Port Rehabilitation and Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jun 28, 2022

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who was assessed to be at high risk for falls and required physical assistance from staff for transfers (with the use of a gait belt) and ambulation, the Facility failed to ensure staff provided the appropriate level of assistance, use of an assistive device, and provide properly functioning equipment in an effort to maintain his/her safety to prevent an accident when: -On 06/01/22, Certified Nurse Aide (CNA) #2 assisted Resident #1 with a transfer out of bed without the use of a gait belt, left him/her standing alone with his/her walker as she walked to the other side of the bed to disconnect a piece of medical equipment and Resident #1 fell to the floor. […]

• No harm, potential for more than minimal, patternF812Aug 28, 2025

  Based on observations, record reviews and interviews, the facility failed to ensure food was stored and distributed in accordance with professional standards of food safety to prevent the possible spread of foodborne illness in at risk residents. Specifically, 1. a. The facility failed to ensure food stored in the walk-in refrigerator was not stored and available after the use by date, b. The facility failed to ensure a loaf of bread was not stored after the use by date on one of three nourishments kitchens, and 2. Dietary Staff #1 a. failed to contain facial hair with a beard cover while in the food distribution area. […]

• No harm, potential for more than minimal, patternF812Sep 7, 2023

  Based on observation and interview the facility failed to store and prepare food in accordance with professional standards for food service safety. Findings include: Review of the undated facility policy titled Refrigerator Guidelines, indicated the following: -Label and date all leftovers and refrigerate immediately -Label and date food items when removing from the freezer to thaw On 9/5/23 at 6:59 A.M., the following observations were made during the initial walk through of the kitchen: -Whipped cream in an open piping bag, unlabeled and undated in the walk-in refrigerator. -Shredded carrots, unlabeled and undated in the walk-in refrigerator. […]

• No harm, potential for more than minimal, isolatedF684Aug 28, 2025

  Based on observation, record review and interview, the facility failed to ensure treatment and care was provided in accordance with standards in quality of care for one Resident (#12), out of a total sample of 25 residents. Specifically, for Resident #12, who has a known risk and care planned for the risk of bruising, bleeding and skin tears, the facility failed to identify areas of injury on his/her lower right leg. Findings include:Resident #12 was admitted to the facility in May 2024 with diagnoses that include, but are not limited to unspecified dementia, bipolar disorder, delusional disorders and heart disease. […]

• No harm, potential for more than minimal, isolatedF690Aug 28, 2025

  Based on observations, interviews and record review, the facility failed to maintain professional standards in managing and caring for urinary catheter devices for one Resident (#54) out of a total sample of 25 residents. Specifically, the facility failed to ensure the urinary catheter drainage bag was not directly touching the floor.Findings include:Review of the facility policy titled Catheter Care, Urinary, revised August 2022, indicated:-The purpose of this procedure is to prevent urinary catheter-associated complications, including urinary tract infections.-Infection Control: Be sure the catheter tubing and drainage bag are kept off the floor.Resident #54 was admitted to the facility in July 2025 with diagnoses including obstructive uropathy (a condition in which the flow of urine is… […]