Stanton Nursing and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF580Feb 10, 2022

  Based on observation, interview, record review, and review of the facility's policies, it was determined the facility failed to ensure the physician was notified when a change in condition occurred for one (1) of three (3) sampled residents, Resident #2. On 01/28/2022, State Registered Nursing Assistant (SRNA) #2 observed Resident #2 to have an open area on his/her right lower calf. SRNA #2 immediately reported the change in condition to Licensed Practical Nurse (LPN) #1. LPN #1 assessed the wound on Resident #2's lower right leg and provided wound care to the area. However, LPN #1 failed to notify Resident #2's physician of the open area to the resident's lower leg. […]

• Actual harm, isolatedF684Feb 10, 2022

  Based on observation, interview, record review, and review of facility policy, it was determined the facility failed to provide the necessary care and services, in accordance with professional standards of practice and facility policy for one (1) of three (3) sampled residents, Resident #2. Interview with Resident #2, on 02/01/2022 at 12:50 PM, revealed on 01/28/2022, when attempting to move his/her right leg, the leg had been stuck to the mattress which had not been covered. Observation of Resident #2, at the time of interview, revealed the resident was currently lying on the bed with no sheet covering the bariatric mattress he/she was lying on. […]

• No harm, potential for more than minimal, isolatedF600Apr 25, 2025

  Based on interview, record review, and review of facility policy, the facility failed to protect the resident's right to be free from verbal and physical abuse by staff for one (Resident (R) 1) of 22 sampled residents. Abuse was substantiated when staff yelled at R1 and hooked a back scratcher on the resident's bottom lip to pull on the resident's mouth. The findings include: Review of the facility's policy titled Abuse Prohibition Standard of Practice, revision date 07/2022, revealed abuse is the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish. […]

• No harm, potential for more than minimal, isolatedF609Apr 25, 2025

  Based on interview, record review, and review of the facility's policy, it was determined the facility failed to ensure an alleged violation involving abuse was reported immediately, but not later than two hours, for one (Resident (R)1) of four residents reviewed for abuse, out of a total sample of 22 residents. Staff failed to immediately report an allegation of abuse to the Administrator, as well as the State Survey Agency (SSA) and Adult Protective Services (APS). The findings include: Review of the facility's policy titled Abuse Prohibition Standard of Practice, revision date 07/2022, revealed alleged violation(s) will be reported to the Administrator and/or designee immediately. Further review revealed alleged violations were to be reported to the SSA and APS. […]

• No harm, potential for more than minimal, isolatedF584Feb 10, 2022

  Based on observation, and interview it was determined the facility failed to ensure residents were provided necessary housekeeping services to maintain a clean, sanitary, and comfortable bed for two (2) of three (3) sampled residents, Resident #2 and Resident #3. Observation revealed Resident #2 and Resident #3 were lying on their beds with no sheet covering their bariatric mattresses. The findings include: Interview with the Administrator on 02/09/2022 at 11:00 AM, revealed the facility did not have a policy related to handling/storage of bed linens and did not have a policy related to when bed linens were to be changed. […]