Servicios Integrados de Rehabilitacion (Siro) Inc

In the surveyor’s words

From the most serious findings on record at Servicios Integrados de Rehabilitacion (Siro) Inc, in the surveyor’s own words.

• Immediate jeopardy, widespreadF700Jul 19, 2021

  Based on the recertification/abbreviated and Extended survey, initial tour, record review and observations it was found that the facility failed to performed a risk for entrapment from bed rails prior to installation and failed to acquired manufacturer recommendation and specification for installing and maintaining bed rails resulting in an Immediate Jeopardy for 10 out of 19 resident beds. Findings include: 1. During the tour performed on 7/15/2021at 9:00 AM till 3:45 PM, it was observed that space from the mattress and the bed rails was 3 inches and the space from head/foot board was 7 inches for 10 out of 19 resident beds. (Rooms 101 A, 101 B, 102 A, 102 B, 104 A, 104 B, 107 A, 107B, 108 A and 108 B) 2. […]

• No harm, potential for more than minimal, widespreadF641Apr 29, 2025

  Based on an interview with the Minimum Data Set- (MDS) coordinator (employee #2), it was determined that the facility failed to accurately electronically transmit resident assessment instrument status correctly in 2 out of 2 closed records reviewed (RR). (Resident #1 and #2) Findings include: 1. During the records reviewed the electronic system identified resident #1 as a hospitalization . On 04/29/24 at 10:00 AM during the record review it was found that Resident #1 was a [AGE] year-old female admitted to the facility on [DATE] with a diagnosis of Left Total Knee Replacement, in the record appears that resident #1 receive her treatment and on 03/14/2025 the resident have an appointment with the Orthopedic physician and do not want to return to the facility to completed her treatment per… […]

• No harm, potential for more than minimal, widespreadF812Apr 29, 2025

  Based on observations of the Kitchen, review of policies procedures and facility staff interview performed on 04/28/2025 from 8:00 AM through 3:30 PM, it was determined that the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Findings include: During observational tour of kitchen on April 28, 2025, approximately from 8:27 AM through 12:00 PM the following was identified: 1. Chicken pieces were observed in the freezer. They were found in a broken, sealed package with exposed parts outside the wrapping and covered in plastic wrap. Kitchen staff indicated that they had been received from the supplier in that condition. 2. Kitchen staff were observed using a scoop to serve rice. […]

• No harm, potential for more than minimal, widespreadF880Apr 29, 2025

  Based on observations, staff interviews and review of policies and procedures on 04/28/2025 through 04/29/2025 at 8:12 AM through 3:30 PM, it was determined that the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Findings incliude: 1. During the round conducted in the residents' rooms, the following was observed: a. […]

• No harm, potential for more than minimal, widespreadF881Apr 29, 2025

  Based on an interview with the Infection Control coordinator (employee #1) on 4/29/2025, it was determined that the facility failed to ensure an antibiotic stewardship program that promoted appropriate antibiotic use and included education of nursing and medical staff. Findings include: 1. During the review and interview of the Infection Control Program's Stewardship antibiotic program, the following were identified: a. Prolonged use of antibiotics in residents without documented justification in a report sent to the Puerto Rico Department of Health on a monthly basis. The report demonstrates the monthly volume of patients using antibiotics but is not specific. b. […]