Rennes Health and Rehab Center-West

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF755Jul 27, 2022

  Based on observation, staff interviews, and record review, the facility failed to ensure accurate and safe administration of pharmaceuticals for 4 Residents (R) (R36, R17, R25, and R5) of 20 sampled residents. On 7/25/22, Licensed Practical Nurse (LPN)-C left medications for R36 to take unattended. R36 was not assessed for safe self-medication administration. The facility did not secure or assess for safety at bedside and get an order for R17's Tums (antacid medication). LPN-E left R25's medications at bedside. R25 was not assessed for safe self-medication administration, had a diagnosis of dementia, and had an activated Power of Attorney (POA) for health care decision making. On 7/25/22, Surveyor observed medications left unattended at R5's bedside. […]

• No harm, potential for more than minimal, patternF761Jul 27, 2022

  Based on observation and staff interview, the facility did not ensure all drugs and biologicals were stored in accordance with currently acceptable standards of practice for 23 residents residing on the 300 and 500 units of 53 total residents. The medication cart used to pass medication to the residents on the 300 and 500 units was observed multiple times unlocked and not in direct supervision of the nurse on duty. On 7/25/22 and 7/27/22, Surveyor observed a [CONDITION(S)] communication binder for R3 that had two pills tucked inside ([MEDICATION(S)] 10 mg (milligrams) used to treat low blood pressure) and left unattended at the nurses' station. Findings include: The facility's policy titled Security of Medication Cart with a revision date of 4/2007 states: 1. […]

• No harm, potential for more than minimal, patternF812Jun 23, 2021

  Based on observation, staff interviews, and record review, the facility did not ensure food was prepared under sanitary conditions with the potential to effect 72 of 73 residents at the facility (1 resident tube fed.) The facility did not ensure food-contact and non-food contact equipment including meat slicer, mixing bowl and can opener was clean and dry for storage or use. The facility did not ensure the warewashing machine (dishwasher) was reaching the minimum 180 degree Fahrenheit (F) temperature required for hot water sanitization. Findings include: On 6/21/21 at 8:39 AM, Dietary Manager (DM)-J indicated the facility utilized ServSafe as the kitchen's standard of practice. […]

• No harm, potential for more than minimal, patternF880Jun 23, 2021

  Based on observation, interview and record review, the facility did not ensure implementation of an infection control policy designed to prevent the development and transmission of disease and infection which had the potential to affect: ~1 resident (R) (R23) of 5 sampled and supplemental sampled residents on transmission based precautions, ~2 residents (R33 and R62) of 14 sampled and supplemental sampled residents during 3 of 16 care observations and ~8 residents (R58, R47, R35, R11, R10, R9, R74, and R67) of 8 residents observed on the 100 wing at lunch pass who were not offered hand hygiene prior to eating lunch. 1. Staff did not utilize appropriate Personal Protective Equipment (PPE) when entering R23's room for cares and interactions. 2. […]

• No harm, potential for more than minimal, isolatedF761Oct 2, 2024

  Based on observation, staff interview, and record review, the facility did not ensure stock medications, medical supplies, and medications for 2 residents (R) (R178 and R26) in 2 of 4 medication carts and 1 of 2 medication storage rooms were stored, labeled, and/or dated appropriately. A medication storage room contained expired medical supplies. Two medication carts contained open, unlabeled, and expired medications, including medications for R178 and R26. Findings include: The facility's Labeling of Medication Containers policy, revised April 2019, indicates: All medications maintained in the facility are properly labeled in accordance with current state and federal guidelines and regulations .2) Any medication packaging or containers that are inadequately or improperly labeled are… […]