Thatcher Brook Rehabilitation & Care Center

In the surveyor’s words

From the most serious findings on record at Thatcher Brook Rehabilitation & Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jun 23, 2022

  Based on observation, interview and record review it was determined, for 4 of 16 resident's sampled, that the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections, including COVID-19. Specifically, observation were made of staff not screening at the front entrance for COVID-19, staff were observed inside the facility without the required Personal Protective Equipment (PPE) donned, staff were observed with the PPE donned incorrectly, the glucometer was not disinfected per the recommended disinfectant wet time to kill blood borne pathogens, observations were made of cross contamination during wound care,… […]

• No harm, potential for more than minimal, patternF761Jul 23, 2025

  Based on observation, interview, and record review it was determined, for 4 of 26 sampled residents, that the facility did not ensure that all drugs and biologicals were stored and labeled in accordance with accepted professional principles and included the appropriate accessory and cautionary instructions, and the expiration date when applicable. Specifically, an insulin pen and a vial of insulin were not dated with an open date or expiration date. Additionally, medications were found in the sink in the medication room and a medication cart was left unlocked and unattended. Resident identifiers: 2, 21, 24, and 31. Findings included: 1. […]

• No harm, potential for more than minimal, patternF804Jul 23, 2025

  Based on observation and interview, for 8 of 26 sampled residents, the facility did not provide food prepared by methods that conserve flavor and appearance or provide food and drink that was palatable, attractive, and at an appetizing temperature. Specifically, residents complained of food quality, the test tray did not appear appetizing and was not palatable. Findings included: On 7/21/25 at 10:58 AM, an interview was conducted with resident 32 who stated the food was only good some of the time and alternatives were not offered. Resident 32 stated he was not pleased with the meals. On 7/21/25 at 1:17 PM, an interview was conducted with resident 25 who stated she had not been eating much because the food did not taste good. […]

• No harm, potential for more than minimal, patternF812Jul 23, 2025

  Based on observation and interview, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, food items in the walk-in freezer and walk-in refrigerator were open to the air, the stove was not clean, the top of the oven was not clean, meat in the refrigerator was not labeled and a large bucket of pickles did not have an open date.Findings included:On 7/21/25 at 8:40 AM, an initial walk-through of the kitchen was conducted. In the tall, white, reach-in freezer, a bulk box of diced carrots was open to air and a bulk box of peas was open to air. In the tall, silver, reach-in freezer, a box of French toast was open to air and a box of frozen cookie dough was open to air. […]

• No harm, potential for more than minimal, patternF880Jul 23, 2025

  Based on observation, interview and record review it was determined, for 3 out of 26 sampled residents, that the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, observations were made of staff not donning Personal Protective Equipment (PPE) for residents on Enhanced Barrier Precautions (EBP), staff were observed not performing hand hygiene during dressing changes and cross contamination was observed during a dressing change with improper cleaning of the insertion site. Resident identifiers: 3, 15, and 18.Findings included:1. […]