Richardson Nursing and Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, isolatedF656Aug 29, 2024

  Based on observation, interview and record review, the facility failed to ensure the comprehensive care plan described the services furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for one (Residents #1) of four residents reviewed for Comprehensive Care Plans. The facility failed to devise and implement any Comprehensive Care Plan goals and/or interventions for Resident #1's documented wandering, exit seeking, and/or elopement behavior on 07/16/2024 to prevent an incident of elopement by Resident #1 on 08/27/2024. […]

• Immediate jeopardy, isolatedF689Aug 29, 2024

  Based on observation, interview and record review, the facility failed to ensure residents received adequate supervision to prevent accidents and/or hazards for one (Resident #1) of four residents reviewed for elopement behavior. Resident #1 had a documented history of wandering and/or exit seeking behavior on 07/16/2024. The facility failed to provide adequate supervision to Resident #1 who had a history of exit seeking behavior. The facility did not accurately re-assess his elopment risk assessment, monitor, or update the residents care plan after the incident. On 08/27/2024 around approximately 6:00 AM the resident was located by the facility's SLP outside the facility beyond the Therapy Services door. […]

• Actual harm, isolatedF689Apr 29, 2022

  Based on observation, interview and record review, the facility failed to ensure residents received adequate supervision to prevent accidents for 1 of 1 (Resident #1) reviewed for accident hazards. The facility failed to ensure appropriate supervision were provided to Resident #1 to prevent her from sustaining hot liquid burn. DA B gave Resident #1 coffee with a cup that had no lid. Resident #1 dropped coffee on her thighs causing an injury with blisters on her right thigh and redness on her left thigh. An Immediate Jeopardy (IJ) was identified to have existed from 04/19/22 to 04/19/22 . The IJ was determined to be at past noncompliance as the facility had implemented actions that corrected the noncompliance prior to the beginning of the survey. […]

• No harm, potential for more than minimal, widespreadF921May 23, 2024

  Based on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for one of one facility reviewed for environment. 1. The facility failed to ensure the foundation, walls, and ceiling were in good repair in the hallway to the right of the secretary's desk. 2. The facility failed to ensure the carpets were clean and stain free throughout the facility. These failures could affect all residents, resulting in falls and cross contamination which could lead to a decline in the resident's health and physical functioning. Findings included: Review of the quarterly MDS assessment for Resident #1, dated 04/23/24, reflected he was an [AGE] year-old male admitted on [DATE]. His cognitive status was moderately impaired. […]

• No harm, potential for more than minimal, widespreadF584Oct 19, 2023

  Based on observations, interviews, and record reviews the facility failed to provide a safe, clean, comfortable, and homelike environment for 15 of 30 resident rooms (Resident # 2, #3, #9, #12, #14, #16, #20, #21, #26 #28, #29, #38, #55, #94, and #200) , the handrails and the carpet throughout the facility observed for a safe, clean, comfortable, and homelike environment. The facility failed to ensure that resident rooms on multiple halls (100 & 200 halls) were free of diirt and stains on the floors, walls, mini friidges and air-condition units. The facility failed to ensure handrails on all resident halls were free of dirt particles, stains, and dust. […]