Nova Health and Rehab

In the surveyor’s words

From the most serious findings on record at Nova Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Feb 3, 2022

  Based on observation, staff interview, and facility document review facility staff failed to ensure food was stored under safe and sanitary conditions in one of one walk-in refrigerators and one of one dry storage rooms. The findings were: During the initial kitchen tour on [DATE] at 2:03 p.m., accompanied by one of the facility's cooks, expired items were found within the walk-in refrigerator and dry storage room. One unopened box of individual sour cream packets had a printed expiration date of [DATE], one unopened container of Ricotta cheese had a printed expiration date of [DATE] In the dry storage room there were 2 (two), unopened, opaque, one-quart paper containers of honey thick lemon water with a printed expiration date of [DATE]. […]

• No harm, potential for more than minimal, isolatedF641Jun 27, 2024

  Based on staff interview and clinical record review the facility staff failed to correctly code a minimum data set (MDS) assessment for 1 of 3 closed record reviews, Resident #86. The findings included: For Resident #86, the facility staff coded the MDS as acute hospitalization when the resident discharged home. Resident #86's face sheet listed diagnoses which included but not limited to hypertension, heart failure, dementia, and anxiety. Section A (Identification Information), subsection A2105 (discharge status) of Resident #86's discharge assessment coded the resident as being discharged to Short-Term General Hospital (acute hospital). This MDS has an assessment reference date of 04/12/24 and listed the discharge as unplanned. […]

• No harm, potential for more than minimal, isolatedF759Jun 27, 2024

  Based on observation, staff interview, and clinical record review, the facility staff failed to ensure a medication error rate of less than 5%. There were 2 medication errors in 26 opportunities for a medication error rate of 7.69%. These medication errors affected Resident #20 and #82. The findings included: 1. For Resident #20, the facility staff failed to administer the probiotic, Lactobacillus Acidophilus as ordered by the medical provider. Resident #20's diagnosis list indicated diagnoses, which included, but not limited to Vascular Dementia, Essential Hypertension, Type 2 Diabetes Mellitus with Diabetic Neuropathy, Constipation, and Chronic Kidney Disease Stage 3. […]

• No harm, potential for more than minimal, isolatedF761Jun 27, 2024

  Based on observation, staff interview, and facility document review, the facility staff failed to store all drugs and biologicals in locked compartments on 1 of 2 nursing units, Unit 1. The findings included: For Unit 1, the facility staff failed to lock an unattended medication cart. On 6/26/24 at 8:46 AM, during a medication pass and pour observation, Licensed Practical Nurse (LPN) #1 prepared medications for a resident, entered the resident's room and administered the medications while leaving the medication cart in the hall, unlocked, unattended, and out of direct sight. When LPN #1 returned to the medication cart, they acknowledged the cart was left unlocked. […]

• No harm, potential for more than minimal, isolatedF888Feb 3, 2022

  Based on staff interview and facility document review, the facility staff failed to implement the COVID-19 vaccination process in the attempt to prevent the transmission of COVID-19 for 2 of 93 employees. The staff vaccination rate was 97.8%. The findings included: The facility policy titled, Employee COVID-19 Vaccination Policy with a revision date of 01/27/22 read in part, The goal of the facility is to safeguard the health of our employees and their families; our residents and visitors; and the Facility at large from COVID-19. […]