Northwood Rehabilitation & Health Care Center

In the surveyor’s words

From the most serious findings on record at Northwood Rehabilitation & Health Care Center, in the surveyor’s own words.

• Actual harm, patternF692Sep 26, 2022

  Based on observation, record review and interview, the facility failed to identify and address significant weight loss and failed to implement interventions to prevent weight loss for 6 residents (#7, #28, #105, #60, #102 and #46) out of a total of 32 sampled Residents. Findings include: Suggested parameters for evaluating significance of unplanned and undesired weight loss are: Interval Significant loss Severe Loss 1 month 5% Greater than 5% 3 months 7.5% Greater than 7.5% 6 months 10% Greater than 10% Review of the facility's Weights policy, dated 2015 indicated: *All weight loss/gain of 3 lbs or more on a resident weighing 100 lbs or less and weight loss/gain of 5 pounds or more on a resident weighing 100 lbs or more requires a reweigh for verification. […]

• Actual harm, isolatedF686Aug 29, 2024

  Based on observations, record review and interviews the facility failed to ensure two Residents (#108 and #100) with pressure ulcers receive care consistent with professional standards of practice to promote healing, prevent infection and prevent new ulcers from developing. Specifically, 1. For Resident #108 the facility failed to: 1a. Implement recommendations from the consultant wound physician and, 1b. Ensure air mattress settings were set according to the plan of care. 2. […]

• Actual harm, isolatedF740Aug 29, 2024

  Based on observations, record review and interviews, the facility failed to provide behavioral health services by a) ensuring recommendations from the Psychiatric Nurse Practitioner were implemented and b) psychotropic medications were provided as ordered for one Resident (#80) out of a total sample of 30 residents. Findings include: Review of the facility policy titled, Psychotropic Medication Management, dated April 2015, indicated the following: -Administer medications as directed by the physician and manufacturer. -Monitor target behaviors daily for antipsychotics, antidepressants and anxiolytics using behavior monitoring tool. […]

• Actual harm, isolatedF689Aug 10, 2023

  Based on observation, record review , policy review and interview the facility failed to ensure two Residents (#71 and #73) were provided effective interventions and supervision to prevent falls, out of a total sample of 36 residents. Specifically, the facility failed to 1) ensure for Resident #71 that effective interventions were in place to prevent further falls after sustaining multiple falls which then resulted in Resident #71 sustaining a hip fracture, and 2) ensure for Resident #73 was provided effective supervision and interventions to prevent a fall. […]

• Actual harm, isolatedF600Sep 26, 2022

  Based on record review and interview, the facility failed to 1. protect residents from ongoing verbal abuse after 1 Resident (#76) alleged abuse to staff and 2.) failed to protect 1 Resident (#88) who does not have the ability to consent to physical touch with another resident out of a total of 32 sampled Residents. Findings include: Review of the facility policy titled Abuse prohibition policy revised September 2020 indicated the following: *Every [NAME] facility has the responsibility to ensure that each resident has the right to be free from abuse, mistreatment, neglect, exploitation, and misappropriation. *The procedure includes screening of personnel for a history of abuse. *Identifying events, occurrences, patterns, and trends of potential abuse for residents. […]