Ponce Therapy Care Center and Rehab, The

In the surveyor’s words

From the most serious findings on record at Ponce Therapy Care Center and Rehab, The, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF584Oct 26, 2023

  Based on observations, interviews, and record review, the facility failed to ensure that one (Resident #85) of a total sample of 34 residents, received housekeeping services to maintain a sanitary interior in their room. The findings include: A review of the medical record revealed that Resident #85 was initially admitted to the facility on [DATE], and was readmitted on [DATE]. His diagnoses included the following: Encounter for other orthopedic aftercare, fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing, unspecified fracture of the lower end of left radius, subsequent encounter for closed fracture with routine healing, and diabetes mellitus with unspecified diabetic retinopathy. […]

• No harm, potential for more than minimal, isolatedF677Oct 26, 2023

  Based on observations, interviews, and record review, the facility failed to ensure that one (Resident #52) of four residents reviewed for inability to carry out Activities of Daily Living (ADLs), from a total sample of 34 residents, received proper grooming. The findings include: A review of Resident #52's medical record revealed that he was initially admitted to the facility on [DATE] and was readmitted on [DATE]. His diagnoses included the following: orthopedic aftercare, fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing, unspecified fracture of the lower end of left radius, subsequent encounter for closed fracture with routine healing, and diabetes mellitus with unspecified diabetic retinopathy. […]

• No harm, potential for more than minimal, isolatedF684Oct 26, 2023

  Based on observations, staff, resident and family interviews, record review, and facility policy review, the facility failed to ensure that one (Resident #36) of two residents reviewed for skin conditions, from a total of 34 residents sampled, received wound treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan. The findings include: On 10/23/23 at 12:30 pm, Resident #36 was observed sitting up in a wheelchair in his room, next to his bed, dressed in day clothes. Both of his lower extremities were observed with a dressing on each leg. The dressings were dated as follows: 10/18/23 on the right lower leg, and 10/22/23 on the left lower leg. […]

• No harm, potential for more than minimal, isolatedF689Oct 26, 2023

  Based on observations, interviews and record review, the facility failed to ensure that the resident environment remained as free of accident hazards as was possible for one (Resident #1) of 34 residents sampled. Resident #1's room was observed over a period of three days with several razors left lying on the resident's sink. This practice could result in injury to this resident or any other resident who entered this room and had access to the razors. The findings include: On 10/23/23 at 11:11 am, three disposable razors were observed in the bathroom belonging to Resident #1. The razors were positioned behind the water faucet on the sink. Two of the razors were covered by a clear plastic cap. The third was uncovered and appeared to have been used. […]

• No harm, potential for more than minimal, isolatedF695Oct 26, 2023

  Based on observations, staff, resident and family interviews, medical record review, and facility policy review, the facility failed to ensure that one (Resident #36) of two residents reviewed who required respiratory care, from a total of 34 residents sampled, was provided such care, consistent with professional standards of practice and the comprehensive person-centered care plan. The findings include: On 10/23/23 at 12:30 pm, Resident #36 was observed sitting up in a wheelchair in his room, next to his bed, dressed in day clothes. He was receiving oxygen via a nasal cannula. The oxygen concentrator was set at 1 liter per minute (LPM). The resident requested to go back to bed. Two certified nursing assistants (CNAs) assisted the resident back to bed via a mechanical lift. […]