Tremont Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Tremont Health & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Apr 10, 2026

  Based on observation, it was determined that the facility failed to provide a safe, clean, and comfortable environment on two of three nursing units. (Nursing Units B, C and E )Findings include: Observations on April 7, 2026, from 10:30 a.m. to April 9, 2026, at 1:00 p.m., revealed the following: The privacy curtain in room [ROOM NUMBER] was stained. In rooms 302, 304, 306, and 312 the air conditioning units were dirty and had a thick layer of dust. The linen closet floors were dusty and dirty under the last shelf. On Unit B, two mechanical lifts and one sit to stand lift were observed and had thick hair and debris wrapped around the wheels. On Unit B, a beverage cart had thick hair and debris wrapped around the wheels two days in a row. […]

• No harm, potential for more than minimal, patternF550Sep 11, 2024

  Based on clinical record review and resident interview, it was determined that the facility failed to provide services to enhance each resident's quality of life by offering showers as scheduled to four of six sampled residents. (Residents 1, 2, 3, 4) Findings include: Clinical record review revealed that Resident 1 was admitted to the facility on [DATE] with diagnoses that included hypertension and chronic obstructive pulmonary disease . The Minimum Data Set (MDS) assessment dated [DATE], indicated that the resident needed staff assistance for bathing. The resident was to receive a shower twice per week on Monday and Thursday. Review of documentation in the clinical record revealed that the resident only received two showers since admission to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF921Sep 11, 2024

  Based on observation it was determined that the facility failed to provide a safe, sanitary, and comfortable environment on two of three nursing units (B and C unit) and the main dining room. Findings include: Observation on the B nursing unit on September 11, 2024, from 10:30 a.m. through 2:00 p.m. revealed the following: The wall paper was peeling and hanging off the wall in multiple areas in the common area across from the nurses' station. The floor outside the door to the janitor's closet had a large accummulation of black dirt. In rooms 101, 102, 104, 105, 106, and 107, the floors were sticky and the tiles had a dull black/brown coating of dirt accummulation. In room [ROOM NUMBER] the heating unit contained peeling paint and cobwebs near the controls. […]

• No harm, potential for more than minimal, patternF697Apr 7, 2022

  Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to ensure pain management included the attempt to provide non-pharmacological interventions to alleviate pain prior to the administration of pain mediation prescribed on an as needed basis for five of 28 sampled residents. (Residents 1, 7, 50, 67, 116) Findings include: Review of the facility policy entitled, Pain Management Protocol, last reviewed May 21, 2021, revealed that non-pharmacological interventions were to be attempted prior to the administration of as needed pain medications. Clinical record review revealed that Resident 1 was admitted on [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF921Apr 7, 2022

  Based on observation and staff interview, it was determined that the facility failed to provide maintenance services in order to ensure a safe environment on two of three nursing units and the public restrooms across from the activities area. (C and E nursing units, public restrooms) Findings include: During a tour of the facility on April 6, 2022, from 11:45 a.m., to 12:15 p.m., with the Director of Maintenance revealed water temperatures at the handwashing sink in the women's public restroom across from the activities department were 129 degrees Fahrenheit (F), the men's restroom across from the activities department was 125 degrees (F), C wing nursing unit men's shower room sink 114.0 degrees (F), men's shower 111.4 degrees (F), E wing nursing unit men's shower room sink 114.0 degrees… […]