Renwick Nursing and Rehab

In the surveyor’s words

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

• Immediate jeopardy, widespreadF584Jun 17, 2024

  Based on observation, interview, and record review the facility failed to ensure temperatures in the building remained within a comfortable range for residents when the air conditioning was not functioning properly. The facility also failed to follow their hot weather policy and measure room temperatures and humidity levels when the air conditioning was not functioning properly to determine if resident safety could be maintained. This failure resulted in room temperatures as high as 91 degrees Fahrenheit in areas occupied by residents and residents complaining of feeling hot. […]

• Immediate jeopardy, widespreadF689Feb 1, 2024

  Based on observation, interview and record review the facility failed to ensure residents safety by not monitoring space heaters during a heating system failure and failed to ensure the safety of the residents during a loss of heat. This resulted in the facility having cold temperatures in the facility and the facility utilizing unmonitored space heaters. These failures resulted in an Immediate Jeopardy affecting the safety and health of all 111 residents residing in the facility when the facility experienced a heating system failure and placed 20 portable space heaters in resident rooms with no monitoring. The Immediate Jeopardy began on 1/12/2024 when the Facility placed 20 portable space heaters in resident rooms. […]

• Immediate jeopardy, patternF678Apr 3, 2023

  Based on interview and record review the facility failed to initiate immediate cardiopulmonary resuscitation (CPR), failed to correctly provide emergency interventions, and failed to initiate 911 timely. These failures resulted in the delay of efforts to revive R3 and has the potential to affect 43 residents (R2, R7, R13-R53) at the facility who are full-code status. The Order Listing Report dated [DATE] documents 43 residents residing at the facility with an advanced directive of a full code. This failure resulted in Immediate Jeopardy. The Immediate Jeopardy began on [DATE] at approximately 4 AM when R3 was found on the floor unresponsive. […]

• Immediate jeopardy, patternF689Mar 31, 2022

  Based on observation, interview, and record review, the facility failed to ensure a resident identified as an elopement risk was provided adequate supervision to prevent elopement from the facility. The facility also failed to ensure the staff is knowledgeable about alarming exit doors, that exit alarms are in working order, staff respond to triggered exit alarms and elopement binders are kept up to date as shown in the facility's elopement policy. This failure resulted in Immediate Jeopardy when R1 eloped from the facility without being witnessed by facility staff. This applies to 6 of 8 residents (R1, R2, R3, R4, R5, and R7) reviewed for safety concerns in the sample of 8. […]

• Actual harm, isolatedF693Sep 12, 2025

  Based on observation, interview, and record review, the facility failed to monitor and assist a resident with a known risk for malnutrition with restoring her oral eating skills, and failed to provide gastrostomy tube management and care as ordered for a resident who was dependent on enteral nutrition. This failure resulted in R6 experiencing a significant weight loss of 5.8% in one month.This applies to 1 of 1 resident (R6) reviewed for gastrostomy-tubes in a sample of 29. The findings include:On 9/09/2025 at 11:10 AM and 12:20 PM, R6 was in bed sleeping. R6's piston syringe was sealed and a measuring cylinder for her g-tube (gastrostomy-tube) feeding were on her bedside table, unused. At 2:40 PM, R6 was still in bed and unable to fully express or communicate regarding her tube feedings. […]