Steere House Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, patternF805Nov 4, 2024

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to provide and prepare food in a form designed to meet individual needs for 3 of 6 residents reviewed with a physician's order for a ground texture diet, Resident ID #s 58, 44, and 365. Findings are as follows: Review of the Unidine diet manual states in part, Mechanically Altered [diet] .Breads need to be slurried/pre-gelled through entire thickness .seeds must be avoided .vegetables with less than 1/2 [inch] pieces Review of the diet manual addendum titled [NAME] House Approved Diets states in part, Ground - For residents who have difficulty chewing or swallowing. Meats are ground or finely chopped and served moist or with gravy/sauce . […]

• Actual harm, isolatedF600Jul 30, 2024

  Based on surveyor observation, record review, and staff interview it has been determined that the facility failed to protect and keep residents free from physical abuse relative to an incident that occurred between Resident ID #2 and #3, resulting in significant injury of Resident ID #2. Findings are as follows: Review of a facility policy titled, Abuse prohibition states in part, .It is the policy of this facility to ensure that all residents are treated with respect and dignity and that all residents are free from abuse .Abuse: Willful infliction of injury .resulting in physical harm .Examples of abuse include but are not limited to the following: Physical - Hitting, punching, pinching, kicking . […]

• Actual harm, isolatedF689Jul 30, 2024

  Based on record review and staff interview it has been determined that the facility failed to ensure that residents receive adequate supervision to prevent an accident for 1 of 3 residents reviewed for elopement, Resident ID #1. Findings are as follows: Review of a facility policy titled, Identification of High Risk Elopement Residents states in part, Purpose: To ensure the safety and well being of all residents with a potential for wandering/eloping from the facility .Residents who were not identified to be 'at risk for elopement' on admission, but are demonstrating behaviors such as .accessing the elevator or exit doors are considered to be 'at risk for elopement.' Review of a community reported complaint allegation submitted to the Rhode Island Department of Health on 7/26/2024… […]

• Actual harm, isolatedF726Nov 30, 2023

  Based on surveyor observation, record review, resident and staff interview it has been determined that the facility failed to ensure that all licensed nurses have the specific skill sets necessary to care for residents' needs for 1 of 1 resident reviewed, relative to the use of a hydrocollator (thermostatically controlled water bath for placing cloth heating pads or hotpacs) resulting in a burn, Resident ID #21. Findings are as follows: According to the State Operation Manual Appendix PP- Guidance to Surveyors for Long Term Care Facilities, last revised 2/3/2023 states in part, .To assure that all nursing staff possess the competencies and skill sets necessary to provide nursing and related services to meet the residents' needs safely and in a manner that promotes each resident's rights,… […]

• No harm, potential for more than minimal, widespreadF812Mar 5, 2026

  Based on surveyor observation and staff interview, the facility failed to prepare, distribute and serve food in accordance with professional standards for food service safety relative to staff practices in obtaining temperatures for the lunch meal.Findings are as follows:Review of the 2022 Food and Drug Administration Food Code, section 4-702.11 states in part, Utensils and food-contact surfaces of equipment shall be sanitized before use.During a follow up visit to the main kitchen on 3/3/2026 at 11:53 AM, the following was observed:-Dietary Cook, Staff H was observed obtaining the holding temperature of a pan of peas. […]