Kenwood Health and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF584Jun 6, 2024

  50491 Based on observation, interview, record review, and review of the facility's policies, it was determined the facility failed to provide a safe, clean, comfortable, and homelike environment for its residents. The findings include: Review of the facility's policy titled Floor Care procedures, dated September 5, 2017, revealed the facility would ensure floors would be cleaned, stripped and six to eight coats of finish applied; allowing each coat to dry completely before applying the next coat. Review of the facility's policy titled Housekeeping Procedures (HP), dated September 5, 2017, revealed the facility would ensure every room would be cleaned as it was the resident's home and should be treated as such. […]

• No harm, potential for more than minimal, isolatedF865Jan 7, 2021

  Based on observation, interview, review of the facility's policy, and review of the Plan of Correction (POC) for the COVID-19 focused infection control survey, dated 09/23/2020, it was determined the facility failed to maintain a Quality Assurance Performance Improvement (QAPI) Program that developed and implemented effective plans of action to correct quality deficiencies. During a focused infection control survey with an exit date of 09/23/2020, the facility was cited at CFR 483.80 Infection Control (F-880). The facility submitted a plan of correction, which included staff training on the use of Personal Protective Equipment (PPE) for COVID-19 with a correction date of 11/16/2020. […]

• No harm, potential for more than minimal, isolatedF880Jan 7, 2021

  Based on observation, interview, record review and a review of the facility policy Infection Prevention and Control Policy and Procedure Subject: Novel Coronavirus it was determined the facility failed to follow their policy related to the use of Personal Protective Equipment (PPE) to prevent possible transmission of COVID-19 for one (1) of five (5) sampled residents (Resident #1). On 01/07/2021, two staff were observed to enter the room of Resident #1, who was in droplet precautions, on the facility designated COVID-19 unit without donning the required PPE (gown). In addition, the facility fail to ensure the safe disposal of PPE. […]