Springfield Rehabilitation & Health Care Center

In the surveyor’s words

From the most serious findings on record at Springfield Rehabilitation & Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 10, 2024

  Based on observation, interview, and record review, the facility failed to keep food safe from potential contamination when staff stacked clean dishware inside one another instead of air drying, which could potentially contaminate food served from those items, and failed to keep dented cans separate from other canned goods. The facility census was 115. 1. Review of the 2022 Food Code, issued by the Food and Drug Administration (FDA), showed the following information: -After cleaning and sanitizing, equipment and utensils shall be air-dried or used after adequate draining before contact with food; -Items must be allowed to drain and to air-dry before being stacked or stored. […]

• No harm, potential for more than minimal, patternF730Apr 10, 2026

  Based on interview and record review, the facility failed to complete the annual individual performance reviews or evaluations and failed to provide regular in-service education based on these reviews for three certified nurse aides (Certified Nurse Aide (CNA) K, CNA L, and CNA M), out of a sample of six CNAs. The facility census was 117.Review showed the facility did not provide a policy regarding annual individual performance reviews or education for CNAs.1. Review of CNA K's personnel records showed the following:-Hire date of 04/10/24;-Annual performance evaluation due on 04/10/25; -Staff did not document completion of the performance evaluation or education provided to CNA K based on an annual performance evaluation.2. […]

• No harm, potential for more than minimal, patternF550May 10, 2024

  Based on observation, interview, and record review, the facility failed to ensure the dignity of all residents was maintained when staff failed to provide a dignity bag for urine collection bags for three residents (Residents #29, #2, and #61) with an indwelling urinary catheters (tubing placed internally to drain the bladder). A sample of 29 residents was selected for review in a facility with a census of 115. Review of the facility's policy titled Resident Rights, dated 06/2006, showed residents have the right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. The facility must protect and promote the rights for each resident. 1. […]

• No harm, potential for more than minimal, patternF561May 10, 2024

  Based on observation, interview, and record review, the facility failed to promote all residents' right for self-determination of schedule and cares when staff failed to provide showers as preferred and care planned for nine residents (Resident #9, #21, #23, #55, #108, #33, #8, #15, and #11) of 29 residents sampled. The facility census was 115. Review of the facility's policy titled, Bath, Shower/Tub, revised February 2018, showed the purpose of the procedure was to promote cleanliness, provide comfort to the resident, and to observe the condition of residents' skin. The policy did not address the scheduling of showers/baths. 1. […]

• No harm, potential for more than minimal, patternF623May 10, 2024

  Based on record review and interview, the facility failed to notify the resident and the resident's representative in writing of a transfer or discharge to a hospital that included the reason for the transfer, date of transfer, and destination of transfer for three residents (Resident #100, Resident #5 and Resident #8) out of 29 sampled residents. The facility census was 115. Review of the facility provided copy of Hospital Transfer Checklist, showed the following: -Fill out Interact Nursing Home to Hospital Transfer under observation, print and send with the resident. 1. […]