Portsmouth Health and Rehab

In the surveyor’s words

From the most serious findings on record at Portsmouth Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jun 10, 2026

  Based on observation, interviews, review of the facility's water management plan, review of laboratory test results, and review of the facility weekly logbook documentation of tasks completed, the facility failed to ensure an effective water management and legionella prevention plan were implemented. This had the potential to affect all 75 residents residing in the facility. Findings Include: Review of the facility Water Management Plan, dated 04/18/25 revealed a diagram of the water system, analysis of building water systems, control measures, monitoring/corrective actions, confirmation and documentation. […]

• No harm, potential for more than minimal, widespreadF880Mar 14, 2022

  Based on staff interview, resident interview, observations, medical record review, facility policy review, and review of the Centers for Disease Control and Prevention (CDC) guidelines the facility failed to provide hand hygiene between resident care, while passing meal trays, and to wear gloves with direct resident care. This directly affected eleven Resident's (#36, #1, #29, #22, #28, #39, #272, #273, #53, #270, #271) but had the potential to affect all 59 residents residing in the facility. Findings include: 1. Review of the medical record for Resident #1 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF677Mar 14, 2022

  Based on staff interview, resident interview, observations, medical record review, and facility policy review, the facility failed to provide nail care, shaving, and haircuts, showers, and mouth care to residents who needed assistance. This affected five (Resident's #5, #9, #33, #28 and #36) of seven residents reviewed for activities of daily living (ADL). The facility census was 59. Findings include: 1. Review of the medical record for Resident #5 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF684Jul 31, 2025

  Based on closed resident record reviews, hospital discharge instructions, and staff interview, the facility failed to ensure care for nephrostomy tubes was provided in a timely manner. This affected one resident (#77) of one reviewed for hospitalizations. The facility census was 77.Findings include:Closed record review for Resident #77 revealed the resident was admitted to the facility on [DATE] and had diagnoses which included malignant neoplasm of the bladder, hematuria, acute kidney failure, and hydronephrosis with ureteropelvic junction obstruction.Review of the admission Minimum Data Set (MDS) assessment, dated 05/19/25, revealed the resident was assessed to have intact cognition. The resident was assessed to have an indwelling catheter device. […]

• No harm, potential for more than minimal, isolatedF883Jul 31, 2025

  Based on resident record reviews, staff interview, and review of facility policy, the facility failed to ensure resident influenza and pneumococcal vaccinations were offered and administered in a timely and appropriate manner. This affected two residents (#14 and #15) out of the five residents reviewed for immunizations. The facility census was 77.Findings include:1. Record review for Resident #14 revealed the resident was admitted to the facility on [DATE] and had diagnoses which included cerebral infarction, acute kidney failure, and mood disorder. Review of the annual Minimum Data Set (MDS) assessment, dated 06/02/25, revealed the resident was assessed to not be up to date on the pneumococcal vaccination due to the vaccination not being offered. […]