The Guest House Skilled Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at The Guest House Skilled Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, widespreadF835Aug 17, 2023

  Based on interviews, the facility failed to be administered in a manner that used its resources effectively and efficiently to ensure residents were protected from ant infestation and ant bites. The facility failed to ensure the facility was free of pests including ants, roaches and spiders. The deficient practice was identified on 08/14/2023 when live ants and other pests were observed in several residents' rooms and around the interior of facility. This deficient practice resulted in an immediate jeopardy on 08/14/2023 at approximately 9:15 a.m. when numerous live ants were found on F hallway crawling in the residents' rooms, around the bathroom doors, under the beds and chairs and on personal items. […]

• Immediate jeopardy, widespreadF925Aug 17, 2023

  Based on record reviews, observations and interviews the facility failed to maintain an effective pest control program by failing to ensure the facility was free of pests including ants, roaches and spiders. The deficient practice was identified on 08/14/2023 when live ants and other pests were observed in several residents' rooms and around the interior of facility. This deficient practice resulted in an immediate jeopardy on 08/14/2023 at approximately 9:15 a.m. when numerous live ants were found on F hallway crawling in the residents' rooms, around the bathroom doors, under the beds and chairs and on personal items. […]

• Immediate jeopardy, patternF600Dec 15, 2022

  Based on observations, record review, and interviews, the facility failed to protect the resident's right to be free from physical and verbal abuse and psychosocial harm by a staff member for 1 (Resident #1) of 8 (Residents #1, #2, #3, #4, #5, #6, #7, #8) sampled residents. This deficient practice resulted in an immediate jeopardy for Resident #1, who is cognitively impaired, on 10/18/2022 when S3 CNA (Certified Nursing Assistant) physically and verbally abused Resident #1 in Resident #1's room by aggressively pulling Resident #1's head up when sitting on the floor and yelled directly into Resident #1's ear, Stop Yelling. Resident #1 was noted to be agitated and fearful and told S3 CNA Don't kill me, don't kill me. […]

• Immediate jeopardy, patternF835Dec 15, 2022

  Based on observations and interviews, the facility failed to administer its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident by failing to ensure: 1. Resident #1 was not physically and verbally abused and psychosocially harmed by staff 2. A system was put in place to ensure physical and verbal abuse and psychosocial harm will not happen again and put in place ongoing monitoring of residents for evidence of abuse 3. All residents were assessed and/or interviewed regarding concerns of mental, physical, verbal and/or sexual abuse 4. Facility staff was assessed for burnout sign and symptoms. […]

• Immediate jeopardy, isolatedF689Sep 25, 2024

  Based on record reviews, video review, and interviews the facility failed to supervise cognitively impaired residents who were high risk for elopement. Resident #1 exited the facility and Residents #5 and #6 remained at high risk for elopement, 3 (#1, #5, #6) of 6 (#1, #2, #3, #4, #5, #6) sampled residents reviewed for elopement. This deficient practice resulted in an Immediate Jeopardy (IJ) on 04/07/2024 at 2:50 a.m. when Resident #1, a moderately cognitively impaired resident who ambulated with a walker, was unsupervised and eloped from the facility. Resident #1 crawled out of the window in her room and exited the facility. […]