New Eastwood Healthcare and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Sep 5, 2024

  Based on observation, it was determined that the facility failed to store food under sanitary conditions in the kitchen. Findings include: Observation of the kitchen on September 3, 2024, at 9:47 a.m., revealed the following: In the walk-in freezer, there was an accumulation of ice at the entry way, on the shelves, and on boxes of potato hashbrowns and nutrition shakes. The ice build up prevented the door from latching and forming a seal when closed. In the walk-in refrigerator, there was a pan of raw ground meat stored above a pan of raw whole beef. At the coffee preparation area, there was an accumulation of dust on the underside of a window air conditioning unit that was above coffee filters and plastic lids. […]

• No harm, potential for more than minimal, patternF812Oct 5, 2023

  Based on facility policy review, observation, and staff interview, it was determined the facility failed to store food in a sanitary manner on two of two nursing units. (Sandlewood and Birchwood) Review of the facility policy entitled, Foods Brought by Family/Visitors, dated [DATE], revealed perishable food items were to be labeled with the resident's name, the item, and the use-by date. Expired food items were to be discarded. Observation of the pantry on the Sandlewood unit on [DATE], at 12:01 p.m., revealed the inside of the microwave was dirty with multiple areas of dried food splatter. There were four areas where the interior of the microwave had bubbled and were covered with rust spots on each. […]

• No harm, potential for more than minimal, isolatedF550Sep 5, 2024

  Based on clinical record review and observation, it was determined that the facility failed to provide care and services in a manner respectful of each resident's dignity for one of 18 sampled residents. (Resident 79) Findings include: Clinical record review revealed that Resident 79 had diagnoses that included obstructive uropathy, urinary retention, and enlarged prostate. On August 6, 2024, a physician ordered that Resident 79 utilize an indwelling urinary catheter for urination. Review of the care plan revealed that staff was to maintain a dignity bag or privacy cover over the collection bag when in social settings and when visible to others. […]

• No harm, potential for more than minimal, isolatedF684Sep 5, 2024

  Based on clinical record review and staff interview, it was determined that the facility failed to implement physician's orders for four of 18 sampled residents. (Residents 35, 47, 49, 244) Findings include: Clinical record review revealed that Resident 35 had diagnoses that included generalized edema and acute kidney failure. A physician's order dated August 8, 2024, directed staff to weigh the resident every Thursday. A review of the Medication Administration Record (MAR) for August 2024, revealed that there was no evidence that staff weighed Resident 35 as ordered on August 22 and 29, 2024. Clinical record review revealed that Resident 47 had diagnoses that included end-stage renal disease requiring dialysis and congestive heart failure. […]

• No harm, potential for more than minimal, isolatedF808Sep 5, 2024

  Based on clinical record review, observation, and staff interview, it was determined that the facility failed to provide physician ordered therapeutic diets for two of 18 sampled residents. (Residents 12, 14) Findings include: Clinical record review revealed that Resident 12 had diagnoses that included Alzheimer's disease, dysphagia, and protein calorie malnutrition. A physician's order dated December 20, 2020, directed staff to provide a mechanical soft diet with the addition of enhanced foods. Review of the care plan revealed an intervention for staff to provide the resident's diet as ordered, which included enhanced foods. On September 4, 2024, at 12:27 p.m., the resident was observed eating the lunch meal in the dining room. […]