Pocotaligo River Health And Rehab

In the surveyor’s words

From the most serious findings on record at Pocotaligo River Health And Rehab, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 11, 2026

  Based on interview, record review, and facility document review, the facility failed to ensure a safe transfer for 1 (Resident (R)2) of 4 residents reviewed for accidents. Specifically, R2 was transferred without the use of a sit to stand lift by a Certified Nursing Assistant (CNA) resulting in fractures to the resident's left ankle. Findings included: An admission Record revealed the facility admitted R2 on 06/19/2023. According to the admission Record, the resident had a medical history that included diagnoses of rheumatoid arthritis, anemia, diabetes, right hip osteoarthritis, muscle weakness, anxiety, depression, hypertension, neoplasm of the colon, repeated falls, low back pain, unsteadiness of feet, muscle weakness, radiculopathy, and dementia. […]

• No harm, potential for more than minimal, widespreadF812Aug 21, 2025

  Based on observation, interview, and review of facility policy, the facility failed to ensure staff performed adequate hand hygiene while washing dishes in 4 of 5 kitchens and failed to ensure kitchen staff thoroughly air-dried pans prior to storage in the main kitchen. Failure to perform adequate hand hygiene before touching clean dishes and not thoroughly drying pans can have the potential to lead to contamination and the increased risk of foodborne illness. This had the potential to affect 74 of 77 residents in the facility who received dietary services.Findings include:Review of the facility's undated policy titled, Dishwashing Manual and Dishwashing: Machine Operation revealed, Policy: . 6. […]

• No harm, potential for more than minimal, widespreadF812Jul 24, 2024

  Based on review of facility policy, observation, interview, and record review, the facility failed to ensure accurate labeling and dating of foods. Furthermore, the facility failed to ensure cold foods are held at safe temperatures. Findings include: Review of the facility policy titled Labeling, Dating Foods (Date Marking) dated 2020, revealed, Procedure: 2. Date marking for refrigerated storage food items. Once a case is opened, the individual, refrigerated food items are dated with the date the item was received into the facility and place in/on proper storage location utilizing the first in-first out method of rotation. […]

• No harm, potential for more than minimal, patternF880Jul 24, 2024

  Based on observations, interviews, record review, review of facility policy, and manufacturer recommendations, the facility failed to ensure the proper cleaning and disinfection of a glucometer for 1 of 4 medication pass observations of finger stick blood sugars. Furthermore, the facility failed to ensure staff used appropriate PPE (personal protective equipment) when handling soiled laundry for 2 of 2 staff observed processing laundry. Findings include: Review of the facility policy titled Glucometer Disinfection dated 2024, states, The purpose of this procedure is to provide guidelines for the disinfection of capillary-blood glucose sampling devices to prevent transmission of blood borne diseases to resident and employees . […]

• No harm, potential for more than minimal, isolatedF628Aug 21, 2025

  Based on record review, interview, and facility policy review, the facility failed to ensure 1 resident or resident representative (RP) of 1 resident (Resident (R)6) reviewed for hospitalization, received written notice that specified the duration of the bed hold policy. Specifically, the facility failed to include the current rate for the reserve bed payment in the event the resident did not return within ten (10) days, leaving the resident without all the necessary decision-making information.Findings include:Review of the facility's undated policy titled, ''Bed Hold Notice'' indicated that ''It is the policy of this facility to provide written information to the resident and/or the resident representative bed hold practices both well in advance, and at the time of, a transfer for… […]