Rest Haven Nursing Home

In the surveyor’s words

From the most serious findings on record at Rest Haven Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF656Jun 20, 2024

  Based on record review and staff interview the facility failed to develop comprehensive resident care plans. This affected four (Residents #01 #08, #11, and #118) of eight residents reviewed for care plans. The facility census was 19 residents. Findings include: 1.Review of the medical record for Resident #118 revealed an admitted [DATE] with diagnosis including chronic obstructive pulmonary disorder (COPD), atherosclerotic heart disease, anxiety, vascular dementia with anxiety, diabetes mellitus type two, major depressive disorder, and panic disorder. Review of the admission Minimum Data Set (MDS) for Resident #118 for dated 05/02/24 the resident was cognitively impaired with verbal behaviors. […]

• No harm, potential for more than minimal, isolatedF580May 28, 2026

  Based on record review, interview, and policy review, the facility failed to notify the physician of repeated refusals of ordered weekly weights, as required by the physician order and the resident's plan of care. This affected one resident (#4) of one resident reviewed with weekly weight orders. The facility census was 21. Findings include:Record review for Resident #4 showed an admission date of 06/30/25, with diagnoses including chronic hepatitis C, morbid obesity, and generalized anxiety disorder. The care plan revised on 07/15/25 included interventions to obtain and monitor diagnostic work as ordered and report results to the physician. […]

• No harm, potential for more than minimal, isolatedF644May 28, 2026

  Based on medical record review and staff interview, the facility failed to ensure Pre-admission Screening and Resident Reviews (PASARR) were completed and updated to reflect a new qualifying diagnosis. This affected one resident (#6) of one resident reviewed for PASARR accuracy. The facility census was 21.Findings include:Record review for Resident #6 revealed the resident was admitted to the facility on [DATE]. Diagnoses included chronic obstructive pulmonary disease, anxiety, depression, paranoid schizophrenia added on 12/31/25, alcoholic polyneuropathy, hypertension, and peripheral vascular disease.Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #6 was cognitively intact.Review of the most recent PASARR documentation provided by the facility… […]

• No harm, potential for more than minimal, isolatedF760May 28, 2026

  Based on record review, interviews, and facility policy review, the facility failed to follow a physician's order to hold a dose of Coumadin (warfarin sodium) for Resident #20 after receiving a supratherapeutic International Normalized Ratio (INR) result. This failure resulted in the resident receiving an unnecessary dose of an anticoagulant despite a documented elevated INR level. This affected one resident (#20) of one resident receiving Coumadin. The facility census was 21. Findings include:Record review revealed Resident #20 was admitted on [DATE] with diagnoses including Parkinson's disease, long term anticoagulant use, alcohol dependence in remission, major depressive disorder, and generalized weakness. […]

• No harm, potential for more than minimal, isolatedF641Jun 20, 2024

  Based on record review and staff interview the facility failed to complete a discharge assessments when residents were discharged to home. This affected one (Resident #12) of three discharged residents reviewed. The facility census was 19 residents. Findings include: Review of the medical record for Resident #12 revealed an admitted [DATE] with diagnoses including respiratory failure, dysphagia, depression, anemia, depression, B-cell lymphocytic leukemia, adult failure to thrive, protein-calorie malnutrition, polyosteoarthritis, and malignant neoplasm. […]