Lanier Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Feb 20, 2025

  Based on kitchen food service observations, staff interviews, facility record review, and facility policy and procedure review, the facility kitchen staff failed to follow proper dish sanitation procedures, wash their hands between glove changes, and to allow for air drying after washing dishes to prevent the outbreak of foodborne illness. Hand hygiene, dish sanitation, and air drying is important in health care settings serving nursing home residents due to the risk of serious complications from foodborne illness as a result of their compromised health status. Unsafe sanitation practices represent a potential source of pathogen exposure. […]

• No harm, potential for more than minimal, widespreadF867Feb 20, 2025

  Based on observations, resident and staff interviews, a review of resident records, and the Quality Assurance and Performance Improvement (QAPI) Plan, the facility failed to implement it's performance improvement plan's (PIP) corrective actions to reduce the risk of falling for one (Resident #64) of four residents reviewed for falls, from a total survey sample of 27 residents. The findings include: An observation of Resident #64 on 2/17/25 at 10:03 AM found her lying on the far left side of her bariatric bed (a hospital bed designed for obese individuals) on the edge of the mattress. There was no bed rail or enabler in place. The room was decorated with multiple personal items on the left side of the bed on the floor and bedside table. […]

• No harm, potential for more than minimal, widespreadF908Feb 20, 2025

  Based on kitchen food service observations, staff interviews, facility record review, and facility policy and procedure review, the facility failed to ensure that all mechanical equipment in the kitchen was maintained in safe operating condition. The water heater for the kitchen was not operating, thereby the dish machine temperatures failed to reach the appropriate levels. Failure to ensure the dish machine wash and rinse temperatures reached the proper temperature required by the manufacturer's specifications may result in the risk of serious complications from foodborne illness. […]

• No harm, potential for more than minimal, patternF565Feb 20, 2025

  Based on resident interviews, Resident Council (RC) minutes review, staff interviews, and facility policy and procedure review, the facility failed to 1) Ensure that the Dietary Manager attended the February 2025 meeting at the group's invitation to discuss food concerns, 2) Ensure issues of resident care and life in the facility were addressed by failing to review resident rights and inform residents of updates to the facility's policies and procedures, even though Resident Council forms were marked as though they had. The findings include: During an interview on 02/17/25 at 11:55 AM with the Resident Council President, Resident #23, and Resident #56, who both attend the meetings on a regular basis, Resident #23 stated he did not get to read the Resident Council minutes. […]

• No harm, potential for more than minimal, patternF582Apr 6, 2023

  Based on interview and record review, the facility failed to inform each Medicaid-eligible resident, in writing, at the time of admission to the nursing facility and when the resident became eligible for Medicaid of (A) The items and services that are included in nursing facility services under the State plan and for which the resident may not be charged; (B) Those other items and services that the facility offers and for which the resident may be charged, and the amount of charges for those services; and (ii) Inform each Medicaid-eligible resident when changes are made to the items and services specified in S483.10(g)(17)(i)(A) and (B) of this section for three of three residents randomly selected for review of Beneficiary Notification Review. […]