Sterling Rehabilitation and Nursing, LLC

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Apr 7, 2025

  Based on record review and interviews, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (#6) of five residents out of nine sample residents. Resident #6 was admitted to the facility on [DATE] with diagnoses of right leg above the knee amputation, left arm paralysis following stroke, peripheral vascular disease (reduced blood flow to limbs), dysphagia (difficulty swallowing), respiratory failure and diabetes. On [DATE] at 6:20 a.m. Resident #6 told the certified nurse aides (CNA) he was experiencing shortness of breath. […]

• Actual harm, patternF689Mar 29, 2021

  Based on interviews and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible, and failed to provide supervision and assistance to prevent falls with injuries. The facility failed to ensure one (#13) of two residents reviewed for smoking safety was safe while in the facility smoking area. The facility further failed to failed to prevent falls for three of five residents (#15, #16, and #19) reviewed for falls out of 29 sample residents. Record review and interviews revealed the facility failed to ensure Resident #13 had adequate access back into the facility after smoking outside in sub-zero temperatures. […]

• Actual harm, isolatedF686Aug 20, 2025

  Based on observations, record review and interviews, the facility failed to ensure residents received care consistent with professional standards of practice to prevent pressure injuries from occurring or worsening for two (#4 and #52) of five residents reviewed for pressure injuries out of 45 sample residents. Resident #4, who was at risk for developing pressure ulcers, was admitted on [DATE] and readmitted on [DATE] after a five-day hospital stay. The 4/2/25 wound weekly observation assessment revealed the resident acquired a right heel suspected deep tissue injury (DTI) on 3/21/25, three days after she was readmitted to the facility. The right heel wound measured 3.5 centimeters (cm) in length, 3.5 cm in width and 0.0 cm in depth. […]

• Actual harm, isolatedF684Dec 31, 2024

  Based on record review and interviews, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice for one (#4) of four residents out of 15 sample residents. Resident #4, who had diagnoses of type 2 diabetes mellitus with chronic kidney disease and foot ulcers, heart failure and osteomyelitis (infection of the bone) of the left ankle and foot, was admitted from the hospital on 9/16/24 with surgical wounds to both heels following surgical debridement (removal of dead tissue) of his diabetic wounds and placement of a wound vacuum (negative pressure wound therapy) on the left heel. […]

• Actual harm, isolatedF686Dec 31, 2024

  Based on observations, record review and interviews, the facility failed to ensure residents received care consistent with professional standards of practice to prevent pressure injuries from occurring or worsening for one (#8) of four residents reviewed out of 15 sample residents. Resident #8, who was at risk for developing pressure ulcers and had a history of pressure ulcers, was admitted on [DATE] and readmitted to the facility on [DATE] after a three-day hospital stay. The readmission skin assessment, dated 11/6/24, documented the resident had a 1.0 centimeter (cm) by 1.0 cm scabbed area on his coccyx which the nurse covered with a foam dressing. […]