Northdale Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 10, 2022

  Based on observation of the dish machine, review of the dish machine records and service provider's report, and interview with facility and service provider staff, the facility failed to ensure the dietary staff were following the manufacturer's guidelines for the dish machine, related to monitoring the temperature of the wash and rinse water, or monitoring the level of chemical sanitizer used by the dish machine. Findings included: An observation was made of the dish machine in the main kitchen on 03/07/2022 beginning at 9:30 a.m. Staff I, Dietary Aide was observed running dish racks with breakfast dishes through the dish machine. She was asked to describe the procedure she followed to ensure the dish machine was running correctly. […]

• No harm, potential for more than minimal, patternF645May 22, 2024

  Based on record review, staff interview, and review of the facility's policy, the facility failed to complete the Preadmission Screening and Resident Reviews (PASRR) for residents with a mental disorder and individuals with intellectual disability following a qualifying mental health diagnosis for 10 (Residents #17, #36, #60, #84, #88, #10, #8, #58, #73, and #87) out of 21 residents sampled for PASRRs. Findings included: Review of Resident #17's admission record showed the resident was admitted to the facility on [DATE]. The admission record showed diagnoses to include Bipolar disorder and anxiety disorder. […]

• No harm, potential for more than minimal, patternF761May 22, 2024

  Based on observation, interview, and record review, the facility did not ensure proper medication storage for six (Residents #57, #60, #97, #88, #8 and #10) out of 21 residents sampled for three of three days. Findings included: During a facility tour on 05/19/24 at 11:48 a.m., Resident #57 was observed with a bottle of a medication labeled (Mucus relief) at bedside. The resident did not answer when asked how often he took the medication. Review of an admission record for Resident #57 showed he was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF925May 22, 2024

  Based on observation, interview, and facility policy review, the facility failed to ensure their pest control program was effective during three of four days of survey in six (Rooms #69, #70, #133, #135, #143 and #157) out of 26 rooms and affecting one (Resident #88) out of 21 sampled residents. Findings included: During multiple facility tours on 05/19/24, 05/20/24, and 05/21/24, observations were made of live and dead insects and ants in resident rooms #69, #70, #133, #135, #143 and #157. On 05/19/24 at 11:45 a.m., the Environmental Services (EVS) manager and surveyor observed a live insect crawling outside room [ROOM NUMBER]. She stated the insect was a cockroach. She stated their process was to kill the bug and document on the maintenance log. […]

• No harm, potential for more than minimal, isolatedF558May 22, 2024

  Based on observation, interview, and record review, the facility failed to reasonably accommodate the needs of one (Resident #45) of 21 residents related to not placing the call light within the resident's reach. Findings included: On 05/19/2024 at 1:00 p.m., the call light was observed on the floor, behind the headboard of Resident #45's bed. (Photographic Evidence Obtained.) On 5/20/2024 4:46 p.m., the call light was observed on the floor, behind the headboard of Resident #45's bed. The call light had not been moved from the previous day. (Photographic Evidence Obtained.) On 5/21/2024 11:57 a.m. the call light was observed on the floor, behind the headboard of Resident #45's bed. The call light had not been moved from the previous day. […]