Knopp Healthcare and Rehab Center Inc

In the surveyor’s words

From the most serious findings on record at Knopp Healthcare and Rehab Center Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Aug 24, 2023

  Based on interview and record review, the facility failed to utilize the services of a registered nurse for at least eight consecutive hours per day, seven days per week and the facility failed to designate a registered nurse to serve as the director of nursing on a full-time basis for 3 of the 13 months reviewed, in that: The facility did not employ a Director of Nursing and did not employ sufficient full-time registered nurses to utilize their services for at least eight consecutive hours per day, seven days per week from July 2022 to October 2022. This deficient practice could place all residents in danger of not receiving adequate care. […]

• No harm, potential for more than minimal, widespreadF944Aug 24, 2023

  Based on interview and record review, the facility failed to include as part of its QAPI program, mandatory training that outlined and informed staff of the elements and goals of the facility's QAPI program, for 20 of the 25 staff members reviewed for mandatory training, in that: Twenty of the twenty-five staff members reviewed for mandatory training had not received training regarding the facility's QAPI program. This deficient practice could place residents at risk of receiving inadequate care from staff who are unfamiliar with the facility's QAPI program. The findings were: Record review of LVN E's employee file revealed LVN E was hired on 07/27/2023 and had not received training regarding the facility's QAPI program. […]

• No harm, potential for more than minimal, widespreadF727Jul 8, 2022

  Based on interview and record review, the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week from March 19th through, April 2022, May 2022, June 2022, and July 2022. The facility failed to maintain RN coverage 8 hours a day for over 3 months. This failure could affect all residents of the facility and could result in missed resident nursing assessments, interventions, care, and treatment. The findings included: Record review of the time sheets of RN A and the DON's (who was an RN) from 3/18/2022 to 7/8/2022 revealed there was no RN coverage for 8 hours a day from 3/19/22 to 7/6/22. […]

• No harm, potential for more than minimal, widespreadF801Mar 26, 2021

  Based on interview and record review, the facility failed to employ a qualified dietitian or other clinically qualified nutrition professional either full-time, part-time, or on a consultant basis, in that: The facility did not ensure a dietitian was employed in any capacity from 1/1/2021 to 3/26/2021. This failure placed residents at increased risk of malnutrition and undesirable weight gain or loss. Findings included: During an interview on 3/23/21 at 12:06 p.m., the FSS revealed their consultant dietitian retired in December 2020 and the facility currently did not have a consultant dietitian. In an interview on 3/23/21 at 5:28 p.m., the Administrator confirmed the facility did not have a consultant dietitian and her service with the facility ended January 1, 2021. […]

• No harm, potential for more than minimal, widespreadF803Mar 26, 2021

  Based on observation, interview and record review the facility failed to ensure the menu was reviewed by the facility's qualified nutrition professional or other clinically qualified nutrition professional for 1 of 1 kitchen reviewed for menus and nutritional adequacy, in that: The kitchen daily spread sheet for Tuesday Day 23 lunch meal did not reflect the menu change noted on the Week-at-a-Glance menu and did not have portions listed for the Drummies [sic] (chicken wings and legs), macaroni and cheese, cucumber salad, and Jello. This deficient practice could affect residents who received food from the kitchen and could result in residents not receiving appropriate serving size. […]