South Shore Rehabilitation And Nursing Center

In the surveyor’s words

From the most serious findings on record at South Shore Rehabilitation And Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF925Aug 15, 2025

  Based on observation, record review, and staff interviews, during the Recertification Survey initiated on 08/11/2025 and completed on 08/15/2025, the facility did not maintain an effective pest control program. This was identified during the kitchen task. Specifically, the exit door from the kitchen, which is used to remove refuse and leads to the parking lot and garbage disposal bins, had an approximate half-inch gap at the bottom of the door.This is a repeat citation.The finding is:The undated facility policy titled Pest Control documented to maintenance of an effective pest control system. […]

• No harm, potential for more than minimal, patternF756Aug 15, 2025

  Based on record review and interviews during the Recertification Survey initiated on 08/11/2025 and completed on 08/15/2025, the facility did not ensure that Physician Responses (actions) documented on Monthly Medication Regimen Reviews were carried out to address irregularities identified by the Pharmacist. This was identified for three (3) (Resident #1, #32, and #12) of five (5) residents reviewed for Unnecessary Medications. Specifically, recommendations were provided by the Pharmacy consultant on the Medication Regimen Review Form for Resident #1, Resident #32, and Resident #12; however, the recommendations were not implemented, and there was no documented evidence in the residents' medical records that the identified irregularities were reviewed and what, if any, actions were taken to… […]

• No harm, potential for more than minimal, patternF584Apr 11, 2024

  Based on observations, record review, and interviews during the Recertification Survey initiated on 4/7/2024 and completed on 4/11/2024, the facility did not provide a homelike environment and maintenance services to maintain a comfortable interior for three (Unit 1 North, Unit 1 South, and Unit 2 South) of four units observed during the environmental task. Specifically, Rooms 217 (Unit 2 South) 117 (Unit 1 South), 115, and 111 (Unit 1 North) had unrepaired water damage in the walls. Resident #60's room (Unit 1 North) was observed with holes in the wall due to the removal of the soap dispenser from the wall and the area was left unrepaired. […]

• No harm, potential for more than minimal, patternF812Apr 11, 2024

  Based on observation and interviews during the Recertification Survey initiated on 4/7/2024 and completed on 4/11/2024, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. Specifically, during the initial kitchen tour on 4/7/2024, a carton of frozen egg product, that was intended to be used on 4/8/2024 for the breakfast meal, was observed on a table thawing at room temperature. The finding is: The facility's undated policy titled, Thawing Frozen Raw Food documented to ensure the proper temperature is maintained during food storage, plan ahead to allow enough time for proper thawing; remove raw food from the carton and place it on a sheet pan; place the sheet pan on the bottom shelf of the… […]

• No harm, potential for more than minimal, patternF886Jan 21, 2021

  Based on interview and record review, during a Focused Infection Control Survey completed on 12/28/2020 the facility did not conduct COVID-19 testing based on parameters set forth by Centers for Medicare and Medicaid Services (CMS) for Outbreak Testing frequency. Specifically, the facility did not test every resident in the facility every 3-7 days until testing identified no new cases of COVID-19 infection among staff or residents for a period of at least 14 days since the most recent positive result on 12/7/2020. The facility census was 76 of 100 bed capacity. […]