that. […]

• Actual harm, isolatedF600Jul 28, 2022

  Based on interviews and record review, the facility failed to ensure Residents 1, 2, 3, and 4, four out of 10 sample residents, were protected from abuse/neglect. Resident 1 reported long wait for staff assistance with repositioning and incontinence care. Additionally, Resident 1 reported to the facility that CNA 1 was rough with him and caused him pain during repositioning. Resident 1 stated he did not want CNA 1 working with him. Resident 1 stated CNA 1 was still helping to care for him and he is fearful of CNA 1. Resident 2 reported a pattern of long wait for assistance with incontinence care. […]

• Actual harm, isolatedF689Jul 7, 2022

  Based on interview and record review, the facility failed to provide stand by assist (the presence of another person within arm's reach) during the performance of one of the Activities of Daily Living (ADL, the basic self-care tasks an individual does on a day to day basis), call light was not within reach and had no floor pad at bedside for one of three sampled residents (Resident 1) to prevent fall. This failure had resulted in Resident 1's unwitnessed fall on 2/18/22, sustaining a right [CONDITION(S)] then hip surgery. […]

• No harm, potential for more than minimal, widespreadF812Aug 28, 2024

  Based on observation, interview and record review the facility failed to maintain a sanitary kitchen when: 1. A rodent dropping was found under the cooking line (area in the kitchen where multiple pieces of cooking equipment are in a line), this area had a build-up of food, black grime and trash. 2. Multiple areas in the kitchen on the floor under equipment, there was old food, trash and black grime. 3. The ice machine had a black grime build-up on the area above the ice grates where water flows to fill up the grates. 4. Utensils were stored with a build-up of old food. 5. The refrigerator utilized to store food for activities was food crumbs and spills and expired foods. 6. Multiple floor drains in the kitchen had a build-up of old food and grime. 7. […]