Olney Rehabilitation and Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Dec 11, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen, in that: 1. The wooden cabinet doors beneath the handwashing sink did not close completely. 2. The high-temperature dish machine did not work properly and was not being used. 3. The dietary staff were manually washing the resident use eating utensils, beverage glasses, coffee cups, the pots, pans, mixing bowls, cooking utensils and serving utensils in a two-compartment sink.4. The dietary staff did not document water temperatures and bleach sanitizer levels for the two-compartment sink.5. Floor tiles were missing beneath the high temperature dish machine.6. […]

• No harm, potential for more than minimal, widespreadF908Dec 11, 2025

  Based on observation, interview, and record review, the facility failed to ensure the maintenance of mechanical and electrical equipment in safe operating condition in 1 of 1 kitchen, in that:The low temperature dish machine was not operating and was not being used to wash and sanitize the resident use eating utensils, beverage glasses, coffee cups, and the food preparation pots, pans, mixing bowls, cooking utensils, and serving utensils. This failure placed the residents at risk for foodborne illness and a decline in health status from being served food that had been prepared with pans and utensils that had not been properly sanitized. The findings included: Observation on 12/09/2025 at 9:50 AM revealed a high temperature dish machine was located in the facility kitchen. […]

• No harm, potential for more than minimal, widespreadF812Aug 4, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen in that: 1. The range was soiled with a built up, sticky grease like substance. 2. There were soiled wet towels and food crumbs on the floor. 3. There were dead crickets in standing water in the drain underneath the dishwasher an in the clean handwashing sink. 4. The commercial refrigerator contained one half of a watermelon covered in saran wrap and not dated, an opened block of butter was open to the refrigerator air and not dated or covered by an airtight container, an open plastic container of brown gravy dated 7/20, 1/2 water melon not dated and covered with saran wrap and an undated… […]

• No harm, potential for more than minimal, patternF759Sep 12, 2024

  Based on observation interviews and record review the facility failed to ensure that residents were free of a med error of 5% or greater (7.69%) 2 of 6 residents who reviewed for medication errors . 1. The facility failed to ensure LVN A primed (removing air bubble to ensure that the needle is open and working) insulin pen for Resident #35 before administering Fiasp (insulin aspart) 2. The facility failed to ensure LVN B primed the insulin pen for Resident #37 before administering Fiasp (insulin aspart). 3. The facility had a 7.69% medication error rate based on 2 errors out of 26 opportunities, which involved 2 of 6 reviewed for pharmacy services. […]

• No harm, potential for more than minimal, patternF761Sep 12, 2024

  Based on observation, interview, and record review the facility failed to ensure that drugs and biologicals used in the facility were secured and stored in accordance with current accepted professional principles for 2 (West Hall Medication Cart and Treatment Cart) of 3 carts observed for medication storage. The facility did not ensure [NAME] Hall Medication Cart and Treatment Cart were locked and secure. This failure could place the residents at risk of gaining access to unlocked medications not prescribed to them. Findings included: Observation on 9/10/24 at 7:16 AM revealed treatment cart parked in [NAME] hallway corner near bathroom with a resident within 6 feet away of open, unsecured cart. No nurse in sight of cart. […]