Townhouse Center for Rehabilitation & Nursing

In the surveyor’s words

From the most serious findings on record at Townhouse Center for Rehabilitation & Nursing, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Jan 23, 2025

  Based on record review and interviews during the Recertification Survey initiated on 1/15/2025 and completed on 1/23/2025, the facility did not ensure it established and maintained an infection prevention and control program designed to provide a safe and sanitary environment and to help prevent the development, and transmission of communicable diseases and infections. This was identified during the Infection Control Task. Specifically, the facility did not provide documented evidence of testing of the potable water system for Legionnaires' and other Waterborne pathogens. The facility did not provide documented evidence of a Flow Diagram to indicate a description of the building's water systems as per the facility's policy. The finding is: The facility's Legionella Water Mgmt. […]

• No harm, potential for more than minimal, patternF880Jan 23, 2025

  Based on record review and interviews during the Recertification Survey initiated on 1/15/2025 and completed on 1/23/2025, the facility did not ensure it established and maintained an infection prevention and control program designed to provide a safe and sanitary environment and to help prevent the development, and transmission of communicable diseases and infections. This was identified during the Infection Control Task. Specifically, the facility did not provide documented evidence of testing of the potable water system for Legionnaires' and other Waterborne pathogens. The facility did not provide documented evidence of a Flow Diagram to indicate a description of the building's water systems as per the facility's policy. The finding is: The facility's Legionella Water Mgmt. […]

• No harm, potential for more than minimal, patternF812May 9, 2023

  Based on observation, record review, and interviews during the Recertification Survey initiated on 5/3/2023 and completed on 5/9/2023, the facility did not ensure proper sanitation and food handling practices to prevent the outbreak of food born illnesses. This was identified during the initial kitchen observation. Specifically, a high-temperature automatic dishwashing machine was observed on two occasions on 5/3/2023 with a final rinse temperature below the manufacturer's recommended 180 degrees Fahrenheit (F). Additionally, there was no sanitizing agent attached to the dishwashing machine which would have automatically dispensed when the recommended 180 degrees temperature was not achieved during the final rinse cycle. […]

• No harm, potential for more than minimal, isolatedF609Apr 7, 2026

  Based on observation, record review, and interviews during an abbreviated survey (2631774), the facility did not ensure that all alleged incidents of a staff-to-resident abuse was reported immediately, but not later than 2 hours if there were serious bodily injuries or not later than 24 hours if there were no serious bodily injuries. This was identified for one (Resident #1) of three residents reviewed for abuse. Specifically, on 08/27/2025 Family Member #1 reported to the facility that Resident #1 alleged Certified Nursing Assistant #2 was rough with them and pulled their arms. […]

• No harm, potential for more than minimal, isolatedF640Jan 23, 2025

  Based on record review and interviews during the Recertification Survey initiated on 1/15/2025 and completed on 1/23/2025, the facility did not ensure that all completed Minimum Data Set assessments were electronically transmitted to the Centers for Medicare and Medicaid Services within 14 days of the resident assessment completion date. This was identified for two (Resident #223 and Resident #171) of two residents reviewed for the Resident Assessment Task. Specifically, Resident #223's Discharge Minimum Data Set assessment was not submitted within 14 days from the completion of the Minimum Data Set assessment. […]