Northchase Nursing and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jan 3, 2024

  Based on observations, record review, and staff and resident interviews, the facility failed to provide a safe transfer when a resident (Resident #1) fell from a mechanical lift while being transferred by Nurse Aide #1 and Nurse Aide #2 and sustained a 10-centimeter laceration to the right ankle requiring 9 sutures, a contusion to the left wrist and left shoulder, and pain as a result of the fall for 1 of 3 residents observed for falls. Findings included: Resident #1 was admitted to the facility on [DATE]. Resident #1 had a diagnoses of congestive heart failure and hypoxia. The Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed Resident #1 was cognitively intact and demonstrated no behaviors. […]

• No harm, potential for more than minimal, widespreadF812Jan 26, 2023

  Based on observations, record review, and staff interviews the facility failed to maintain the final rinse cycle temperature of the high temperature sanitizing dish machine at or above 180 degrees Fahrenheit per manufacturers recommendations and failed to routinely monitor and record the dish machine wash and rinse cycle temperatures for 1 of 1 dish machines observed. 2) failed to obtain food temperatures prior to serving and failed to maintain consistent food temperature logs during 1 of 2 observations. 3). failed to label and date leftover food and ensure the nourishment room refrigerator was free from debris for 1 of 2 nourishment rooms (200 Hall nourishment room). […]

• No harm, potential for more than minimal, patternF761Jun 23, 2025

  Based on observations and staff interviews, the facility failed to discard expired medications on 2 of 4 medication (med) carts observed (200 hall and 100 hall med carts) and date medications when they were opened to allow for the determination of their shortened expiration date for medications stored on 3 of 4 med carts (100 hall, 200 hall, and 400 hall) med carts reviewed for medication storage. Findings included: 1 a. An observation was conducted on 6/11/25 at 9:46 AM of the 200 hall med cart in the presence of Nurse #8. […]

• No harm, potential for more than minimal, patternF812Jun 23, 2025

  Based on record review, observations and staff interviews, the facility failed to remove expired food items stored for use in 1 of 1 walk-in refrigerator and 1 of 2 nourishment rooms and failed to label and date leftover food in 1 of 2 nourishment rooms observed (Rehabilitation Hall nourishment room). This deficient practice had the potential to affect the food served to the residents. The findings included: 1. An observation in the kitchen on 6/9/25 at 11:00 AM revealed the following items in the walk-in refrigerator: - an opened bag of Swiss cheese with no opened date. - a metal container with pureed mixed fruit with no label and no opened date. - a metal container with stewed tomatoes with an opened date of 5/28/25 and a use by date of 5/29/25. […]

• No harm, potential for more than minimal, patternF641May 17, 2024

  Based on record review and staff interviews, the facility failed to code the Minimum Data Set (MDS) assessments accurately in the area of nutrition for 4 of 11 residents whose MDS assessments were reviewed for nutrition (Residents #107, #12, #19, # 69). Findings included: 1. Resident #107 was admitted on [DATE] with diagnosis which included adult failure to thrive and diabetes. Review of Resident #107's electronic health record revealed the following weights were recorded: 10/2/2023- 207.3 pounds (Lbs.) 11/10/2023- 205.1 Lbs. 12/5/2023- 194.2 Lbs. 1/19/2024- 181.8 Lbs. 1/30/2024- 177.1 Lbs. 2/9/2024- 172.5 Lbs. 3/26/2024- 147.6 Lbs. 4/2/2024 1:14 PM- 152.3 Lbs. […]