Rest Haven Nursing Home Inc

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 7, 2025

  Based on observation, staff interview, review of the United States Department of Administration (USDA) website, and facility policy review, the facility failed to maintain a clean and sanitary kitchen and failed to ensure unpasteurized eggs were thoroughly cooked prior to serving. This had the potential to affect all residents in the facility except Resident #9 who does not eat food from the kitchen. The census was 67. Findings include:Observation on 08/04/25 at 9:06 A.M. of the kitchen walk-in refrigerator revealed a box containing unpasteurized eggs.Interview on 08/04/25 at 9:07 A.M. with Dietary Manager (DM) #162 revealed she usually ordered pasteurized eggs. She explained the company was out at the time she was making her order and purchased the unpasteurized instead. […]

• No harm, potential for more than minimal, widespreadF880Aug 7, 2025

  Based on review of water management policies, staff interview, and review of electronic mail documents, the facility failed to ensure the water management plan for Legionella prevention was fully implemented. This had the potential to affect all 67 residents in the facility. The facility census was 67. Findings Include: Review of facility policy titled, The Water Management Plan, dated July 2017, revealed the water management program was based on the Centers for Disease Control and Prevention and the American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE) documentation. […]

• No harm, potential for more than minimal, widespreadF925Dec 19, 2022

  Based on observation, record review, and staff interview, the facility failed to provide effective pest control to prevent gnats /fruit flies throughout the facility. This affected one resident (#43) out of the 13 residents sampled but had the potential to affect all residents at the facility. The facility census was 50. Findings include: Record review for Resident #43 revealed an admitted [DATE]. Her diagnosis included Coronavirus (COVID-19), osteoarthritis, dementia, essential primary hypertension, hypothyroidism, and hyperlipidemia. Review of the admission minimum data set (MDS) assessment revealed resident had impaired cognition. […]

• No harm, potential for more than minimal, isolatedF641Aug 7, 2025

  Based on medical record review, staff interviews, and policy review, the facility failed to complete a Minimum Data Set (MDS) assessment accurately for one (#70) of one residents reviewed for MDS assessment accuracy. The facility census was 67.Findings include:Review of the medical record for Resident #70 revealed an admission date of 04/09/25 with diagnoses of cerebral infarction, cognitive communication deficit, aphasia following cerebral infarction, type II diabetes mellitus without complications, and urinary tract infection.Review of the MDS assessment dated [DATE] revealed Resident #70 was cognitively able to make daily decisions with modified independent, and the resident did not have a urinary tract infection in the last 30 days.Review of the hospital Discharge summary dated [DATE]… […]

• No harm, potential for more than minimal, isolatedF684Aug 7, 2025

  Based on observation, medical record review, staff interview, and review of facility policy, the facility failed to ensure interventions and continued assessments were implemented for a skin condition. This affected one (#14) of three residents reviewed for skin conditions. The facility census was 67.Findings include: Review of medical record for Resident #14 revealed an admission date of 06/26/23. The resident was admitted with diagnoses including Alzheimer's disease, anxiety, depression, and chronic obstructive pulmonary disease (COPD). Review of the quarterly MDS assessment dated [DATE] revealed Resident #14 had impaired cognition, required set up assistance for eating, and supervision for bed mobility, transfers, and toileting hygiene. […]