Ramseur Rehabilitation and Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, patternF607May 17, 2024

  Based on record review, observations, and staff and Medical Director interviews the facility failed to implement the following components of the abuse policy: (a) immediately report an allegation of sexual abuse of a severely cognitively impaired female resident (Resident #7) by a moderately cognitively impaired male resident (Resident #39) to the Administrator; (b) the facility failed to provide a physical examination of a severely cognitively impaired female resident (Resident #7) by a trained/licensed professional for signs of sexual abuse; (c) the facility failed to protect a severely cognitively impaired female resident (Resident #7) and all other residents from the possibility of sexual abuse when they failed to put Resident #39 on one-to-one observations when there was an allegation… […]

• Immediate jeopardy, patternF689Jun 11, 2021

  Based on record review and interviews with staff, Medical Director, and Physician's Assistant, the facility failed to provide supervision to 2 residents (Residents #80 and #74) with known behavioral symptoms to prevent the physical assault, unwanted physical contact, and/or unwanted advancements into the personal space of cognitively impaired residents (Residents #8, #17, #35, #37, #41, #64, #81, and #82). This was for 2 of 3 residents reviewed for resident to resident altercations. Immediate Jeopardy began for Resident #74 on 8/19/20 when she approached Resident #17 from behind and attacked her by striking her multiple times in the arm. Immediate Jeopardy began for Resident #80 on 3/26/21 when he attempted to grab Resident #37's genital area. […]

• Immediate jeopardy, isolatedF600May 17, 2024

  Based on record review, observations, and staff and Medical Director interviews the facility failed to protect a resident's right to be free of sexual abuse for 1 of 3 residents investigated for abuse (Resident #7). A moderately cognitively impaired male resident (Resident #39) was found beside Resident #7's bed, a severely cognitively impaired female resident, with his hand moving under the covers around her groin area when a staff member entered Resident #7's room. Resident #7's brief was open and there was stool on the outside of her brief and on her sheets, and Resident #39 had stool on his hands. Resident #39 was interviewed and stated he was playing around with Resident #7 down there and waved his hand in a circular motion around his groin area. […]

• Immediate jeopardy, isolatedF689May 16, 2023

  Based on record review, observation and interview with the attending physician, resident and staff, the facility failed to provide a safe transfer for a resident who was at high risk for fractures, was non-ambulatory and required extensive assistance with a mechanical lift for transfers. On 4/18/23 agency Nursing Assistants (NAs) #1 and #2 transferred Resident #1 from her wheelchair to bed utilizing a stand pivot method resulting in the resident's right lower leg getting caught under the bed during the transfer. The resident reported pain in her leg and NA #1 and NA #2 did not report the injury to a nurse. […]

• Actual harm, isolatedF580Aug 1, 2025

  Based on record review, and staff and Physician interviews, the facility failed to notify the Physician when a STAT (immediately or urgently) x-ray was not completed as ordered for a resident that had right hip pain after a fall on 2/22/25. The order for the x-ray was called to the mobile x-ray provider the evening of 2/22/25. The nurse assigned to the resident on 2/23/25 contacted the mobile x-ray provider to follow up about the STAT x-ray order around 5:00 PM but did not notify the Physician the STAT x-ray had not been completed. […]