Suburban Woods Health & Reha

In the surveyor’s words

From the most serious findings on record at Suburban Woods Health & Reha, in the surveyor’s own words.

• Actual harm, isolatedF689May 9, 2023

  Based on review of facility documentation, review of clinical records, and interviews with staff, it was determined that the facility failed to ensure that a resident received adequate supervision during care for one of five residents reviewed (Resident R1). This failure resulted in actual harm to Resident R1 who fell out of bed during care and sustained a 3 centimeter (cm) by 1.5 cm laceration to middle of forehead requiring three sutures. This deficiency was identified as past non-compliance. […]

• No harm, potential for more than minimal, widespreadF812Apr 3, 2025

  Based on observations and interviews with staff, it was determined that the facility did not ensure that food was stored, prepared, distributed and served in accordance with professional standards for food service safety. Findings include: A tour of the Food Service Department was conducted on March 31, 2025, at 9:15 a.m. with Employee E5, Food Service Director (FSD), revealed the following concerns: Observation in the receiving dock revealed a lot of trash scattered around the loading dock next to the dumpster including empty milk carton, plastic juice cups and paper. Observation in the dry storage area revealed a buildup of dust, dirt and black substance on the floor under she shelves next to the aluminum freezer walls. […]

• No harm, potential for more than minimal, widespreadF812Oct 21, 2021

  Based on observation, review of facility policies and facility documentation and interviews with staff, it was determined that the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. Findings include: An initial tour of the Food Service Department was conducted on October 18, 2021, at 11:15 a.m. with Employee E3, Food Service Director (FSD), which revealed the following: Observation in the outside receiving area revealed a dumpster with a missing lid which had 4-5 bags of garbage inside exposed. Observation in the hall storage room revealed a box of Dinex lids on the top shelf which was less than the required 18 from the sprinkler head. […]

• No harm, potential for more than minimal, patternF809May 17, 2024

  Based on review of facility documentation, observations, and staff and resident interviews, it was determined that the facility failed to ensure meals were served in accordance with resident preferences for two of two nursing units (1st and 2nd floor). Findings Include: Interview on May 14, 2024, at 12:30 p.m. with Resident R100 revealed lunch used to be served at noon. Recently, lunch has been coming later since change in process of delivering food trucks. Interview on May 14, 2024, at 12:35 p.n. with alert and oriented Resident R68 and R81 revealed residents were upset because lunch is supposed to be served at noon but still has not been delivered. Further interview revealed lunch has been getting served late and has come late as 2:00 p.m. Observations on May 14, 2024, at 12:42 p.m. […]

• No harm, potential for more than minimal, patternF553Sep 5, 2023

  Based on resident and staff interviews, review of faciltiypolicy and review of the clinical records, it was determined that the facility failed to ensure that residents were provided with the opportunity to participate in the care planning process for 9 out of 9 residents interviewed (Resident R75, R52, 72, R10, R74, R55, R91, R88, R93). Findings include: Review of the facility policy, Resident Care Conference, with a revision date of July 17, 2021, indicated that each resident and /or responsible party shall be, invited to participate in their care conference. If the resident is their own responsible party, the invitation to family members will be at their sole discretion. During a group meeting with residents on August 31, 2023, at 11:00 a.m. […]