Recuperative Services Unit-Hebrew Rehab Center

In the surveyor’s words

From the most serious findings on record at Recuperative Services Unit-Hebrew Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF851Jul 24, 2025

  Based on record review and interview, the facility failed to electronically submit direct care staffing data to the Centers for Medicare and Medicaid Services (CMS) for the entire reporting period, Fiscal Year (FY) Quarter 2 2025 (January 1 - March 31), in accordance with the schedule specified by CMS.Findings include:Review of the Payroll Based Journal (PBJ) Staffing Report, CASPER Report 1705D, FY Quarter 2 2025 (January 1 - March 31), indicated the facility failed to submit data for the quarter.Review of the facility's submission report titled ‘CMS Payroll Based Journal - Upload Data File', dated 5/7/25, indicated a submission had been made for PBJ data. […]

• No harm, potential for more than minimal, patternF812Jul 17, 2024

  Based on observation, policy review, and interview, the facility failed to serve food in accordance with professional standards for food service safety. Specifically, the facility failed to ensure staff did not use contaminated gloves to directly handle ready-to-eat food. Findings include: Review of the facility's policy titled Personal Hygiene and Uniforms, revised January 2024, indicated, but was not limited to, the following: -Culinary and Nutrition Staff will adhere to the highest standard of personal hygiene. -Proper hand washing is the single most effective way to minimize the transfer of food-borne illness. […]

• No harm, potential for more than minimal, isolatedF550Jan 21, 2026

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was severely cognitively impaired, unable to give consent and had an activated Health Care Proxy (HCP), the facility failed to ensure Resident #1 was treated in a dignified and respectful manner, when on 12/22/25 during the day shift, Resident #1's hair had been cut (which was against his/her cultural beliefs) by a staff member, and was cut without consent from his/her Health Care Agent (HCA).Findings include:Review of the Facility's Policy titled Patient [NAME] of Rights and Responsibilities, dated as approved 07/22/25, indicated the following:-ensure all patients are treated fairly with consideration of individual needs and respecting their rights.-staff is committed to provide high quality… […]

• No harm, potential for more than minimal, isolatedF656Jul 17, 2024

  Based on observations, interviews, and record review, the facility failed to implement the plan of care for one Resident (#434) out of a total sample of 12 residents. Specifically, the facility failed to provide supervision with eating for Resident #434. Findings include: Resident #434 was admitted to the facility in July 2024 with diagnoses including failure to thrive and dysphagia (difficulty swallowing). Review of the most recent Minimum Data Set (MDS) assessment, dated 7/16/14, indicated Resident #434 had moderate cognitive impairment as evidenced by a Brief Interview for Mental Status (BIMS) score of 12 out of 15. […]

• No harm, potential for more than minimal, isolatedF695Jul 17, 2024

  Based on record review, interview and observation for one Resident (#81) of 12 sampled residents, the facility failed to provide respiratory care consistent with professional standards of practice. Specifically, the facility failed to develop a resident care policy for oxygen administration and failed to obtain a physician's order for oxygen use, which staff were actively administering to the Resident. Findings include: Review of the Healthcare Quality Association on Accreditation, dated 5/4/2017, indicated physician orders must be obtained for oxygen use and should include the amount of oxygen (flow rate) and duration. […]