Shore Acres Care Center and Rehab

In the surveyor’s words

From the most serious findings on record at Shore Acres Care Center and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF645May 30, 2024

  Based on interviews and record review, the facility failed to ensure the Preadmission Screening and Resident Review (PASRR) Level I assessments were completed accurately for five residents (#94, #47, #79, #90, and #87) of forty-four residents sampled. Findings included: 1. Review of Resident #94's Admission Record revealed an original admitted [DATE], and a re-admitted [DATE]. Resident #94's Admission Record revealed diagnoses to include major depressive disorder, recurrent, mild with an onset date of 4/2/24, generalized anxiety disorder with an onset date of 4/2/24, and major depressive disorder, recurrent, moderate with an onset date of 2/4/24. Review of Resident #94's PASRR Level 1, dated 2/13/24, revealed no qualifying mental health diagnosis. […]

• No harm, potential for more than minimal, patternF684May 30, 2024

  Based on observations, interviews, and record reviews, the facility 1) failed to ensure medications were available for two residents (#101 and #19) out of four residents sampled, 2) failed to assess a skin condition for one resident (#8) out of one resident sampled, and 3) failed to ensure neurological checks were completed for two residents (#105 and #79) out of four residents sampled. Findings included: 1. An observation and interview was conducted on 05/28/24 at 2:30 p.m. with Resident #101. He stated he used to be on antiretroviral medications and would like to be on them again. He stated he did not have a way to get his medications. He stated he wanted to stay on the medications. […]

• No harm, potential for more than minimal, patternF842May 30, 2024

  Based on record review and interviews, the facility failed to ensure medical records were complete for two residents (#104 and #106) out of three residents reviewed for leaving the facility against medical advice (AMA). Findings included: 1. An interview was conducted on 5/29/24 at 11:35 a.m. with a family member of Resident #104. She said Resident #104 signed out of the facility AMA and she was not notified. She said when she spoke with the Nursing Home Administrator (NHA) she was told they did not have any healthcare proxy on file. The family member stated Resident #104 had a history of mental illness and dementia and she doesn't feel like the facility assessed the resident's mental health. […]

• No harm, potential for more than minimal, patternF880May 30, 2024

  Based on observations, interviews, and record review, the facility 1) failed to ensure an effective infection control program related to isolation orders for one resident (#95) out of two residents sampled on contact precautions, 2) failed to properly use personal protective equipment (PPE) on two out of four units, and 3) failed to use proper hand hygiene during tray pass on one out of four units. Findings included: 1. An observation was conducted on 5/28/24 at 9:26 a.m. of a housekeeper in room [ROOM NUMBER] with no PPE on. The room had a contact precaution sign posted on the door with no PPE cart at the door. (Photographic evidence obtained). […]

• No harm, potential for more than minimal, patternF812Feb 25, 2022

  Based on observations, interviews, and policy reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety during three of four days of the survey. Findings included: On 02/22/2022 at 9:20 a.m., the initial kitchen tour was conducted with the Certified Dietary Manager (CDM), Staff A, Dietary Aide and Staff B, Cook. An observation was made of the reach in cooler thermometer, located in the back of the cooler on the third shelf, showing a temperature reading of 48 degrees. The digital thermometer on the top of the right door showed a reading of 52 degrees. Staff A, Dietary Aide stated that she was in and out putting items away for lunch and that was why the temperature was off. […]