Kingston Center for Rehabilitation and Health Care

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF908Feb 7, 2024

  Based on surveyor observation and staff interview, it has been determined that the facility failed to maintain all mechanical, electrical, and patient care equipment in a safe operating condition for the ice machine located in the main kitchen. Findings are as follows: According to The Rhode Island Food Code 2018 Edition 5-202.13 reads in part, .an airgap between the water supply inlet and the flood level rim of the plumbing fixture equipment .shall be at least twice the diameter of the water supply inlet and may not be less than 25 mm (1 inch) . A surveyor observation of the kitchen on 2/4/2024 at 8:15 AM revealed that the ice machine failed to have the required air gap. […]

• No harm, potential for more than minimal, widespreadF921Dec 15, 2022

  Based on surveyor observations and staff interview, it has been determined that the facility failed to maintain a sanitary and comfortable environment relative to 8 of 9 common bathroom/shower rooms and 3 of 28 resident rooms observed, Resident ID #s 17, 23 and 43. Findings are as follows: During surveyor observations from 12/11/2022 through 12/15/2022) of all communal bathrooms, shower/tub rooms and resident rooms, the following was revealed: 1. The floor drains were corroded/rusted in the lower level bathrooms #2 (shower and tub). The shower floor drain in lower level bathroom [ROOM NUMBER] had a heavy accumulation of hair, debris and residue. The upper level bathrooms #1 and #2 (showers), and the north end bathroom (tub) floor drains were corroded/rusted. 2. […]

• No harm, potential for more than minimal, patternF760Feb 7, 2024

  Based on record review and staff interview, it has been determined that the facility failed to ensure that residents are free of significant medication errors for 5 of 12 residents reviewed for medication administration, Resident ID #s 3, 15, 19, 27, and 37. Findings are as follows: Review of a facility policy titled, MEDICATION ADMINISTRATION, last revised December 2019, states in part, .For residents not in their rooms or otherwise unavailable to receive medication on the pass, the MAR [Medication Administration Record] may be flagged. […]

• No harm, potential for more than minimal, patternF883Feb 7, 2024

  Based on record review and staff interview, it has been determined that the facility failed to ensure the residents' medical record includes documentation that the residents were offered or received the pneumococcal vaccine, or did not receive the vaccination due to medical contraindications or refusal, for 5 of 11 residents reviewed, Resident ID #s 2, 12, 13, 17, & 20. Findings are follows: 1. Record review of Resident ID #2 revealed the resident was admitted to the facility in November of 2023 with diagnoses including, but not limited to, alcoholic cirrhosis of the liver and bipolar disorder. Record review failed to reveal evidence that this resident was offered, received, or declined the pneumonia or flu vaccination. 2. […]

• No harm, potential for more than minimal, patternF761Dec 15, 2022

  Based on surveyor observation and staff interview, it has been determined that the facility failed to store drugs and biologicals in accordance with currently accepted professional principles for 1 of 1 medication storage rooms, including a refrigerator that contained 3 vials of Tuberculin Purified Protein Derivative (Tubersol-injectable medication to detect tuberculosis infection). Findings are as follows: During a surveyor observation of the medication storage room on [DATE] at 1:09 PM with Registered Nurse, Staff A, revealed a medication storage refrigerator with the following stored: -1 Tubersol vial open and not dated. -1 Tubersol vial opened with an expiration date of [DATE]. -1 Tubersol vial opened with an expiration date of [DATE]. […]