Robertsdale Rehabilitation & Healthcare CTR

In the surveyor’s words

From the most serious findings on record at Robertsdale Rehabilitation & Healthcare CTR, in the surveyor’s own words.

• Immediate jeopardy, widespreadF835Feb 10, 2021

  Based on interviews and review of Employee Identifier (EI) #1, the Administrator and EI #2, the Director of Nursing's job descriptions, the Administrator and Director of Nursing, responsible for the overall day to day operations of the facility and nursing department, failed to provide monitoring and oversight to ensure outbreak testing for COVID-19 was performed as directed by the Centers for Medicare & Medicaid Services (CMS) and the facility's policy. This deficient practice placed all residents currently residing in the facility in immediate jeopardy as it was likely to cause serious injury, harm, impairment or death. […]

• Immediate jeopardy, widespreadF886Feb 10, 2021

  Based on interviews, review of the Centers for Medicare & Medicaid Services QSO (Quality, Safety & Oversight)-20-38-NH, the facility's policy titled Novel Cornovarius Surveillance and Testing Policy, a complaint received by the State Survey Agency and various facility documents, the facility failed to consistently conduct outbreak testing for 13 of 16 sampled staff, when it was indicated. Rapid identification and isolation of new cases is critical in stopping further COVID-19 [MEDICAL CONDITION] transmission. […]

• No harm, potential for more than minimal, widespreadF623Aug 8, 2024

  Based on record review, interview, and facility policy review, the facility failed to notify the Ombudsman of hospital transfers in writing for three of three residents (Resident (R) 16, R38, and R93) out of a total sample of 35 residents reviewed for hospitalization . This had the potential for the residents to have no added protection if the residents were being inappropriately discharged or transferred so they could inform them of their rights and options. Findings include: Review of the facility's policy titled, Transfer and Discharge of a Resident (including AMA [against medical advice], revised 02/04, revealed no information regarding the facility's responsibility of notifying the Ombudsman of transfers and discharges. 1. […]

• No harm, potential for more than minimal, patternF600Aug 8, 2024

  20064 27104 40847 Based on record review, interview, and facility policy review, the facility failed to protect the resident's right to be free from abuse for seven of nine residents (Resident (R) 48, R83, R267, R15, R117, R76, and R80) reviewed for abuse. This failure had the potential to affect resident safety. Findings include: Review of the facility policy titled, Administrative Policy, Subject: Abuse, Neglect and Exploitation, last revised ,d+[DATE], revealed Each resident of any facility .has the right to be free from verbal, sexual, physical, or mental abuse, neglect, exploitation, and misappropriation of his or her property. 1. a. […]

• No harm, potential for more than minimal, patternF883Aug 8, 2024

  Based on interview, record review, review of the Centers for Disease Control and Prevention (CDC) guidelines, and facility policy review, the facility failed to ensure four of six residents (Resident (R) 15, R83, R93, and R94) reviewed for pneumococcal vaccines out of total sample of 35 residents were either offered pneumococcal vaccines or offered additional pneumococcal vaccines per CDC guidelines. Additionally, the facility failed to obtain consents and provide the risks and benefits to the residents and/or responsible party (RP) prior to administering pneumococcal vaccines. Additionally, the facility failed to ensure R93 was offered an influenza vaccine. The failure of not offering/providing pneumococcal vaccines increased the risk for residents to contract pneumonia. […]