Rennes Health and Rehab Center-Appleton

In the surveyor’s words

From the most serious findings on record at Rennes Health and Rehab Center-Appleton, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Apr 27, 2022

  Based on observation, Resident (R) interviews, and staff interviews, the facility did not ensure residents were provided a hand hygiene opportunity before lunch meal service for 13 residents. This practice had the potential to affect all the residents of the facility. Facility staff did not offer hand hygiene at the point of service for lunch meal to 11 residents in the main dining room and 2 residents provided room trays. Findings include: On 4/25/22 beginning at 11:44 AM, Surveyor began observations in the facility's main dining room. At 11:52 AM, Surveyor observed the first (unidentified) resident arrived in dining room for meal service. No hand hygiene was offered at that time. […]

• No harm, potential for more than minimal, isolatedF692Aug 6, 2025

  Based on staff interview and record review, the facility did not ensure appropriate care and treatment related to weight monitoring was provided for 1 resident (R) (R86) of 2 sampled residents.The facility did not complete additional assessments and ensure the physician was notified when R86 had a weight gain of more than 2 pounds in 1 day.Findings include:The facility's Heart Failure-Clinical Protocol policy, revised April 2007, indicates: .2.The nurse will assess and document/report the following: a. Vital signs; b. General physical assessment .1. The physician will review and make recommendations for relevant aspects of the nursing care plan; for example, what symptoms to expect, how often and what (weights .) to monitor, when to report findings to the physician, etc. 2. […]

• No harm, potential for more than minimal, isolatedF558Jan 8, 2025

  Based on observation, staff and resident interview, and record review, the facility did not ensure 1 resident (R) (R2) of 5 sampled residents had a call light within reach. On 1/8/25, R2's call light was wedged between the mattress and side rail of R2's bed and not within R2's reach. Findings include: On 1/8/25, Surveyor reviewed R2's medical record. R2 was admitted to the facility on [DATE] and had diagnoses including history of falling, diabetes, hemiplegia (weakness on one side of the body) and hemiparesis (paralysis on one side of the body) following cerebrovascular accident (CVA) affecting the right dominant side, morbid obesity, and anxiety disorder. […]

• No harm, potential for more than minimal, isolatedF558Jun 6, 2024

  Based on observation, staff and family interview, and record review, the facility did not ensure 1 resident (R) (R44) of 18 residents had a call light within reach or a means to call staff for assistance. During two observations, Surveyor noted R44's call light was not within reach. In addition, R44 did not have the correct call light to meet R44's needs according to R44's plan of care. Findings include: From 6/4/24 to 6/6/24, Surveyor reviewed R44's medical record. R44 was admitted to the facility on [DATE] and had diagnoses including senile degeneration of brain, vascular dementia, and encounter for palliative care. R44's Minimum Data Set (MDS) assessment, dated 3/21/24, contained a Brief Interview for Mental Status (BIMS) assessment that indicated R44 was rarely or never understood. […]

• No harm, potential for more than minimal, isolatedF656Jun 6, 2024

  Based on staff interview and record review, the facility did not develop a comprehensive care plan for 1 resident (R) (R44) of 3 sampled residents. The facility's Matrix and R44's Significant Change Minimum Data Set (MDS) assessment indicated R44 received Hospice services. R44 did not have a care plan for Hospice services. Findings include: The facility's Hospice Program policy, revised 11/2016, indicates: The care plan shall be revised and updated as necessary to reflect the resident's current status. On 6/5/24, Surveyor reviewed R44's medical record. R44's was admitted to the facility on [DATE] and was admitted to Hospice services on 3/15/24. R44 had diagnoses including senile degeneration of the brain, vascular dementia, and encounter for palliative care. […]