Norwich Rehabilitation & Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF578Dec 3, 2024

  Based on record review and interviews during the abbreviated survey (NY00361060), the facility failed to establish mechanisms for documenting and communicating the resident's choice regarding Advance Directives to the staff responsible for the resident's care for 1 of 3 residents (Resident #1) reviewed. Specifically, Resident #1 updated their Medical Orders for Life-Sustaining Treatment to reflect a change from wanting cardiopulmonary resuscitation (attempt to restart the heart) to do not resuscitate (allow natural death). The medical record and code status indicators were not revised to reflect the resident's Advance Directives wishes and the facility continued with cardiopulmonary resuscitation orders. […]

• No harm, potential for more than minimal, patternF584Aug 1, 2025

  Based on observations, record review, and interviews during the recertification and abbreviated (NY00353879) surveys conducted 7/29/2025-8/1/2025, the facility did not ensure a safe, comfortable, and homelike environment for two (2) of two (2) residents (Residents #39 and #80) reviewed and seven (7) anonymous residents present at the group meeting. Specifically, Resident #39's room and bathroom had a strong odor of urine; Resident #80 had missing clothing items and a wheelchair with a wheel in disrepair; and seven (7) anonymous residents reported they had items missing from laundry.Findings include:The facility policy Assistive Devices and Equipment, dated 2/2022 documented certain devices and equipment that assisted with resident mobility were provided for residents. […]

• No harm, potential for more than minimal, patternF812Jan 9, 2024

  Based on record review, observation, and interview during the recertification survey conducted [DATE]-[DATE], the facility did not ensure storage and preparation of food in accordance with professional standards for food service safety for 3 of 3 kitchens (the main kitchen and Units 2 and 3 kitchenettes) reviewed. Specifically, the main kitchen had expired sanitizer strips for the three-bay sink; fruit flies were observed in the main kitchen and the Unit 2 and Unit 3 kitchenettes; the ice machines in the Unit 2 and 3 kitchenettes were damaged; the Unit 3 kitchenette had an undated open loaf of bread; and the Unit 2 kitchenette walls and ceiling were unclean. […]

• No harm, potential for more than minimal, isolatedF627Aug 1, 2025

  Based on interview and record review during the recertification survey conducted 7/29/2025-8/1/2025 the facility did not develop and implement an effective discharge planning process that focused on the resident's discharge goals for two (2) of three (3) residents (Resident #1 and Resident #90). Specifically, there was no documented evidence of an ongoing discharge plan for Resident #1 and Resident #90.Findings include:The facility policy “Discharge Summary and Plan,” initiated 6/28/2025, documented when a resident's discharge is anticipated, a discharge plan will be developed. Every resident was evaluated for their discharge needs and would have an individualized post-discharge plan. […]

• No harm, potential for more than minimal, isolatedF656Aug 1, 2025

  Based on observations, interviews, and record review during the recertification survey conducted 7/29/2025-8/1/2025, the facility did not develop and implement a comprehensive person-centered care plan for each resident to include services provided to maintain the resident's highest practicable physical well-being for one (1) of one (1) resident (Resident #1) reviewed. Specifically, Resident #1 did not have a care plan for managing anticoagulant therapy (blood thinner).Findings include:The undated facility policy Care Plan-Timing and Revision, documented a comprehensive care plan was developed for each resident within seven days and included measurable objectives and timeframes to meet the resident's physical, mental, and psychosocial well-being. […]