Stone Rehabilitation And Senior Living

In the surveyor’s words

From the most serious findings on record at Stone Rehabilitation And Senior Living, in the surveyor’s own words.

• Actual harm, isolatedF656Feb 6, 2024

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), whose Plan of Care indicated that he/she required the use of a Spryte lift (mobility stand aid that supports a person's body weight to help them stand up from a seated position) with assistance of two staff members for transfers from chair to bed, the Facility failed to ensure nursing staff implemented and followed interventions identified in his/her Plan of Care while meeting his/her needs to transfer, when on 01/14/24, Certified Nurse Aide (CNA) #1 transferred Resident #1 from his/her wheelchair into bed without the use of a Spryte lift and without another staff member present to assist her. […]

• Actual harm, isolatedF689Feb 6, 2024

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who required the use of a Spryte lift (mobility stand aid that supports a person's body weight to help them stand up from a seated position) with assistance of two staff members for transfers from chair to bed, the Facility failed to ensure he/she was provided with the necessary level of staff assistance and assistive device to maintain his/her safety, in an effort to prevent an incident/accident resulting in an injury, when on 01/14/24, Certified Nurse Aide (CNA) #1 transferred Resident #1 from wheelchair into bed without the use of a Spryte lift and without another staff member present to assist her. […]

• Actual harm, isolatedF689Jan 31, 2023

  Based on records reviewed and interviews for one of four sampled residents (Resident #1), who was assessed to be at high risk for falls, had a diagnosis of dementia, and frequently wandered on the unit, the Facility failed to ensure they maintained a hazard free environment in an effort to maintain his/her safety to prevent falls resulting in injury. On 01/22/23, Resident #1 was observed on the floor in the hallway after he/she tripped on a stand up scale that had been stored against the wall directly outside the doorway to his/her room. After the fall, Resident #1 was assessed to have a skin tear on his/her left knee, and nursing staff treated the wound with steri-strips (thin strips of adhesive tape used to hold skin edges of minor wounds together for healing). […]

• Actual harm, isolatedF688Oct 28, 2021

  Based on observation, record review and interview, the facility failed to identify and address a developing or worsening left hand contracture for 1 Resident (#50) out of a total of 24 sampled residents. Resident #50 was admitted to the facility in January 2018 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of his/her most recent Minimum Data Set Assessment (MDS) dated [DATE], indicated he/she is severely cognitively impaired and requires assistance with bathing, dressing and supervision with meals. During observations of Resident #50 during the breakfast meal on 10/27/21, at 8:20 A.M., the surveyor observed Resident #50's left hand was curled up in a fist. […]

• Actual harm, isolatedF692Oct 28, 2021

  Based on observation, record review and interview, the facility failed to identify and address a significant weight loss for 1 Resident (#50) out of a total of 24 sampled residents. Specifically, the facility failed to provide interventions as outlined in the nutrition care plan as well as identify and respond to significant changes in weight which resulted in continued weight loss. Findings include: Resident #50 was admitted to the facility in January 2018 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of his/her most recent Minimum Data Set Assessment (MDS), dated [DATE], indicated he/she is severely cognitively impaired and requires assistance with bathing, dressing and supervision with meals. […]