Silvercrest Health and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF698Jul 10, 2026

  Based upon observations, interviews, and record reviews, the facility failed to ensure a dialysis resident received the appropriate care and medications for 1 out of 1 residents who received dialysis treatments. (Resident #60)The findings include:On 7/9/2026 at 10:30 AM, a record review for Resident #60 revealed he was admitted to the facility on [DATE] with the following diagnoses: End Stage Renal Failure. Renal Osteodystrophy, Disorders of Phosphorus metabolism, and Dependence on Dialysis treatments. […]

• No harm, potential for more than minimal, isolatedF656Apr 24, 2025

  Based on interviews and record review, the facility failed to develop and implement a comprehensive person-centered care plan for 2 of 25 sampled residents to meet the residents nursing needs that are identified in the comprehensive assessment. (Resident #31 & #2) The findings include: Resident #31 On 04/21/25 at approximately 11:05 AM, Resident #31 was seen sitting in his wheelchair wearing a cardiac Life Vest (The LifeVest is a wearable cardiovascular defibrillator designed to protect individuals at risk of sudden cardiac death). A record review for Resident #31 revealed no orders for the cardiac Life Vest, and no mention of the cardiac Life Vest in the cardiac care plan. […]

• No harm, potential for more than minimal, isolatedF688Apr 24, 2025

  Based on family interview, record review, and staff interview, the facility failed to provide appropriate physician ordered services to increase range of motion or prevent further decrease in range of motion for 1 of 3 residents sampled for limited range of motion. (Resident #19) The findings include: A telephone interview was conducted with Resident #19's sister on 4/21/25 at 2:12 PM. She stated the resident had limited range of motion in his knees and was not receiving any services for the issue. A review of Resident #19's electronic medical record revealed a current physician order dated 1/28/25 stating to provide a functional maintenance program to provide stretching exercises to the bilateral knees while in bed to maintain knee extension. […]

• No harm, potential for more than minimal, isolatedF755Apr 24, 2025

  Based on record review, interviews and facility policy review, the facility failed to provide medications at a timely manner for 1 of 3 residents receiving antibiotic medications via intravenous route. (Resident # 156) The findings include: On 4/21/25, Resident #156 had a pump used for intravenous therapy inside his room. On 4/21/25, Resident #156's medical records were reviewed. He was admitted to the facility on [DATE] following a stay at a hospital. Hospital records dated 4/4/25 indicated a physician discharge order to receive Ceftriaxone (a medication given to treat bacterial infections) 2 Grams (GM) daily for 14 days. Admission medication orders dated 4/4/25 stated to start Ceftriaxone 2 GM. […]

• No harm, potential for more than minimal, isolatedF761Apr 24, 2025

  Based on observations and interviews, the facility failed to ensure all drugs and biologicals were stored in locked compartments for 1 of 4 medication carts. The findings include: On 4/21/25 at approximately 11:47 AM, an observation was made of an unlocked and unattended medication cart. Four staff members walked by the unlocked medication cart between 11:47 AM and 11:49 AM, at which time the licensed practical nurse (LPN), Staff C, came out of a resident's room and acknowledged that he left the medication cart unlocked. On 04/24/25 at approximately 09:56 AM, the Assistant Director of Nursing (ADON) stated that the expectation is to lock the medication cart and computer screen when the nurse leaves the medication cart.