Portland Care & Rehab Centre, INC

In the surveyor’s words

From the most serious findings on record at Portland Care & Rehab Centre, INC, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 17, 2024

  Based on review of the clinical record, review of facility documentation, and interviews for 1 of 3 sampled residents (Resident #18) who were reviewed for falls, the facility failed to utilize a gait belt during a transfer resulting in a major injury from a fall. The findings include: Resident #18's diagnosis included chronic obstructive pulmonary disease, heart failure, and history of falling. Review of the Resident Transfer Policy dated 6/14/22 directed that gait belts are used with all transfers unless contraindicated. […]

• No harm, potential for more than minimal, widespreadF812Jun 17, 2024

  Based on the tour of the Dietary Department, staff interview, and facility documentation, the facility failed to ensure open food items were dated, failed to ensure canned foods in the emergency stock were not expired, and failed to ensure food was served under sanitary conditions. The findings included: During a tour of the Dietary Department on [DATE] 10:31 AM with the Dietary Director the following was identified: a. 2 ceiling fans directly over the prep area were noted to be oscillating with a heavy accumulation of dust. A dietary worker was cutting a cake directly under one of the fans. In addition, the ceiling fan in the dish room was noted with a heavy accumulation of dust. b. An uncovered pan of gravy and flour mixture was observed to be on top of the preparation (prep) table. […]

• No harm, potential for more than minimal, patternF756Mar 10, 2026

  Based on review of the clinical record, facility documentation, facility policy, and interviews for 3 of 5 residents (Residents #3, 33 and 12) reviewed for unnecessary medications, for Resident #3 and 33, the facility failed to ensure monthly pharmacy medication regimen reviews were completed for 5 of the 12 months reviewed and for 1 of 5 residents Resident #12 the facility failed to ensure monthly pharmacy medication reviews were completed 11 of 12 months. The findings include: 1. Resident #3 was admitted to the facility in December 2023 with diagnoses that included thrombophilia, severe dementia with mood disturbance, and hypothyroidism. […]

• No harm, potential for more than minimal, patternF812Mar 10, 2026

  Based on observation, review of facility documentation, facility policies, and interviews, the facility failed to ensure food service staff were wearing hair restraints while preparing food and failed to ensure a low temperature dishwasher was operating in accordance with the manufacturer's recommendation. The findings include: 1. [NAME] #1 was hired in October 2012.Dietary Aide #1 was hired in November 2023.Observation on 3/8/26 at 9:00 AM, in the first-floor dining room, identified Dietary Aide #1, serving breakfast from the steam table, without the benefit of a hair guard.Interview with Dietary Aide #1 on 3/8/26 at 9:08 AM identified that she was aware that she should be wearing a hair net while serving food, but today she had arrived late and they were short staffed, so she forgot to… […]

• No harm, potential for more than minimal, patternF921Jun 17, 2024

  Based on observations and interviews for 1 of 2 shower rooms, the facility failed to provide a homelike, sanitary, and safe environment for the first-floor shower. The findings included: Observation during the initial facility tour on 6/10/24 at 12:30 PM on the first floor in the shower room identified the following: 1 broken ceiling tile, A black substance on the floor, walls, and ceiling, Lack of a drain cover over the floor drain, 3 unlabeled wash basins, A dirty linen cart, An empty bucket, A baseball cap, and The top of a spray bottle with no bottle. Interview with Registered Nurse #1 (RN #1 the Infection Prevention nurse) on 6/10/23 at 12:30 PM identified that the shower room was the only shower for the first floor residents. […]