Shrewsbury Rehabilitation and Nursing at Southgate

In the surveyor’s words

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

• Actual harm, isolatedF689Sep 19, 2023

  Based on observation, records reviewed and staff interviews, the facility failed to provide an adequate level of assistance to prevent an avoidable accident for one Resident (#49), out of a total sample of 18 residents. Specifically, the facility staff failed to implement a necessary two-person transfer, resulting in the Resident sustaining a laceration (a deep cut or tear in skin or flesh) requiring hospital transfer and eight sutures (row of stitches holding together the edges of a wound or surgical incision) to the injury. […]

• No harm, potential for more than minimal, patternF814Mar 12, 2026

  Based on observation, and interview, the facility failed to ensure that the facility dumpster area was maintained in a clean and sanitary manner to mitigate the harborage and feeding of pests. Specifically, the facility failed to ensure trash, garbage, and refuse were appropriately disposed of and properly contained within a trash receptable and not thrown on the ground around two dumpsters in a fenced-in dumpster area that was located in proximity to the main facility kitchen. Findings include: Review of the 2022 Food Code (a model for safeguarding public health and ensuring food is unadulterated and honestly presented when offered to the consumer) by the U.S. […]

• No harm, potential for more than minimal, patternF880Dec 6, 2023

  Based on observations, interviews and record reviews, the facility failed to maintain an infection prevention and control program to prevent the development and transmission of communicable diseases and infections for two Residents (#1 and #3) out of a total sample of three residents and one unit (Station 1) out of three units observed. Specifically, the facility failed to: 1. Ensure the appropriate personal protective equipment (PPE - protective devices, garments, or coverings such as eye protection, gloves, and gowns, that are worn to minimize exposure to hazards that may cause injury or illness) was utilized by staff during an active Covid-19 (a disease caused by the SARS-CoV-2 virus which can be very contagious and spreads quickly) outbreak. 2. […]

• No harm, potential for more than minimal, patternF880Nov 10, 2022

  Based on observation, interview and record review, the facility failed to ensure its staff adhered to professional standards and their policies/procedures relative to Personal Protective Equipment (PPE) to reduce the spread of infection, such as COVID-19, during an outbreak. Specifically, the facility staff failed to don (put on) and/or doff (remove) PPE when caring for 1.) five Residents (#4, #5, #8, #9, and #10), on two out of three Units, who had confirmed COVID-19 infections requiring Isolation/Droplet Precautions (strategies implemented to reduce the spread of infection caused through speaking, sneezing, and/or coughing), and 2.) one Resident (#2) who was negative for COVID-19 and required Enhanced PPE Precautions (an approach of targeted gown and glove use during high contact… […]

• No harm, potential for more than minimal, patternF812Mar 11, 2022

  Based on observation, policy review, and interview the facility failed to store food in accordance with professional standards for food safety for 3 out of 3 kitchenettes. Findings include: Review of the undated facility Food: Kitchenette policy, indicated the following: -Kitchen staff will label and date each item in the refrigerator using a 3-day window for usage. -Kitchen staff will be responsible for daily cleaning of the refrigerators, microwaves and snack areas. On [DATE] at 11:45 A.M., the surveyor observed Unit 1 kitchenette and the following items were in the refrigerator: -bag of grapes with an expiration date of [DATE] -Hi-Cal oral supplement, open, undated. -Natures Promise watermelon water, open, undated. -orange juice, half gallon jug, open, undated. […]