Smith Center Health and Rehab

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jan 21, 2025

  The facility identified a census of 35 residents with three residents reviewed for accidents. Based on record review, observation, and interview, the facility failed to provide a safe environment free from preventable accidents for Resident (R) 1. On 01/15/25 at approximately 09:20 AM, Certified Nurse Aide (CNA) M and CNA N transferred R1 from his wheelchair to his recliner using a Hoyer (total body mechanical lift) lift. The CNAs used the lift to suspend R1 into the air due to limited space in R1's room. CNA M turned around to position R1's recliner for R1 to sit in, turned back around to assist R1 into the recliner, and the right top lift sling strap dislodged and R1 slid out of the lift sling onto the floor. R1 hit the right side of his head and came to rest on his right side. […]

• Immediate jeopardy, isolatedF610Jun 15, 2021

  The facility had a census of 44 residents. The sample included three residents, with three reviewed for abuse. Based on observation, record review, and interview, the facility failed to assess Resident (R) 1 (a cognitively intact resident) after she alleged Certified Nurse Aide (CNA) M touched her inappropriately. R1 reported the allegation to the Director of Nursing (DON), who failed to thoroughly investigate the incident and failed to suspend CNA M for almost three hours after the allegation (after finishing his shift), which allowed CNA M to care for R1 again and care for other residents in the facility. […]

• No harm, potential for more than minimal, widespreadF801Apr 16, 2025

  The facility had a census of 37 residents. The sample included 13 residents. Based on observation, record review, and interview, the facility failed to provide the services of a full-time Certified Dietary Manager for the 37 residents who resided in the facility and received their meals from the kitchen. This placed the residents at risk for inadequate nutrition. Findings included: - On 04/14/25 at 09:00 AM, observation dietary staff in the kitchen preparing the breakfast meal. On 04/14/25 at 09:10 AM, Dietary Staff BB verified she was not a Certified Dietary Manager. Dietary Staff BB stated the facility had one resident with a pureed diet. […]

• No harm, potential for more than minimal, widespreadF812Apr 16, 2025

  The facility had a census of 37 residents. The sample included 13 residents. Based on observation, record review, and interview, the facility failed to store food by professional standards for food service safety in the nourishment refrigerator located in the south hall. The facility failed to cover two fluorescent light fixtures in one of one dining room. This placed the residents, who received their food items from the south nourishment refrigerator/freezer, at risk for foodborne illness. This also placed the residents who ate in the facility's dining room at risk of getting foreign objects in their meals. Findings included: - On 04/14/25 at 09:00 AM in the south hall resident nourishment freezer revealed the following: 1. A frozen banquet salisbury meal with an expiration date of 12/24. […]

• No harm, potential for more than minimal, widespreadF812Feb 17, 2022

  The facility had a census of 43 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to distribute and serve food in accordance with professional standards for food service safety in one of one facility kitchen. This placed the 43 residents who received food from the facility kitchen at risk for foodborne illness. Findings included: - On 02/10/22 at 09:45 AM, observation revealed the following: The outer layer of wood peeling from eight under counter cupboards, two upper cabinets by the eyewash station, and nine drawers. The shelf above the stove had sticky gray substance. Missing mopboard, approximately 18 inches (in), below the three sink and approximately 4 feet (ft) by the steam table. […]