Many Healthcare and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Apr 11, 2024

  Based on record review, observation, and interview, the facility failed to ensure residents remained as free of accident hazards as possible for 1 (#3) of 4 (#1, #2, #3, & #4) residents reviewed for accidents. The facility failed to properly secure Resident #3's wheelchair prior to transporting the resident in 1 of the facility's 2 vans. This deficient practice resulted in an immediate jeopardy situation on 03/20/2024 at 9:50 a.m., when Resident #3 was placed in the facility's van, and her wheelchair was anchored/secured in the facility's van with only three of the four anchors required. While the van was in motion, Resident #3's wheelchair fell backwards, and Resident #3 hit the back of her head on the lift. Resident #3 sustained an abrasion with bleeding noted to the back of her head. […]

• Actual harm, isolatedF600Jan 24, 2024

  Based on record review and interview, the facility failed to ensure a resident's right to be free from physical and sexual abuse, and psychosocial harm by another resident, for (#1) of 3 (#1, #2, and #3) residents investigated for abuse. This failed practice resulted in an actual harm situation on 12/27/2023 at 3:40 p.m., when Resident #2 put his hands under Resident #1's shirt, and on her breast. On 11/19/2023, Resident #2 tried to throw a coffee cup at Resident #1; however, staff intervened. On 12/26/2023, Resident #2 lurched towards Resident #1 when staff tried to take Resident #1 to provide care, and a CNA had to step between the residents. […]

• Actual harm, isolatedF689Sep 20, 2023

  Based on record review and interview, the facility failed to use a two-person transfer, as determined necessary by the resident's person centered plan of care, during a transfer from bed to wheelchair for 1 (Resident #2) of 3 (Resident #1, Resident #2, and Resident #3) sampled residents. Resident #2 fell to the ground, and sustained an Acute Left Femur Fracture. This failed practice resulted in an actual harm situation for Resident #2 on 09/06/2023 at 9:00 a.m., when S4 CNA transferred the resident from the bed to a wheelchair without assistance of another staff, as indicated on Resident #2's plan of care. During the transfer, Resident #2 fell to the ground. Resident #2 complained of left knee pain with swelling noted, and an x-ray was obtained which revealed an Acute Left Femur Fracture. […]

• Actual harm, isolatedF684Apr 28, 2022

  Based on interviews and record reviews, the facility failed to administer pain medication and diuretic medications in accordance with the resident's Person Centered Plan of Care and professional standards of practice, for 1 (#1) of 5 (#1, #2, #3, #4 and #5) sampled residents. This deficient practice resulted in an Actual Harm for Resident #1 that began on 04/08/2022, when Resident #1, who was ordered [MEDICATION(S)]/Acetaminophen (a narcotic analgesic) 10-325mg 1 tab orally every 6 hours as needed for pain, was administered [MEDICATION(S)]/Acetaminophen more frequently than ordered by the physician. […]

• No harm, potential for more than minimal, widespreadF880Dec 13, 2021

  Based on observation, record review and interview the facility failed to have a monitoring system in place to ensure all staff and visitors complied with infection control policy and practices to prevent the spread of COVID-19. The facility failed to actively monitor all staff and visitors to ensure compliance with screening and source control prior to entering the facility. Findings: Review of the facility's policy titled Facility Visitation Policy and Procedures Policy revealed in part: Visitors who have a positive [CONDITION(S)] test for COVID-19, symptoms of COVID-19, or currently meet the criteria for quarantine, should not enter the facility. […]