Tiffany Hall Nursing and Rehab Center

In the surveyor’s words

From the most serious findings on record at Tiffany Hall Nursing and Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jun 26, 2025

  Based on interviews, observation, record and policy review, the facility failed to protect the resident's right to be free from neglect when it failed to provide supervision to protect resident safety as evidenced by disregarding the procedure to prevent the resident from eloping, failed to search for the missing resident timely, and failed to provide essential medications, for 1 of 3 sampled residents (Resident #1). The deficient practice allowed Resident #1 to exit the facility undetected on 06/18/25 at 8:26 PM. There were 111 residents in the facility at the time of the survey. The facility's Administrator was notified of Immediate Jeopardy on 06/25/25 at 4:09 PM. The immediate jeopardy was removed at the time of the facility exit on 06/26/25. Cross reference to F689. […]

• Immediate jeopardy, isolatedF689Jun 26, 2025

  Based on interview, observation, record and policy review, the facility failed to provide appropriate supervision to prevent an elopement which resulted in the resident exiting the facility undetected and whereabouts unknown for 12 hours as he walked along a highway that put him at risk of being hit by an automobile for 1 of 3 sampled residents (Resident #1). The deficient practice allowed Resident #1 to exit the facility undetected on 06/18/25 at 8:26 PM. There were 111 residents in the facility at the time of the survey. The facility's Administrator was notified of Immediate Jeopardy on 06/25/25 at 4:09 PM. The Immediate Jeopardy was removed by the time of the facility exit on 06/26/25. Cross reference to F600. […]

• No harm, potential for more than minimal, patternF584Jun 24, 2021

  Based on observation and interview, the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly and comfortable environment, for 22 of 58 rooms in West Wing (100 Wing) and hallways in 2 of 2 wings (100 and 200 Wing [East]). The findings included: 1. A tour of the resident rooms was conducted with the Southeast Regional Director of Maintenance and Maintenance Director, on 06/23/21 at 1:03 PM. The following issues were observed and acknowledged by the Southeast Regional Director of Maintenance: 100 Wing, Rooms 101 - 116: Room 102: The windowsill laminate was separating, baseboard separating from wall, the window blinds are bent, the light fixture in the bathroom is blinking, and there was an indent in wall where the door is hitting the wall… […]

• No harm, potential for more than minimal, isolatedF609Feb 20, 2025

  Based on policy review, record review and interview, the facility failed to identify a situation as a credible allegation of verbal abuse and to report the allegation to local Law Enforcement (LE), the State Agency (SA), and the Administrator of the facility, for 1 of 2 sampled residents, Resident #87. The findings included: Review of the policy, titled, Abuse and Neglect Prohibition, revised 08/2023, documented, in part, The definition of Verbal Abuse is defined as the use of oral, written, or gestured language that willfully includes disparaging and derogatory terms to residents or their families or within their hearing distance regardless of their age, ability to comprehend, or disability. […]

• No harm, potential for more than minimal, isolatedF690Feb 20, 2025

  Based on observation, record review, and interview, the facility failed to change the indwelling urinary catheter for per the physician order for 1 of 1 sampled resident, Resident #79, reviewed for urinary catheter. The findings included: 1. Record review revealed Resident #79 was admitted to the facility on [DATE] with a medical diagnosis for the indwelling catheter as Urinary Retention. Resident #79 had a history of recurrent Urinary Tract Infections (UTIs). The resident had a recent urine culture done on 11/23/24 because the color of the urine was cloudy / milky with sediments and was positive for an UTI. […]