Serenity Rehabilitation and Health Center LLC

In the surveyor’s words

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

• Actual harm, isolatedF600Jun 29, 2022

  Based on record review and staff interview, the facility's staff failed to ensure two (2) of seven (7) residents in the sample with allegations of abuse, were free from alleged/witnessed non-consensual sexual contact by Resident #126. (Residents #108 and #145). This failure resulted in actual harm to Residents #108 and #145. The findings include: Review of the facility's policy titled, Prohibition of Abuse, with a revision date of 05/22, defined sexual abuse as . non-consensual sexual contact of any type with a resident includes but is not limited to sexual harassment coercion or sexual assault . Resident #126 was admitted to the facility on [DATE] with multiple diagnoses including Major Depressive Disorder and Dementia without Behavioral Disturbances. […]

• No harm, potential for more than minimal, widespreadF812Oct 20, 2023

  Based on observations and staff interview, facility staff failed to distribute and serve foods under sanitary conditions as evidenced by one (1) of one (1) ice machine that was soiled on the inside, eight (8) of eight (8) four-inch pans and ten (10) of ten (10) six-inch pans that were stacked wet, torn air curtains in one (1) of one (1) walk-in freezer, one (1) of one (1) flour bin and one (1) of one (1) sugar bin without scoops, and one (1) of one (1) milk box that lacked a thermometer. The findings include: 1. One (1) of one (1) ice machine was soiled on the inside. The ice machine was emptied and cleaned on the day of observation. 2. […]

• No harm, potential for more than minimal, patternF761Feb 5, 2025

  Based on observations and staff interviews for seven (7) of 56 sampled residents, facility staff failed to properly store medications in accordance with Standards of Practice as evidenced by: (1) Employee #29 failed to ensure Resident #12's individual compartment did not contain Resident #74's medication; (2) Employee #30 failed to ensure Resident #138's individual compartment did not contain Resident #32's medication and Resident #135's individual compartment did not contain Resident #59's medication; (3) Employee #31 failed to ensure Resident #158's individual compartment did not contain Resident #153's medication, Resident #98's individual compartment did not contain Resident #36's medication, Resident #118's individual compartment did not contain Resident #113's medication and also… […]

• No harm, potential for more than minimal, patternF880Feb 5, 2025

  Based on observations and staff interviews, facility staff failed to: (1) distribute and serve foods under sanitary conditions, as evidenced by using wet dome covers on the tray line to help maintain food temperatures in serving plates; (2) follow infection control standards and practices to prevent the spread of infections and communicable diseases; and (3) ensure there were no breaks in infection control standards and practices to prevent the widespread of commnicable diseases. Resident #332. The findings included: 1. Facility staff failed to distribute and serve foods under sanitary conditions. […]

• No harm, potential for more than minimal, patternF609Oct 20, 2023

  Based on observations, record reviews, and staff interviews, for eight (8) of 57 sampled residents, facility staff failed to report allegations abuse to the State Agency immediately (within 2 hours of the incident); and failed to send the results/follow-up of all investigations to the State Survey Agency within five (5) working days of the incident. Residents' #103, #46, #366, #91, #54, #99, #22 and #63. The findings included: Review of the facility policy Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating documented: - All reports of resident abuse are reported to local, state and federal agencies (as required by current regulations) and thoroughly investigated by facility management. […]