Rector Nursing and Rehab

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Feb 26, 2025

  Based on observation, interview, and record review, it was determined the facility failed to ensure transport staff correctly secured a resident in a wheelchair according to the manufacturer's instructions and was properly trained with return demonstration on the use of the van's safety restraints prior to securing and transporting 1 (Resident #1) resident in a wheelchair to prevent serious injury for 1 resident who was transported on the facility van. The lack of effective training for the transport driver resulted in Resident #1 falling backward in a wheelchair during transport and being positioned in the wheelchair in a manner that had the likelihood to affect Resident #1's ability to breathe. […]

• No harm, potential for more than minimal, widespreadF812Apr 14, 2023

  Based on observation and interview, the facility failed to ensure that dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for the residents who received meals from 1 of 1 kitchen. This failed practice had the potential to affect 36 residents who received meals from the kitchen (total census: 37) according to the list provided by the Dietary Supervisor dated 04/13/23. The findings are: a. On 04/10/23 at 10:36 AM., Dietary Employee (DE) #1 pushed a cart with an iced tea container on it towards the tea maker. She removed the iced tea container from the cart and placed it on the tea maker. Without washing her hands, she picked up the bowls from the clean dish rack and placed them on a shelf with her fingers inside of them. […]

• No harm, potential for more than minimal, patternF550Jun 13, 2024

  Based on observation, record review, and interview, the facility failed to ensure all residents who were seated at the same table were fed at the same time to promote resident dignity for 3 (Residents #7, #14, and #27) of 3 sampled residents. The findings are: 1. A review of the Order Summary revealed Resident #7 had diagnoses of Alzheimer disease, and cognitive communication deficit. A review of the Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/03/2024 revealed Resident #7 scored a 3 (severe cognitive impairment) on a Brief Interview for Mental Status (BIMS). A review of the Care Plan revealed Resident #7 was able to feed self after set up. 2. […]

• No harm, potential for more than minimal, isolatedF688Jun 13, 2024

  Based on observation, record review and interview, the facility failed to ensure interventions were utilized to prevent worsening of contractures in 1 of 1 sampled resident (Resident #14). The findings are: a. A review of the Order Summary revealed Resident #14 had diagnoses of stroke, aphasia (a language disorder that affects how you communicate), and hemiplegia and hemiparesis (complete paralysis and partial muscle weakness) affecting the right dominant side. b. A review of the Quarterly Minimum Data Set (MDS) with an Assessment Reference Date of 05/20/2024 revealed Resident #14 scored a 7 (severe cognitive impairment) on the Brief Interview of Mental Status (BIMS). […]

• No harm, potential for more than minimal, isolatedF761Jun 13, 2024

  Based on observation, interview, and policy review, the facility failed to ensure controlled medications were stored in a locked and permanently affixed box in the medication refrigerator. The findings are: 1. On 6/12/2024 at 9:30 AM, during observation of the medication storage room, the Director of Nurses (DON) was showing locked boxes of controlled medications in a mini fridge inside of Medication Storage room [ROOM NUMBER]. There was a larger black box, which had a lock on it and was affixed to a refrigerator shelf. There was a smaller black box, which was also locked, but the DON was able to pick it up off the shelf. The DON said, I don't think I have a key to this one. […]