Neurorestorative

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF638Jan 27, 2023

  Based on interview, record review and document review, the facility failed to ensure the Quarterly Assessments were completed timely for 16 of 24 sampled residents (Residents #22, #21, #4, #2, #11, #8, #7, #23, #12, #14, #19, #18, #20, #15, #6, and #9). The failure to timely assess the residents resulted in the lack of care management for residents. Findings include: 1) Resident #22 (R22) was admitted on [DATE], with diagnoses including seizures, gastrostomy, failure to thrive, and unspecified developmental delays. R22's medical record revealed a Quarterly Assessment was in progress. The facility's Minimum Data Set (MDS) Summary Report revealed the Quarterly Assessment Reference Date (ARD) for R22 was 12/03/2022. […]

• No harm, potential for more than minimal, widespreadF640Jan 27, 2023

  Based on interview, record review and document review, the facility failed to ensure the Minimum Data Set (MDS) assessments were transmitted to the Centers for Medicare and Medicaid Services (CMS) System within the 14-day timeline for 18 of 24 sampled residents (Residents #22, #21, #4, #2, #11, #8, #7, #23, #12, #14, #19, #18, #20, #15, #6, #9, #5, and #74), The failure to timely assess the residents resulted in the lack of care management for residents. Findings include: 1) Resident #22 (R22) was admitted on [DATE], with diagnoses including seizures, gastrostomy, failure to thrive, and unspecified developmental delays. […]

• No harm, potential for more than minimal, widespreadF812Jan 27, 2023

  Based on observation, interview, and document review, the facility failed to ensure 1) opened food items were labeled and dated, 2) expired items were discarded, and 3) spoiled produce item was discarded. The failure to label and date food items, and discard expired items had the potential to serve foods to the residents at an increased risk of food safety. Findings include: On [DATE] at 7:59 AM, during the initial kitchen tour of the kitchen revealed the following: 1) Opened items unlabeled and undated included: Dry storage: - Bottle of crystal sprinkles Freezer: -Bag containing hot dog buns -Bag of bread rolls -Bag of assorted popsicles -Bag of beef patties -Large plastic bag containing three opened bags of frozen vegetables Countertop: -Spice tray with 14 bottles of assorted… […]

• No harm, potential for more than minimal, patternF761Feb 2, 2024

  Based on observation, interview, record review, and document review, the facility failed to ensure the medication carts were locked when unattended. The deficient practice could have jeopardized the safety of both staff and residents, as unsecured medication carts increase the risk of unauthorized access to potent medications, medication errors, theft, or misuse, posing serious health hazards and compromising the overall well-being of individuals within the facility. Findings include: A facility policy titled Storage and Expiration of Medications, dated 01/01/2013 documented the facility should ensure the resident medications were locked. […]

• No harm, potential for more than minimal, patternF692Jan 27, 2023

  Based on observation, interview, record review and document review, the facility failed to ensure: 1) residents' significant weight changes were identified and reassessed for 7 out of 12 sampled residents (Resident #3, #6, #9, #11, #16, #1, and #10), and 2) a Registered Dietitian (RD) recommendation was processed timely for 1 of 12 sampled residents (Resident #13). The failure to identify, monitor, and reassess the weight of a resident receiving gastrostomy tube (GT) feeding had the potential of overfeeding or underfeeding which could lead to the imbalance of nutrient intake. The failure to process a resident's RD recommendation timely for a tube feed change had the potential to put the resident for further nutritional risks. […]