North Healthcare and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF727Sep 5, 2025

  Based on record review and interviews, the facility failed to have eight consecutive Registered Nurse (RN) hours seven days a week for seventeen of ninety-one days in the third quarter of Fiscal Year (FY) 2025.Findings included: Review of Payroll Based Journal (PBJ) Data (FY) Quarter 3 2025 (April 1-June 30) revealed no RN Hours were Triggered on 10/05/2024; 10/12/2024; 10/13/2024; 4/5/2025; 4/6/2025; 4/12/2025; 4/13/2025; 4/19/2025; 4/20/2025; 4/26/2025; 4/27/2025; 5/11/2025; 5/25/2025; 5/26/2025; 5/31/2025; 6/1/2025 and 6/21/2025.During an interview on 9/4/25 at 09:50 a.m., with Staff H, Staffing Coordinator, employed for one year, stated, It is my responsible to staff the building and when I staff the building, I make sure that I have enough Licensed Practical Nurses (LPN) and RNs to… […]

• No harm, potential for more than minimal, widespreadF812Sep 7, 2023

  Based on observation, record review, and staff interview, the facility failed to store food in accordance with professional standards for food service safety. The facility did not label, date and/or cover food items stored in the refrigerator or freezer. Findings included: An observation, on 09/05/23 at 9:20 a.m., showed a reach-in refrigerator in the kitchen area that contained: - Three (3) sandwiches not labeled or dated. - A big bag of lettuce not labeled or dated. - 1 package of lunch meat smoked ham not dated. - An open package of orange square cheese slices with package ripped and left uncovered. (photographic evidence obtained) During an interview on 09/05/23 at 9:20 a.m., Staff A Dietary Manager (DM) stated food items stored in the refrigerator should be labeled and dated. […]

• No harm, potential for more than minimal, patternF689Sep 5, 2025

  Based on observations, interviews, and record reviews the facility did not ensure chemicals were secured and the smoking policy was followed for two residents (#32 and #50) out of seven residents that smoke. Finding included: An observation was conducted on 9/3/25 at 9:29 a.m. of Residents #32 and #50. Both residents were on the smoking patio with no staff present or in sight of the residents and no smoking aprons on or available. It was also observed that a shed on the patio was unlocked. The shed had a CAUTION HAZARDOUS CHEMICALS. AUTHORIZED PERSONNEL ONLY sign on the door and inside the shed were multiple bottles of chemicals observed.An observation was conducted on 9/3/25 at 1:18 p.m. […]

• No harm, potential for more than minimal, patternF880Sep 5, 2025

  Based on observations and interviews, the facility did not ensure infection control practices were followed related to: 1) food handling; 2) a non-cleanable surface and storage of a respiratory mask in two out of two resident rooms. Findings included: 1. On 9/3/25 at 10:31 a.m., an observation of Resident #2 revealed he was sitting in the wheelchair using a yellow gait belt to maneuver between the bed and the window. He lifted up the mattress and revealed a flattened cardboard box on top of the bed frame. He said facility staff put the cardboard box there because the bar in the middle of the bed was hurting his back. […]

• No harm, potential for more than minimal, patternF573Feb 12, 2025

  Based on record review and interviews, the facility failed to honor the right of a resident or his/her legal representative to receive medical records timely, within two working days, for three (#1, #7, and #8) of three sampled residents reviewed for medical record request. Findings included: On 02/12/2025 at 9:55 a.m., a phone interview was conducted with Resident #1's representative. When asked if she was involved in the admission process for (Resident #1), she stated, yes. When asked if she signed a contract during the admission process, she stated, No contract, I just signed a consent to treat. When asked if she had requested medical records, she stated, I asked for a copy of the medical cost responsibilities. An interview conducted on 02/12/2025 at 2:09 p.m. […]