Seneca Health & Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF656Oct 29, 2021

  Based on observation, record review, and interviews, the facility failed to develop a comprehensive care plan for the presence of weight loss for two (2) of four (4) residents reviewed for weight loss (Resident #23 and Resident #8). 1. Resident #23 had a significant weight loss from 7/12/21 to 10/29/21 of 29.22 percent and the facility did not develop a comprehensive care plan. 2. Resident #8 had a 12.12 percent weight loss from 6/10/21 to 10/27/21 and the facility did not develop a comprehensive care plan. Findings include 1. Review of Resident #23's clinical record revealed an admitted [DATE]. […]

• Actual harm, isolatedF692Oct 29, 2021

  Based on observation, record review, interviews and review of the facility policy, the facility failed to provide timely interventions for the presence of weight loss for two (2) of four (4) residents reviewed for weight loss. (Resident #23 and Resident #8) 1. Resident #23 had a significant weight loss from 7/12/21 to 10/29/21 of 29.22 percent or 64 pounds and the facility did not follow the Registered Dietitian's (RD's) recommendations to prevent weight loss. 2. Resident #8 had a 12.12 percent of 17.7 pound weight loss from 6/10/21 to 10/27/21 and the facility did not follow the RD's recommendations to prevent weight loss. […]

• No harm, potential for more than minimal, widespreadF803Feb 13, 2025

  Based on observation, interview, and document review, the facility failed to ensure the preplanned menus were followed. The facility's failure to follow the menus altered the nutritional content of the meals, reduced the calories and increased the risk of weight loss for all residents receiving meals prepared by the dietary department. Findings include: On 02/11/25 between 8:05 AM and 8:35 AM, Cook1 was observed portioning hot cereal into a bowl using a three ounce scoop. Review of the menu extension (a document that identifies the intended menu items for each diet) indicated the portion serving size for the regular diet was to be a six-ounce portion of hot cereal. On 02/12/25, between 11:50 AM and 1:20 PM, Cook2 used a three-ounce scoop to serve the creamed corn served. […]

• No harm, potential for more than minimal, widespreadF812Feb 13, 2025

  Based on observation, interview and record review the facility failed to ensure that foods were stored, prepared, and distributed under sanitary conditions. Specifically, meat was observed thawing in a pan with another meat; two can opener blades were sticky to the touch and not cleaned and free of food debris when not in use; the outside of the reach-in refrigerator, the two food processors, the warmer and the steamer had dried food debris on the outside of the equipment, boxes of health shakes were thawing in the refrigeration without documentation as to when the thawing process began; two of three sanitizer buckets did not have sufficient sanitizer solution; and the cook served scrambled eggs that had not been reheated to the appropriate temperature before serving on a resident's tray. […]

• No harm, potential for more than minimal, widespreadF880Feb 13, 2025

  43050 Based on observation, interview, review of facility policy, and review of Centers for Disease Control (CDC) guidance, the facility failed to establish and maintain an infection prevention and control program (IPCP) for recording incidents of infections identified under the facility's IPCP, surveillance, tracking and trending, and the corrective actions taken by the facility. This deficient practice has the potential to affect all residents in the facility. In addition, the facility staff failed to perform hand hygiene prior to and after removing gloves or touching a contaminated item and prior to touching a resident (R)35). Findings include: Review of a document titled, Centers for Disease Control (CDC) . National Healthcare Safety Network (NHSN) . […]