Thomson Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Thomson Health and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF580Jan 31, 2023

  Based on record review, interviews, and review of the policy titled Change in a Resident's Condition or Status, the facility failed to notify the resident's physician when there was a change in resident's physical status, for one of two residents (R) (R#5), reviewed for change in condition. Specifically, harm was identified when R#5 was admitted to hospital with diagnosis of bowel obstruction and urinary tract infection. The findings include: Review of the facility policy titled, Change in a Resident's Condition or Status revised February 2021 revealed, our facility promptly notifies the resident, his or her attending physician, and the resident representative of changes in the resident's medical/mental condition and/or status (e.g., changes in level of care, billing/payments, resident… […]

• Actual harm, isolatedF689Jan 31, 2023

  Based on record review, interviews, and review of the policy titled Lifting Machine, Using a Mechanical, the facility failed to ensure a safe and secure environment related to accidents, which resulted in actual harm for one of two residents (R) (R#5) reviewed for accidents, in which R#5 was hit in the face with the lift arm during transfer on 8/16/2022, and suffered left periorbital swelling and a black eye. The findings include: Review of the facility policy titled, Lifting Machine, Using a Mechanical revised July 2017 revealed, the purpose of this procedure is to establish the general principles of safe lifting using a mechanical lift device. It is not a substitute for manufacturers training or instructions. General Guidelines: 1. […]

• No harm, potential for more than minimal, widespreadF812Feb 12, 2026

  Based on observations, staff interviews, and facility policy reviews, the facility failed to ensure that food items in the kitchen and resident pantries were properly dated and stored. In addition, the facility failed to ensure sanitary conditions in the kitchen and properly clean and sanitize dishes. The deficient practices had the potential to place the 103 residents who received meals from the dietary department at increased risk of foodborne illness.Findings include:On 02/09/26 at 8:40 AM, observation revealed a 0.25-inch-thick cardboard-like cover surrounding the entire kitchen hood system near the oven that was peeling, severely cracked, and flaking for a two-foot-wide by three-foot area. Interview with the Dietary Manager (DM) at the time of the observation verified the problem. […]

• No harm, potential for more than minimal, widespreadF812Nov 21, 2024

  Based on observation, staff interview, record review, and review of the facility's policy titled Sanitation, the facility failed to maintain the ice machine in a clean and sanitary manner. The deficient practice had the potential to cause illness to 103 out of 105 residents who consumed an oral diet. Findings include: Review of the facility's policy titled Sanitation revised 11/2022 revealed, that ice machines should be drained, cleaned, and sanitized. During an observation of the kitchen on 11/18/2024 at 9:47 am with the Dietary Manager (DM) revealed, a black substance was observed on the plastic lining inside the ice machine. Review of the cleaning schedule revealed, the ice machine had been last cleaned on 10/21/2024. […]

• No harm, potential for more than minimal, patternF623Nov 21, 2024

  Based on staff interview, record review, and review of the facility's policy titled, Transfer Agreement, the facility failed to provide written hospital transfer notices for three of three Residents (R) (R11, R12, and R43) reviewed for hospitalization out of a total sample of 33 residents. The failure had the potential to cause residents to not fully understand the purpose of the hospital transfer. Findings include: Review of the facility's policy titled, Transfer Agreement revised March 2017 revealed, the agreement, facilitates the exchange of medical and other information necessary or useful in the care and treatment of residents transferred between the institutions. […]