Sena Kean Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Sena Kean Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Jan 26, 2021

  Based on observation, review of facility policies and documentation, and staff interviews, it was determined that the facility failed to maintain an infection prevention and control program by failing to follow infection control guidelines from the Centers for Disease Control and Prevention (CDC) and the Pennsylvania Department of Health (PA DOH) to reduce the spread of infections and prevent cross-contamination during the COVID-19 pandemic. This failure placed the facility in an Immediate Jeopardy situation for six of 18 residents reviewed (Residents R1, R6, R7, R13, R14, and R15) Findings include: Pennsylvania Health Alert Network (PA-HAN) 530, regarding Long-Term Care Facility Guidance for Testing and Cohorting (for outbreaks and exposure to COVID-19 - a contagious [MEDICAL CONDITION]… […]

• Immediate jeopardy, isolatedF760Nov 22, 2022

  Based on observations, review of facility policy and clinical records, staff interviews, it was determined that the facility failed to follow accepted professional standards and principles for administering medications which jeopardized resident's health and safety for one of five residents reviewed for medication administration (Closed Record Resident CR1). This deficiency is cited as past non-compliance. Findings include: Review of the facility policy entitled, Administering Medications revised April 2019, revealed that the director of nursing services supervises and directs all personell who administer medication and/or have related functions; medications are administered in accordance with prescribers orders, including any required time frame; the individual administering the… […]

• Actual harm, isolatedF600Oct 23, 2025

  Based on review of facility policies, facility documentation, and clinical records, and staff interviews, it was determined that the facility failed to ensure that two of three residents reviewed were free of neglect during care which resulted in actual harm of left femur fracture for one resident (Resident R1) and actual harm of a laceration of the right eyebrow and forehead for one resident (Resident R2).Findings include: Facility policy entitled Abuse Investigation and Reporting dated 1/22/25, revealed The Administrator or designee will monitor that any further potential abuse, neglect, exploitation, or mistreatment is prevented while the investigation is in progress. […]

• Actual harm, isolatedF689Oct 23, 2025

  Based on review of facility policy, facility documentation and clinical record, and staff interviews, it was determined that the facility failed to appropriately transfer a resident in accordance to facility policy which resulted in actual harm of a left hip and femur (upper leg) fracture for one of three residents reviewed (Resident R1). This deficiency is cited as past non-compliance.Findings include: Facility policy entitled Safe Resident Handling and Movement Policies, dated 1/22/25, revealed, staff is expected to follow the individual resident's plan of care as written. […]

• No harm, potential for more than minimal, widespreadF812Sep 24, 2021

  Based on observations, review of manufacturer's instructions and facility policies and staff interviews, it was determined that the facility failed to store foods and sanitize dishes properly and maintain clean equipment for one of one kitchens (Main Kitchen). Findings include: Review of the manufacturer's directions entitled 146 Multi-Quats sanitizer revealed withdraw and tear off approximately two inches of paper for ten seconds. Don't shake. Review of the Ware Washing Manual, dated 1/01/21, revealed the Food Service Director ensures that all dietary staff members are knowledgeable in proper techniques for washing, rinsing and sanitizing all dishes. […]