Pawtucket Falls Healthcare Center

In the surveyor’s words

From the most serious findings on record at Pawtucket Falls Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF835Aug 16, 2024

  Based on record review and staff interview, it has been determined that the facility was not being administered in a manner that enabled it to utilize resources effectively and efficiently to maintain the highest practicable physical, mental and psychosocial well-being of each resident related to infection control. This failure resulted in immediate jeopardy for F 880. Additionally, the Administrator directed an employee, who did not have a Food Safety Manager Certification, to work as the only cook in the main kitchen for all of the facility's residents. […]

• Immediate jeopardy, widespreadF880Aug 16, 2024

  Based on record review and staff interview, it has been determined that the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections by allowing a staff member who tested positive for COVID-19 on 7/31/2024, to work as the cook in the kitchen during the evening shift on 8/3/2024 and during the morning and evening shifts on 8/4/2024. […]

• Immediate jeopardy, patternF600Nov 6, 2023

  Based on record review and staff interview it has been determined that the facility failed to keep a resident free from sexual abuse for 1 of 6 residents reviewed, Resident ID #2. The facility also failed to screen newly admitted residents upon admission for their sex offender status (as required by the facility assessment) for 2 of 2 newly admitted residents from June 2023 through September of 2023, Resident ID #s 1 and 7, resulting in Resident ID #1 touching a vulnerable resident in a sexual manner, Resident ID #2. Findings are as follows: 1. […]

• Immediate jeopardy, isolatedF689Nov 6, 2023

  Based on record review and staff interview it has been determined that the facility failed to ensure that each resident receives adequate supervision based on the risks and current professional standards of practice relative to preventing an incident by a known sex offender, Resident #1. Findings are as follows: Record review of a facility reported incident submitted to the Rhode Island Department of Health on 10/30/2023 indicates that Resident ID #1 was observed grabbing Resident ID #2's chest in the hallway. Review of a facility policy titled, Abuse Prevention, dated October 2022, states in part, .Protocol 5. […]

• Immediate jeopardy, isolatedF760Oct 21, 2022

  Based on record review and staff interview, it has been determined that the facility failed to ensure that residents are free of any significant medication errors for 1 of 6 residents reviewed, Resident ID #1. Findings are as follows: Record review of a facility policy titled Administering Medications revised in April of 2019 states in part, .9. The individual administering medications verifies the resident's identity before giving the resident his/her medications .10. The individual administering the medication checks the label THREE (3) times to verify the right resident, right medication, right dosage, right time and right method (route) of administration before giving the medication . […]