Republic Nursing & Rehab

In the surveyor’s words

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

• Actual harm, isolatedF600Apr 8, 2022

  Based on interview, record review, and review of facility policy, the facility failed to ensure one (Resident (R) 47) of three residents reviewed for abuse out of a total sample of 45 residents was free from abuse. This deficient practice resulted in physical harm to R47 when R189 hit R47 with his cane resulting in bruising, scratches, and reddened areas on R47's person and resulted in psychosocial harm when R47 stated he was afraid during the altercation with R189. Findings include: Review of the policy provided by the facility titled, Abuse Prohibition, dated [DATE], indicated . It is the purpose of this facility to prohibit mistreatment, neglect, abuse, misappropriation of resident's property, & exploitation of any resident . […]

• No harm, potential for more than minimal, widespreadF812Sep 18, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards of practice and in a manner to prevent possible contamination when the facility failed to keep dented cans separated from other cans; failed to ensure all food items were properly labeled and sealed; failed to ensure transported foods were covered; failed to ensure fans, vents, and ceilings in food areas were free from dirt and debris; and when staff stacked dishes while still wet. This had the potential to affect all residents who consumed food from the facility kitchen. The facility census was 115 residents.1. […]

• No harm, potential for more than minimal, widespreadF812Mar 14, 2024

  Based on observation, interview, and record review, the facility failed to keep food safe from potential contamination when staff stacked clean dishware inside one another trapping moisture; the facility failed to keep dented cans separate from other canned goods; and failed to ensure dry food containers were properly sealed. This could potentially affect all the residents. The facility census was 82. 1. Review of the facility's policy titled, Dishwashing, by Nutrition and Dining Services Manual, dated May 2015, showed the following information: -Rack dishes and trays in appropriate rack; -Rack cups, bowls, and glasses upside down; -Allow items thoroughly dry before unloading racks or storing items. […]

• No harm, potential for more than minimal, widespreadF812Apr 8, 2022

  Based on observation, interview, review of facility policy, review of temperature logs, and review of the Food and Drug Administration (FDA) Code, the facility failed to monitor the dish machine temperatures and ensure that the dish machine was providing the correct amount of chemicals needed to sanitize dishware. These failures had the potential to increase the risk of food borne illnesses and affect 101 out of 104 residents living at the facility who received food from dietary services. Findings include: Review of the FDA Code 2017 revealed, Adequate cleaning and sanitization of dishes and utensils using a ware-washing machine is directly dependent on the exposure time during the wash, rinse, and sanitizing cycles. […]

• No harm, potential for more than minimal, widespreadF867Apr 8, 2022

  Based on observation, interview, and record review the facility failed to ensure the Quality Assurance and Performance Improvement (QAPI) committee made good faith attempts to identify and correct quality deficiencies when they did not develop or implement appropriate action plans to correct on-going, systemic issues. This deficient practice had the potential to affect all of the residents in the facility. The facility census was 104. Findings include: The facility failed to ensure one of three sampled residents was free from abuse. (Refer to F600) The facility failed to ensure one of two sampled residents was free from a chemical restraint. (Refer to F605) The facility failed to ensure adequate personal grooming opportunities for two of four sampled residents. […]