Richfield Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Richfield Healthcare and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF678Mar 5, 2021

  Based on review of closed clinical records, staff interviews, and select facility policies and procedures, it was determined that the facility failed to initiate Cardio [MEDICAL CONDITION] Resuscitation (CPR) for one of one resident reviewed who had requested that CPR be administered if they became unresponsive with no pulse resulting in harm and the resident's death (Resident CR28). Findings include: Review of the facility policy entitled, Emergency Procedure, Cardiopulmonary Resuscitation, last reviewed without changes in [DATE], indicated that if an individual (resident, visitor, or staff member) is found unresponsive and not breathing normally, a licensed staff member who is certified in CPR (Cardiopulmonary Resuscitation) will initiate CPR unless it is known that a Do Not Resuscitate… […]

• No harm, potential for more than minimal, widespreadF812Mar 1, 2024

  Based on observation and staff interview, it was determined the facility failed to store food and maintain food service equipment in accordance with professional standards for food service safety in the facility's main kitchen, dining area, and food storeroom. Findings include: Observation of the facility's main kitchen on February 27, 2024, at 9:20 AM with Employee 1, cook, revealed the following: A large garbage can in the food preparation area across from the dishwasher was observed with visible dried food and dried liquid runs on the exterior of the can and the lid was not present. The lid was on top of the garbage can next to the handwashing sink. The cook's refrigerator contained a plastic bag of sliced onions, that were not dated. […]

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

  Based on observation and staff interview, it was determined that the facility failed to store food in a manner to prevent the potential spread of food borne illness in the main kitchen. Findings include: Observation of the facility's kitchen on April 5, 2022, revealed the following: At 10:45 AM and 12:04 PM, observation of the reach-in refrigerator located beside the sink, revealed that there were several food items (sausage gravy, sausage patties, oatmeal, mashed potatoes, green beans, beef pepper steak, goulash, minestrone soup, cream of potato soup, BBQ ribs, hamburgers, and omelets) inside. […]

• No harm, potential for more than minimal, patternF883Jan 22, 2026

  Based on clinical record review, and staff interview, it was determined that the facility failed to provide recommended pneumococcal immunizations for three of five residents reviewed for immunizations (Residents 1, 9, 12).Findings include: Clinical record review revealed the facility admitted Resident 1 on November 2, 2023. Documentation in Resident 1's clinical record revealed she received two pneumococcal vaccines prior to her admission (Pneumovax 23 and Prevnar 13). Review of Resident 1's pneumococcal consent dated November 2, 2023, revealed Resident 1's representative wanted the facility to administer Resident 1 the pneumococcal vaccine. Clinical record review revealed the facility admitted Resident 9 on April 17, 2023. […]

• No harm, potential for more than minimal, patternF568Feb 6, 2025

  Based on a review of resident personal fund accounting, clinical record review, and resident, family, and staff interview, it was determined that the facility failed to provide a personal fund quarterly statement for two of two residents reviewed for personal funds concerns (Residents 3 and 13). Findings include: Interview with Resident 3's sister on February 4, 2025, at 11:00 AM indicated that the facility automatically receives Resident 3's social security check monthly. Resident 3's sister stated that she did not know what is done with the personal allowance (now 60 dollars) that Resident 3 is permitted to keep each month. […]