Sterling Health Care and Rehab Center

In the surveyor’s words

From the most serious findings on record at Sterling Health Care and Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, patternF600Oct 25, 2024

  Based on review of facility policy, clinical records, hospital records, facility investigative documentation, and staff interviews, it was determined the facility failed to provide an environment free from physical abuse and timely abuse reporting for one of 28 residents reviewed (Resident 78). The facility's failure to protect Resident 78 resulted in Resident 78 being sent to the hospital for facial bruising and a hematoma (collection of blood that pools outside of a blood vessel in an organ, tissue, or body space) to the forehead. The facility's failure to timely report the witnessed abuse continued to put Resident 78 and residents from two of four units at risk for further abuse when Employees E3 and E4 continued to provide care. […]

• Actual harm, isolatedF689Oct 25, 2024

  Based on review of facility policy, clinical record, facility investigation documentation, and staff interviews, it was determined the facility failed to ensure that residents received adequate supervision and assistance to prevent accidents, which resulted in a laceration to the forehead requiring 10 staples to close, for one of seven residents reviewed (Resident 97). Findings Include: Review of Resident 97's clinical record revealed diagnoses including but not limited to; Unspecified Dementia (neurodegenerative disease effecting memory, thinking, and social abilities), lack of coordination, Abnormal posture, muscle weakness, Anxiety disorder, and Intervertebral Disc Degeneration lumbar region (cartilage between the vertebrae begins to deteriorate). […]

• Actual harm, isolatedF686Dec 30, 2022

  Based on facility policy, clinical record review, and staff interviews, it was determined the facility failed to monitor the skin of residents at risk for skin impairment causing actual harm by discovering a pressure ulcer at an advanced stage for one of eight residents reviewed (Resident 81). Findings include: Review of the facility's policy and procedure titled Prevention of Pressure Injuries, revised in April 2020, revealed to inspect the skin daily when performing or assisting with personal care or ADLs (Activities of Daily Living). Identify any signs of developing pressure injuries. For darkly pigmented skin, inspect for changes in skin tone, temperature, and consistency. […]

• No harm, potential for more than minimal, widespreadF812Oct 25, 2024

  Based on observations and staff interviews, it was determined that the facility failed to maintain safe and sanitary conditions in the kitchen area. Findings include: Observation during a tour of the kitchen was conducted on October 22, 2024, at 10:00 a.m., in the presence of the Dining Director Employee E8. Observation during the tour revealed a black colored substance on the ceiling with peeling white paint above the sink by the dishwasher machine area. Further observation also revealed that the vent right above the dishwasher had a moderate amount of black lint covering the edges of the vent. Interview with Employee E8 conducted on October 22, 2024, at 10:15 a.m., revealed maintenance took care of the ceiling a few months ago. […]

• No harm, potential for more than minimal, patternF755Feb 8, 2024

  Based on clinical record review and staff interview it was determined that the facility failed to ensure that the pharmacy provided medications timely for two of three residents reviewed (Resident R1 and R2). Findings include: Review of Resident R1's clinical record revealed Resident R1 was admitted [DATE], with diagnoses of but not limited to Hematuria (blood in the urine), acute angle-closure Glaucoma (condition that causes pressure to go up quickly in the eye and block the drainage system), CVA (cerebral vascular accident - stroke), hypertension (high blood pressure), and Depression. […]