Loft Rehab & Nursing of Canton

In the surveyor’s words

From the most serious findings on record at Loft Rehab & Nursing of Canton, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 8, 2022

  Based on observation, interview and record review the facility failed to ensure an electronic wander management system/door alarm system was in working order, failed to re-assess (R1) as high risk for elopement once (R1) started to exit seek, failed to revise/update (R1's) elopement care plan after (R1) eloped, and failed to provide adequate supervision for one of three residents (R1) reviewed for elopement risk in the sample of three. These failures resulted in R1, a moderately cognitively impaired resident with the diagnosis of Dementia, eloping from the facility on two different occasions and on 4-24-22 R1 eloping from the facility up a grassy embankment, across a street between the facility and a church, and entering into a church 250 feet away from the facility. […]

• Actual harm, isolatedF689Mar 17, 2026

  Based on observation, interview, and record review, the facility failed to prevent a burn injury caused by a homemade hot pack application for one (R1) of 14 residents reviewed for incidents and accidents. This failure resulted in R1 sustaining a blister thermal burn to R1's left outer knee requiring medical treatment. Findings include: R1's medical record documents in part that R1 was admitted to the facility on [DATE] with diagnoses including COPD (Chronic Obstructive Pulmonary Disease); Mild Protein-Calorie Malnutrition; Type 2 Diabetes Mellitus; Hereditary and Idiopathic Neuropathy, and on 2/16/26 additional diagnoses of Multiple Fracture of Ribs, Bilateral Sequela and Acute Respiratory Failure. […]

• Actual harm, isolatedF684Aug 5, 2025

  Based on interview and record review the facility failed to ensure a resident's anticoagulant therapy was maintained related to a diagnosis of Atrial Fibrillation, obtain a valid physician order prior to discontinuing the medication, and document clinical justification to discontinue a residents anticoagulant therapy for one of three residents (R1) reviewed for quality of care in a sample of three. These failures resulted in (R1) who was at high risk for thromboembolic (blood clots that form in one location and travel to another location, potentially blocking blood flow) events, experienced complications from a suspected complication of Acute Cerebrovascular Accident due to Cerebrovascular Disease and passed away after Xarelto was discontinued for 75 days without physician authorization or… […]

• Actual harm, isolatedF689Nov 16, 2024

  Based on observation, interview, and record review the facility failed to use extensive assistance of two staff members during a mechanical lift sit-to-stand transfer for one of four residents (R3) reviewed for falls in a sample of eight. This failure resulted in R3 falling during a mechanical lift sit to stand transfer, sustaining a severely painful dislocated left shoulder. Findings include: The facility's Safe Resident Handling/Transfers policy, dated 12/15/22, documents Policy: It is the policy of this facility to ensure that residents are handled and transferred safely to prevent or minimize risks for injury and provide and promote a safe, secure, and comfortable, experience for the resident while keeping the employees safe in accordance with current standards and guidelines. […]

• Actual harm, isolatedF689Sep 23, 2022

  Based on interview and record review, the facility failed to identify safety risks for a new admit for one resident (R1) out of three residents reviewed for falls in a sample of three. This failure resulted in R1 falling and sustaining an acute mildly displaced and comminuted fracture involving the surgical neck of the left humerus. Findings include: The facility's Incidents, Accidents and Supervision policy dated 1/1/2020 documents The resident environment remains as free of accident hazards as is possible; and each resident receives adequate supervision and assistive devices to prevent accidents. This includes: 1. Identifying hazard(s) and risk(s). 2. Evaluating and analyzing hazard(s) and risk(s). 3. […]