Stonemere Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Nov 10, 2021

  Based on observation, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure expired foods were discarded and food was properly stored in the facility's refrigerator, freezer, a dry storage, and the refrigerator floor was free from spills. These failures could place all residents who ate from the kitchen at risk for food-borne illness. […]

• No harm, potential for more than minimal, patternF755Jun 11, 2026

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 1 (Medication Cart 3) of 3 carts and 1 of six residents (Resident #30) reviewed for pharmacy services. 1. The facility failed to ensure LVN D responsible for Medication Cart 3, counted controlled drugs every shift change on 06/01/2026, 06/04/2026, 06/05/2026, and 06/08/2026. 2. The facility failed to ensure LVN D documented administering prn cough medication to Resident #30 on 06/09/26. […]

• No harm, potential for more than minimal, patternF812Jun 11, 2026

  Based on observations, interviews and record review, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety for the facility's only kitchen, in that: Dietary [NAME] G and the Dietary Manager failed to wear effective hair restraints during lunch meal preparation on 06/10/26. This failure could affect residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness and food contamination. Findings included: Observation on 06/10/26 at 11:29 AM to 11:36 AM revealed Dietary [NAME] G was wearing a hat that did not cover 0.5 inches in front of both sides of her ears and about 0.5 inches of the back of their hair. […]

• No harm, potential for more than minimal, patternF645Apr 10, 2025

  Based on interview and record review, the facility failed to ensure the Pre-Admission Screening and Resident Review (PASRR) Level I assessment accurately reflected the resident's status for two (Resident #15 and Resident #34) of five residents reviewed for PASRR Screenings. 1. The facility failed to ensure the accuracy of the PASRR Level 1 screen for Resident #15. The resident did not receive a PASRR Level II assessment Evaluation. 2. The facility failed to ensure the accuracy of the PASRR Level 1 screen for Resident #34. […]

• No harm, potential for more than minimal, patternF812Apr 10, 2025

  Based on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen safety. 1. The facility failed to ensure food in the facility's dry storage, and refrigerator areas were labeled and dated according to guidelines. 2. The facility failed to seal open items in plastic bags in the dry storage pantry, and refrigerator areas. 3. The facility failed to ensure that expired items in the dry storage pantry were removed. […]