Langhorne Gardens Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Langhorne Gardens Health & Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF684Feb 22, 2022

  Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to provide care and treatment in accordance with physician's orders and professional standards of practice, resulting in actual harm for one of five sampled residents receiving anticoagulant (blood-thinning) medication. (Resident 1) This deficiency is cited as past noncompliance. Findings include: Review of the facility policy entitled, Anticoagulation Policy, dated May 27, 2021, revealed that the purpose was to ensure that anticoagulant therapy was safely administered and monitored. […]

• No harm, potential for more than minimal, widespreadF812Nov 30, 2023

  Based on facility policy review, observation, and staff interview, it was determined that the facility failed to properly store food and maintain sanitary conditions in the dietary department and on one of two unit pantries. (Green wing) Findings include: Review of the policy entitled, Storage of Dry Food, last reviewed January 10, 2023, revealed that food was to be stored in a manner to avoid contamination and protect food quality. Review of the policy entitled, Storage of Refrigerated Foods, last reviewed January 10, 2023, revealed that refrigerated items were to be labeled and dated and bulk condiments were to be dated with date opened. […]

• No harm, potential for more than minimal, widespreadF812Dec 6, 2022

  Based on observation and staff interview, it was determined that the facility failed to prepare, store, and serve food under sanitary conditions in the kitchen. Findings include: Observations during the tour of the kitchen on December 4, 2022, at 9:44 a.m., revealed the following: an open, unsealed bag of thickener powder and a bag of granola with a use by date of August 4, 2022. The dispenser nozzle for the juice machine was directly on a box of cranberry juice and a wet substance had dripped onto three boxes of food items below the nozzle. During observation of the low temperature dish machine, a strip was utilized to test the sanitizer concentration following three dishwashing cycles. The sanitizer concentration was less than 50 parts per million (ppm) on each test. […]

• No harm, potential for more than minimal, widespreadF812Jan 13, 2021

  Based on facility policy review, observation during the tour of the kitchen on January 10, 2021, and staff interview, it was determined that the facility failed to store food under safe and sanitary conditions. Findings include: Review of the facility policy entitled, Storage of Refrigerated Foods, dated April 1, 2020, revealed that refrigerated items must have a label showing the name of the food and the date it should be consumed or discarded. If a food has not been used by a specific date, it was to be discarded. […]

• No harm, potential for more than minimal, patternF692Jan 12, 2022

  Based on facility policy review, clinical record review and staff interview, it was determined that the facility failed to accurately assess residents' weights to ensure that residents maintained acceptable parameters of nutritional status for four of eight sampled residents who were at nutritional risk. (Residents 1, 17, 42, 96) Findings include: Review of the facility policy entitled 'Weights Policy, last reviewed June 1, 2021, revealed that weights were to be obtained routinely in order to monitor the parameters of nutrition over time. Nursing was responsible for the determination of each individual's weight. […]