Northway Health and Rehabilitation, LLC

In the surveyor’s words

From the most serious findings on record at Northway Health and Rehabilitation, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF567Apr 17, 2024

  Based on interviews, record review, and review of facilities Resident Handbook and the facility's document titled Resident - These are YOUR Rights, the facility failed to ensure residents had reasonable access to personal funds/petty cash after business hours and on the weekends. This affected Resident Identifier (RI) #64. Further affected RI #43, RI #55, RI #6, RI #81, RI #28, RI #69, RI #34, RI #85, RI #26, and RI #76 who attended Resident Council Group meeting on 04/16/2024 and reported they were unable to access funds on the weekends. This had the potential to affect all residents who have a Resident Trust Account established with the facility. Findings include: A review of the Resident Handbook revealed the following: . Personal Funds . […]

• No harm, potential for more than minimal, patternF584Apr 17, 2024

  Based on observations, interviews and the facility's Residents Rights, the facility failed to ensure rooms on three of five halls were not found in need of repair. This deficient practice affected seven residents' rooms on three halls. Findings Include: The facility's undated Residents Rights, documented, These are YOUR Rights: YOU have the right .to live in a safe, clean, comfortable and homelike environment. On 04/14/2024 at 1:18 PM, surveyor observed Resident Identifier (RI) #56's closet was missing a door. On 04/14/2024 at 4:09 PM, surveyor observed RI #100's wall behind bed with scraped paint. On 04/14/2024 at 4:25 PM, surveyor observed RI #67's wall behind bed with scraped paint. […]

• No harm, potential for more than minimal, patternF880Apr 17, 2024

  Based on observations, interviews and a facility policy titled, Hand Hygiene, the facility failed to ensure: 1) staff sanitized their hands on 04/14/2024 while passing meal trays on Station 4. The facility further failed to ensure staff performed hand hygeine while assisting Resident Identifer (RI) #1 and RI #47 with their meal. This deficient practice affected residents residing on two of five halls, including RI #1 and RI #47. 2) staff followed Standard Precautions and properly disinfected the glucometer after routine testing of blood glucose. This affected RI #73, one of two residents observed for blood glucose testing. […]

• No harm, potential for more than minimal, isolatedF602Apr 17, 2024

  Based on interviews, record review, review of the facility's investigation titled Verification of Investigation, and review of facility policy Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation, the facility failed to ensure Licensed Practical Nurse (LPN) #6, did not misappropriate Resident Identifier (RI) #43's Percocet and Lyrica after signing the medication as administered. This was cited as a result of investigation of complaint/report number AL00045405, and affected one of one residents reviewed for misappropriation of resident property. […]

• No harm, potential for more than minimal, isolatedF645Apr 17, 2024

  Based on interview, record review, review of a facility policy Pre-Admission Screening Resident Review, and review of Resident Identifier (RI) #103's PASRR (Preadmission Screening and Resident Review), the facility failed to ensure RI #103's PASRR was accurately marked with an admission diagnosis of Bipolar Disorder, which indicated a Level II was indicated. This affected one of two residents sampled for PASRR. Findings Include: A review of a facility policy titled Pre-admission Screening Resident Review, with a revised date of 06/2009 documented . 4. The nursing facility is responsible for ensuring that a level I screening is completed, submitted and has a Level I Determination on or before nursing home admission . Process for PASRR . 3. […]