Stillhouse Rehabilitation and Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Mar 7, 2024

  Based on observation, interview and record review the facility failed to ensure residents the right to be free from abuse for 1 of 19 residents reviewed for abuse (Resident # 10) in that: On 8/11/23 CNA A slapped Resident #10 on the left forearm with a washcloth multiple times telling her to stop complaining while giving her a shower on 8/11/23. The non-compliance was identified as past non-compliance. The immediate jeopardy (IJ) began on 8/11/23 and ended on 8/16/23. The facility had corrected the noncompliance before the investigation began. This failure could place all residents in the facility at risk for physical harm, and pain which could prevent them from achieving their highest practicable physical, mental, and psychosocial well-being. […]

• No harm, potential for more than minimal, widespreadF851Mar 27, 2024

  Based on interview and record review, the facility failed to electronically submit to CMS complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS fiscal year 2024 for the first quarter (October 1, 2023, to December 31, 2023) reviewed for administration. The facility failed to transmit RN hours for: 11/18/2023, 11/19/2023, 12/02/2023, 12/03/2023, 12/16/2023, 12/17/2023, and 12/30/2023. This failure could place residents at risk for personal needs not being identified and met. […]

• No harm, potential for more than minimal, patternF553Jul 17, 2026

  Based on interview, and record review the facility failed to facilitate the inclusion of the resident or resident representative in the care planning process for 3 (Resident #5, #66 and #74) of 5 residents reviewed for care plans in that: The facility failed to invite and include the input of Resident's #5, #66 and #74 or their representatives as members of the interdisciplinary team in the Care Plan conference meetings. This failure could place residents at risk of not having their needs met by depriving them of the opportunity to participate in the decision making regarding their care. […]

• No harm, potential for more than minimal, patternF761Jul 17, 2026

  Based on observation, interview, and record review the facility failed to ensure that all drugs and biologicals used in the facility were labeled and stored in accordance with professional standards for 3 of 8 medication carts (Hall B - Medication Aide Cart, Hall C - Medication Aide Cart and Hall C - Nurse Cart) reviewed for drugs and biologicals. 1. The facility failed to ensure the Timolol solution (used to lower the pressure in the eye), Brimonidine solution (eye drops used to lower the pressure in the eye), and the Prednisolone solution (eye drops used to treat swelling/injury) in the B Hall - Medication Aide Cart were dated when opened. 2. The facility did not ensure LVN G locked Hall C nurses' cart while administering medication on [DATE]. […]

• No harm, potential for more than minimal, patternF803Jul 17, 2026

  Based on observation, interview, and record review, the facility failed to follow the menu as food was prepared in advance for 2 of 2 meals (the lunch meal) reviewed. 1.The facility failed to ensure [NAME] P prepared enough bell pepper for the lunch menu on 07/15/26.2.The facility failed to ensure Dietary Aide O prepared enough pie for the lunch menu on 07/16/26. These failures could place residents at risk of weight loss, not having their nutritional needs met, and a decreased quality of life. Findings included:During a kitchen observation and interview for the lunch meal served on 07/15/26 at 12:50 p.m., revealed there were not enough bell peppers to serve all the residents stuffed bell peppers for the lunch meal. […]