Staunton Post Acute & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Staunton Post Acute & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Mar 19, 2026

  Based on resident interviews, staff interviews, clinical record review, and facility document review the facility failed to protect the residents' rights to be free from abuse, including physical and verbal abuse for four of eleven residents in the survey sample, (resident #'s 2, 3, 4, 5) resulting in immediate jeopardy (IJ) and substandard quality of care. After accepting the plan for removal of Immediate Jeopardy from the Administrator, and determining that the Immediate Jeopardy was removed, the deficiency was assigned a Scope and Severity level of level 2, pattern. […]

• Actual harm, isolatedF689Aug 17, 2023

  Based on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide supervision for, one of two residents in the survey sample, Resident #2, that resulted in harm to the resident. The resident left the building at 2:50 a.m. on 7/13/2023 and fell while outside the building. The resident was treated for a lacerations over his left eye and back of left side of head. In the days following the fall it was discovered the resident also had suffered a broken clavicle and a broken femur since the fall of 7/13/2023 with no other falls after 7/13/2023. The findings include: For Resident #2 (R2), the resident eloped out of the facility on 7/13/2023 at 2:50 a.m., with a fall requiring medical attention. […]

• Actual harm, isolatedF689Jun 14, 2023

  Based on observation, staff interview, clinical record review, and facility document review, the facility failed to ensure a resident's room was free of an accident hazard for one of 25 residents, resulting in harm at past noncompliance. Resident #210 received a second degree burn from a heating element with a missing heat guard. The Findings Include: Diagnoses for Resident #210 included: Dementia, anemia, brain injury, and seizure disorder. The most current MDS (minimum data set) was an annual assessment with an ARD (assessment reference date) of 9/28/22. Resident #210 was assessed with moderate cognitive impairment. […]

• No harm, potential for more than minimal, widespreadF880Jun 14, 2023

  Based on review of facility's records, interviews, and policy review, the facility failed to maintain a legionella prevention program to protect residents from contracting water-borne pathogens as part of the facility's infection prevention and control program. This failure had the potential to affect all residents residing in the facility. Additionally, the facility failed to ensure staff follow infection prevention practices for hand hygiene during dining observation. This has the potential for facility wide spread of infection and/or contamination. Findings: 1. Review of the facility's policy revised July 2017 and titled Legionella Water Management Program revealed .Facility is committed to the prevention, detection and control of water-borne contaminants, including legionella . 1. […]

• No harm, potential for more than minimal, widespreadF727Jun 9, 2022

  Based on staff interview and facility document review, the facility staff failed to ensure a registered nurse was onsite at the facility for 8 consecutive hours on 06/05/2022. Findings were: The facility as worked schedule for the week of the survey and the week prior to the survey. On 06/01/2022, 06/03/2022, and 06/05/2022, there was no RN (registered nurse) scheduled. CNA (certified nursing assistant) #1 who did staffing was interviewed on 06/08/2022 at 10:00 a.m. She stated, The MDS (minimum data set) nurses are RNs and they are here for at least 8 hours a day Monday through Friday, so they were here on June 1st and June 3rd .they aren't on the schedule but they are in the building and here if needed .June 5th was a Sunday so there was not an RN here that day. […]