The Dawn Hill Home for Rehab and Healthcare

In the surveyor’s words

From the most serious findings on record at The Dawn Hill Home for Rehab and Healthcare, in the surveyor’s own words.

• Immediate jeopardy, patternF600Dec 7, 2021

  Based on record review and staff interview it has been determined that the facility failed to protect the resident's right to be free from sexual abuse for Resident #1 and multiple unidentified residents. Findings are as follows: Record review of a community reported incident that was submitted to the Rhode Island Department of Health on 11/22/2021 indicates that sexual inappropriate behaviors were occurring between residents on the secured unit and that staff was told not to document and they are hiding it from the state. […]

• Immediate jeopardy, patternF610Dec 7, 2021

  Based on record review, and staff interview, it has been determined that the facility failed to thoroughly investigate and prevent further abuse for all alleged violations of sexual/verbal abuse for Resident ID #1 and multiple unidentified residents. Findings are as follows: Record review of a community reported incident that was submitted to the Rhode Island Department of Health on 11/22/2021 indicates that sexual inappropriate behaviors were occurring between residents on the secured unit and that staff was told not to document and they are hiding it from the state. […]

• Immediate jeopardy, patternF689Dec 7, 2021

  Based on record review and staff interview, it has been determined that the facility failed to ensure that cognitively impaired residents received adequate supervision for 3 of 3 sample residents, Resident ID #s 1, 2, 3 and multiple unidentified residents. Findings are as follows: Record review of a community reported incident that was submitted to the Rhode Island Department of Health on 11/22/2021 indicates that sexual inappropriate behaviors were occurring between residents on the secured unit and that staff was told not to document and they are hiding it from the state. 1) Record review revealed Resident ID #1 was admitted to the facility in March of 2021 with diagnoses which include [CONDITION(S)] and anxiety disorder. […]

• Immediate jeopardy, isolatedF880Jan 22, 2024

  Based on surveyor observations, record review, and staff interview, it has been determined that the facility failed to provide a safe and sanitary environment to help prevent the transmission of infections relative to disinfecting glucometers (a device used to monitor blood glucose) for 3 of 4 residents observed who require blood glucose monitoring, Resident ID #s 43, 317 and 108. Findings are as follows: 1. According to the facility's policy last revised in March of 2015 titled, diabetes-care of equipment states in part, .5. If a glucometer is to be used for one resident and then reused for another, the device must be cleaned and disinfected between uses. Directions vary between manufacturers and even between models within brands. […]

• Actual harm, isolatedF635Oct 31, 2024

  Based on record review and staff interview, it has been determined that the facility failed to obtain complete admission orders for the resident's immediate care for 1 of 1 resident reviewed who was not administered the prescribed medications after being readmitted to the nursing facility from the hospital, Resident ID #1. Findings are as follows: Record review of a community reported complaint submitted to the Rhode Island Department of Health on 10/29/2024 alleges that the resident was not administered the prescribed amiodarone (a medication that treats a fast or irregular heart rhythm by reducing symptoms and helps avoid life-threatening complications) on his/her readmission to the facility from the hospital on 10/11/2024. […]