Lebanon Center for Rehabilitation and Healing, LLC

In the surveyor’s words

From the most serious findings on record at Lebanon Center for Rehabilitation and Healing, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 17, 2022

  Based on facility policy review, observations, and interviews, the facility failed to maintain the dietary department in a sanitary manner on 2 of 2 observations, affecting 48 of 48 residents in the facility. Review of the facility's policy titled, Cleaning Kitchen Equipment, dated 8/1/2019, revealed, .Small appliances (such as mixers and food processors) will be cleaned and sanitized after and prior to each use .The food and nutrition services staff will maintain the cleanliness and sanitation of the dining and food services areas through compliance with a written, comprehensive cleaning schedule .The director of food and nutrition services will determine all cleaning and sanitation tasks needed for the department .A cleaning schedule will be posted for all cleaning tasks, and staff will… […]

• No harm, potential for more than minimal, patternF726Aug 30, 2021

  Based on facility policy, record review, observation and interview, the Nursing Staff and Director of Nursing failed to have equipment needed on crash cart and failed to consistenely check the crash cart per facility policy. The findings include: Review of the undated facility policy Emergency Procedure-Cardiopulmonary Resuscitation revealed .the chance of surviving SCA [Sudden Cardiac Arrest] may be increased if CPR [cardiopulmonary resuscitation] is initiated immediately upon collapse .preparation for CPR .maintain equipment and supplies necessary for CPR/BLS [Basic Life Support] in the facility at all times .if an individual is found unresponsive .instruct a staff member to activate the emergency response system .instruct a staff member to retrieve the automatic external defibrillator… […]

• No harm, potential for more than minimal, patternF755Aug 30, 2021

  Based on the facility policy, record review, observation, and interview, the facility failed to administer controlled drugs per standard nursing procedures and failed to keep accurate records of administration of controlled drugs for 6 (Resident # 4, Resident #5, Resident #6, Resident #7, Resident #8, and Resident #9) of 9 residents sampled Review of the undated facility policy Administering Medications revealed .policy Interpretation and Implementation .the Director of Nursing Services supervises and directs all personnel who administer medications and/or have related functions .as required or indicated for a medication, the individual administering the medication records in the resident's medical record .the signature and title of the person administering the drug .medications ordered… […]

• No harm, potential for more than minimal, isolatedF812Aug 30, 2021

  Based on facility policy, observations, and interviews the facility failed to properly store appropriate foods and beverages in the walk-in cooler in the kitchen area to prevent cross-contamination. The findings included Review of undated facility policy Food and Nutrition Services revealed .nutrition services staff will evaluate .food and beverages for resident consumption are appropriately stored . Observation of the walk-in cooler in the kitchen area on 8/25/2021 at 8:25 AM revealed 1-8 ounce (oz) cellophane bag labeled pork rinds with approximately one-fourth of the contents remaining in the bag sitting on the second open shelf to the left of the walk-in cooler door. […]