Lemay Avenue Health and Rehab LLC

In the surveyor’s words

From the most serious findings on record at Lemay Avenue Health and Rehab LLC, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 1, 2026

  Based on record review and interviews, the facility failed to ensure two (#5 and #15) of four residents reviewed for accidents hazards received adequate supervision out of 16 sample residents. Resident #5 was admitted on [DATE]. Resident #5 required partial assistance from staff to transfer from surface to surface. In December 2025 Resident #5 was presenting with increased anxiety; yelling out; requests to use the bathroom and attempting to self transfer herself to get to the bathroom without staff assistance. Resident #5 fell on 2/4/26 while attempting to self transfer to use the bathroom. The facility failed to address the resident's impulsiveness to attempt to self transfer to use the bathroom. […]

• Actual harm, isolatedF689Jul 26, 2023

  Based on interviews and record review, the facility failed to ensure one (#1) of three residents reviewed for accidents out of four sample residents received adequate supervision and services to prevent an accident/hazard. Resident #1 had diagnoses of dementia, bilateral knee contractures and chronic pain. She required extensive assistance with a mechanical lift to transfer. The facility had mechanical ceiling lifts in resident rooms and tub rooms. Resident #1 had a brain injury due to a fall from a ceiling lift on 5/27/23 at approximately 11:00 a.m. […]

• No harm, potential for more than minimal, widespreadF880Nov 16, 2023

  Based on observations, record review and staff interviews the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, the facility failed to: -Demonstrate proper hand hygiene while assisting a residents with their meals; -Ensure control measures for monitoring and preventing Legionella and waterborne pathogens growth were included in the facility's water management plan; and, -Pass medications in a sanitary manner. Findings include: I. Proper hand hygiene A. […]

• No harm, potential for more than minimal, patternF880Sep 11, 2025

  Based on observations and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of diseases and infection on two of eight units.Specifically, the facility failed to:-Ensure the vital signs machine was disinfected after being used in a COVID-19 positive room;-Ensure the vital signs machine was disinfected between each resident's use on the secure unit; and,-Ensure housekeeping staff doffed (took off) their personal protective equipment (PPE) and closed the trash bags before exiting a COVID-19 positive room.Findings include:I. Failed to ensure the vital signs machine was disinfected after being utilized in a COVID-19 positive roomA. […]

• No harm, potential for more than minimal, patternF585Feb 19, 2025

  Based on record review and interviews, the facility failed to ensure three (#13, #11 and #12) of three residents out of 11 sample residents had their grievances resolved promptly by the facility. Specifically, the facility did not promptly respond to Resident #13, Resident #11 and Resident #12's grievances of long call light times. Findings include: I. Facility policy and procedure The Grievance Procedure policy, revised on 10/31/24, was provided by the nursing home administrator (NHA) on 2/19/25 at 6:10 p.m. The policy revealed the purpose of the policy was to protect resident rights and ensure prompt resolution of grievances. […]