Robert Packer Hospital Skilled Care and Rehabilit

In the surveyor’s words

From the most serious findings on record at Robert Packer Hospital Skilled Care and Rehabilit, in the surveyor’s own words.

• Actual harm, isolatedF684Jan 6, 2025

  Based on closed clinical record review and staff interview, it was determined that the facility failed to provide the highest practicable care for a resident's change in condition that resulted in hospitalization and death for one of three residents reviewed causing actual harm (Resident CR1). Findings include: Closed clinical record review for Resident CR1 revealed that the facility admitted her on [DATE]. A physician's order dated [DATE], instructed staff to administer Lactulose (laxative used to treat chronic constipation and brain abnormalities due to liver failure) three times a day and hold for loose stools. […]

• No harm, potential for more than minimal, widespreadF812Feb 12, 2025

  Based on observation and staff interview, it was determined that 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. Findings include: Observation of the facility's main kitchen on February 9, 2025, at 10:15 AM with Employee 1, dietary supervisor, revealed the following: The lower shelf of the food preparation table beside the steamer was observed with a large clear plastic container with a white powdery substance filling half of the container. The exterior of the contained had dried food on it, was dusty, and sticky to touch. The container was labeled with a sticker indicating flour was in the bin, and dated August 4, 2024, with a use by date of January 4, 2025. […]

• No harm, potential for more than minimal, widespreadF812Apr 29, 2022

  Based on observation and staff interview, it was determined that the facility failed to store food items in a safe and sanitary manner in the facility's main kitchen. Findings include: An observation of the facility's main kitchen with Employee 4, food service manager, on April 26, 2022, at 9:45 AM revealed the following: Lower shelves of food storage racks in the dry storage area had boxes of food products and canned food items that contained dried spills, dirt, and debris. A metal storage cabinet under the hot beverage dispenser contained significant dirt/debris build up on the tracks of the sliding doors to the cabinet. […]

• No harm, potential for more than minimal, patternF887Jan 13, 2026

  Based on staff interview it was determined that the facility failed to maintain documentation of staff COVID-19 vaccination status, and provide evidence that staff were offered the COVID-19 vaccine or information on obtaining the COVID-19 vaccine for two of two staff reviewed. (Employees 1 and 10)Findings include: Interview with Employee 4, Infection preventionist on January 13, 2026, at 12:00 PM revealed that she educated staff regarding COVID-19 vaccine recommendations on December 15, 2025, but that she did not offer the vaccine or provide the staff with information on where to get the vaccine. […]

• No harm, potential for more than minimal, patternF607Mar 8, 2024

  Based on review of select facility policies and procedures, clinical record review, employee personnel records, and family and staff interview, it was determined that the facility failed to thoroughly investigate and report to the appropriate agencies incidents of potential resident neglect for two of four residents reviewed for accident concerns (Residents 4 and 48); and the facility failed to implement its abuse prohibition policy pertaining to newly hired employee training for two of five newly hired employees reviewed (Employees 4 and 5). […]