Salem Rehab Center

In the surveyor’s words

From the most serious findings on record at Salem Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, patternF580Aug 12, 2024

  Based on observations, interviews and record review, the facility failed to notify the physician of a significant change in the resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications) and/or a need to alter treatment significantly (that is, a need to discontinue an existing form of treatment due to adverse consequences, or to commence a new form of treatment) for five Residents (# 85, #24, #88, #103 and #3) out of a total sample of 39 residents. […]

• Immediate jeopardy, patternF600Aug 12, 2024

  Based on observations, interviews and record review, the facility failed to protect five residents, out of a total sample of 39 residents, from neglect. Specifically: 1a) For Resident #85, the facility failed to implement treatments and physician orders recommended by the consulting wound physician resulting in a new necrotic skin condition progressing to an unstageable wound leading to osteomyelitis (a bone infection) and sepsis (a life-threatening response to infection) requiring hospitalization and need for a fecal-diverting colostomy (a surgical procedure that creates an opening in the abdomen, called a stoma, that allows digested food to pass out of the body through an external pouch system). […]

• Immediate jeopardy, patternF686Aug 12, 2024

  Based on observations, interviews, policy review, and record review, the facility failed to provide care and treatment to prevent the development of pressure ulcers (wounds that occur when the skin and tissue are damaged by prolonged pressure, usually on bony areas like the hips, heels, or elbows) for 4 out of a total sample of 39 residents. Specifically: 1a) For Resident #85, the facility failed to implement treatments and physician orders recommended by the consulting wound physician resulting in a new necrotic skin condition progressing to an unstageable wound leading to osteomyelitis (a bone infection) and sepsis (a life-threatening response to infection) requiring hospitalization and need for a fecal-diverting colostomy (a surgical procedure that creates an opening in the abdomen,… […]

• Immediate jeopardy, patternF692Aug 12, 2024

  Based on interview, record review, and observation the facility failed to ensure seven residents maintained acceptable parameters of nutritional status out of a total sample of 39 residents. Specifically, the facility failed to: 1) For Resident #85 the facility failed to assess the nutritional status of and implement pertinent interventions for the Resident who developed a necrotic skin area which worsened to two unstageable wounds and experienced significant weight loss. 2) For Resident #68 the facility failed to address a significant weight loss in a timely manner. 3) For Resident #16 the facility failed to obtain weights as ordered, and address a significant weight loss for in a timely manner. […]

• Immediate jeopardy, patternF726Aug 12, 2024

  Based on interviews, record review, staff education and Facility Assessment review, the facility failed to ensure the nursing staff were trained and demonstrated the competencies and skill sets necessary to provide the level and types of care and services needed as outlined in the Facility Assessment. Specifically: 1.) The facility failed to ensure licensed nursing staff were trained and demonstrated competency related to wound care, treatment administration, transcribing orders, pressure ulcer prevention, change in condition, and communication. […]