Rogers Health and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Sep 2, 2022

  Based on observation, record review, and interview, the facility failed to ensure foods stored in the freezer, refrigerator and dry storage area were covered, sealed, and dated to minimize the potential for food borne illness; failed to ensure 1 of 1 ice machines were maintained in a clean and sanitary condition to prevent potential contamination of residents' beverages; failed to ensure leftover food items were used properly to maintain food quality, and failed to ensure meal trays were served using proper hand hygiene for residents who received meals and meal trays from 1 of 1 kitchen. These failed practices had the potential to affect 68 residents who receive meals from the kitchen per NPO (no food by mouth) list provided by Administrator#1 8/29/22. The findings are: 1. […]

• No harm, potential for more than minimal, patternF689Jan 24, 2025

  Based on observation, record review, interview, and facility policy review, the facility failed to ensure the rear casters on the mechanical lift remained unlocked during lifting a resident to allow for stabilization, and to prevent injuries or tipping affecting 1 (Resident #41) of 1 sampled resident reviewed for lift. The findings include: A review of Medical Diagnoses revealed Resident #41 had diagnoses of stroke, diabetes, and kidney disease. The significant change Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 06/16/2024 suggested a Staff Assessment for Mental Status (SAMS) indicated short- and long-term memory problems. Section H0400 indicated the resident was always incontinent of stool, and section H0100 indicated Resident #41 had a catheter. a. […]

• No harm, potential for more than minimal, patternF812Jan 24, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure the kitchen walls, tiles, air vents, and door frames were maintained in good repair and were free of chips, stains and rust; baseboards were secured and were maintained in clean sanitary conditions; and dietary staff washed their hands before handling clean equipment for 2 of 2 meals observed. The findings are: 1. On 1/21/25 at11:51 AM, the following observations were made in the kitchen areas: a. The florescent light above the steam table had no cover over it, electrical wires were exposed. b. The ceiling tiles around the emergency window by the steam table had brown stains on it. c. […]

• No harm, potential for more than minimal, patternF578Dec 1, 2023

  Based on interview and record review, the facility failed to ensure Advance Directive documents were maintained in a section of the resident's medical record readily retrievable by facility staff for 4 (Residents #9, #26, #27 and #32) of 18 sampled residents. The findings are: 1. On 11/28/23 at 9:45 AM, a review of Resident #9's medical record revealed there was no advance directive in the clinical record. On 11/28/23 at 03:20 PM, the Surveyor asked the Marketing Director, Does [Resident #9] have an advance directive? She looked in the electronic system for Resident #9's advance directive. She stated, I don't see one. 2. […]

• No harm, potential for more than minimal, patternF583Dec 1, 2023

  Based on observation, interview, and record review, the facility failed to protect the privacy of 2 (Residents #12 and #32) of 8 (Residents #1, #12, #18, #27, #32, #39, #43 and #46) sampled residents who resided on C Hall. The findings are: 1. On 11/28/2023 at 11:31 AM, a medication cart was observed positioned against a wall in the hallway on the C Unit with no nurse present. The laptop on the medication cart was open and unlocked. The Medication Administration Record (MAR) for Resident #12 was opened and easily visible on the screen. There were two staff members and one resident present in the hallway on C Unit and were able to see the personal health information (PHI) of Resident #12. […]