Polo Rehabilitation & HCC

In the surveyor’s words

From the most serious findings on record at Polo Rehabilitation & HCC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727May 4, 2023

  Based on interview, and record review, the facility failed to ensure a Registered Nurse was on duty at least 8 hours a day. This had the potential to affect all 29 facility residents. The findings include: The facility's 5/3/23 Resident Census and Conditions of the Resident's form showed there were 29 facility residents. On 05/03/23 at 02:27 PM, V10 Licensed Practical Nurse (LPN) said she had been working at the facility since February. V10 said she works part time as needed on Sundays and during the month of April 2023 there were no Registered Nurses (RNs) or Administration staff present. On 05/03/23 at 03:55 PM, V9 LPN said she works as needed and during the month of April 2023 there were no RNs working while she was there. […]

• No harm, potential for more than minimal, widespreadF882May 4, 2023

  Based on interview and record review, the facility failed to have an Infection Preventionist. This failure had the potential to affect all 29 facility residents. The findings include: The facility's 5/3/23 Resident Census and Condition of Residents form showed 29 residents in the facility. On 05/03/23 at 09:53 AM, V6 MDS nurse said she was unable to locate her Infection Preventionist (IP) Certificate. At 09:55 AM, V1 Administrator said she could not produce her IP certificate. On 05/04/23 at 08:50 AM, V1 said she it's important to have an IP on staff to monitor and track illnesses trends for infectious diseases, minimize the risk of the spread of infection, and to monitor immunizations to prevent complications. […]

• No harm, potential for more than minimal, widespreadF880Feb 9, 2022

  Based on observation, interview and record review the facility failed to ensure all staff wearing a N95 mask were medically cleared and fit tested prior to wearing a N95 and failed to ensure N95 masks were worn appropriately to prevent the spread of COVID-19. The facility failed to ensure staff removed their gloves and washed their hands to prevent the spread of infection. This applies to all 29 residents that reside at the facility. The findings include: The Resident Census and Conditions of Residents (Form CMS 672) dated 2/8/22 shows that there were 29 residents residing in the facility. The undated facility provided COVID-19 Positive Staff list shows that an outbreak started on 12/9/21 when an employee tested positive for COVID-19. […]

• No harm, potential for more than minimal, widespreadF886Feb 9, 2022

  Based on interview and record review the facility failed to test an unvaccinated employee for COVID-19 twice a week as required for a high community transmission rate. This has the potential to affect all 29 residents that reside at the facility. The findings include: The Resident Census and Conditions of Residents (Form CMS 672) dated 2/8/22 shows that there were 29 residents residing in the facility. The undated facility provided COVID-19 Positive Staff list shows that an outbreak started on 12/9/21 when an employee tested positive for COVID-19. The undated facility provided COVID-19 Positive Residents list shows that 17 additional residents tested positive on 12/9/21. […]

• No harm, potential for more than minimal, patternF805Jul 31, 2024

  Based on observation, interview, and record review, the facility failed to ensure a pureed diet was served with a smooth consistency for five of five residents (R7, R8, R11, R17, R18) reviewed for pureed diets in the sample of 13. The findings include: The facility's Diet Type Report dated July 29, 2024 shows R7, R8, R11, R17, and R18 are on pureed diets. On July 29, 2024 at 10:15 AM, V5 [NAME] pureed five salisbury steak patties with beef broth. V5 then added thickener powder. V5 then put the pureed salisbury steak into the oven to keep it warm. V5 said the pureed california vegetables were already pureed. On July 29, 2024 at 11:28 AM, lunch was served off of a steam table to all residents. On July 29, 2024 at 11:43 AM, a pureed test tray was sampled. […]