Springside Rehabilitation and Skilled Care Center

In the surveyor’s words

From the most serious findings on record at Springside Rehabilitation and Skilled Care Center, in the surveyor’s own words.

• Actual harm, patternF725Feb 5, 2021

  Based on records reviewed and interviews, for one of two nursing units, the COVID (positive) Unit (A-Wing), during the second week of January 2021 (with an average daily census of 50 residents), the Facility failed to ensure sufficient staffing levels were maintained to safely and adequately meet resident's needs per their plans of care. The Facility failed to ensure that there was sufficient staffing levels to provide the level of assistance needed for residents with physical limitations, failed to ensure call lights were responded to timely, and failed to ensure residents received assistance with toileting and personal hygiene care needs when requested and per the plan of care, which resulted in residents becoming, angry, upset and crying after being left in soiled briefs and unable to… […]

• Actual harm, isolatedF689Jun 7, 2023

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who required extensive assistance of two staff members and the use of a mechanical lift for all transfers, the Facility failed to ensure he/she was provided with the necessary level of staff assistance and that assistive equipment (lift pad) was positioned correctly, in an effort to maintain Resident #1's safety during a mechanical lift transfer to prevent incidents/accidents resulting in an injury. On 05/16/23, Certified Nurse Aide (CNA) #1, without another staff member present to assist her, attempted to transfer Resident #1 with a mechanical lift. […]

• Actual harm, isolatedF600Feb 5, 2021

  Based on records reviewed and interviews, for two of six sampled residents (Resident #1 and Resident #5), who resided on the COVID Unit, and required staff assistance with incontinence care, the Facility failed to ensure they were free from abuse, including neglect with emotional harm, when Resident #1 and Resident #5 reported being in physical pain, emotionally upset and angry, when staff failed to respond to their call lights and requests for assistance with personal care needs. Findings include: Review of the Facility Policy titled Freedom from Abuse, Neglect & Exploitation, dated 4/27/17, indicated that all residents are protected from any form of abuse, which includes neglect. […]

• Actual harm, isolatedF689Feb 5, 2021

  Based on records reviewed and interviews for one of six sampled residents (Resident #3), who was assessed as being at increased risk for falls, was non-ambulatory and totally dependent on staff for all care needs, the Facility failed to maintain his/her safety to prevent an incident/accident with injury, when on 1/19/21 after Resident #3 had attempted to get out of bed unassisted by staff earlier in the shift, Resident #3 was found an hour later on the floor after an unwitnessed fall, he/she had an abrasion to his/her right knee and right shoulder, complained of back pain, and was transferred to the Hospital Emergency Department for further evaluation. […]

• No harm, potential for more than minimal, widespreadF801Mar 6, 2023

  Based on record review and interview, the facility and its staff failed to provide a designated person that met regulatory requirements, to serve as the Director of Food and Nutrition Services when a full-time Dietitian was not employed. Findings include: During an interview on 3/3/23 at 1:01 P.M., the Food Service Director (FSD) said that she had worked as the FSD at the facility for about one week. The FSD said she was not a Certified Dietary Manager (CDM), or Certified Food Service Manager (CFSM), did not have an associate degree or higher in food service management, and did not have two years' experience in the position of Director of Food and Nutrition Services in a nursing facility setting. […]