Trenton Health and Rehabilitation Center, LLC

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Dec 11, 2024

  Based on policy review, observation, and interview, the facility failed to ensure food was properly stored and labeled, and failed to ensure the kitchen equipment was clean. The facility had a census of 49 with 48 of those residents receiving a food tray from the Kitchen. The findings include: 1. Review of the facility policy titled, Food Storage, dated [DATE], revealed Food items should be stored, thawed, and prepared in accordance with good sanitary practice. Any expired or outdated food products should be discarded. During a power failure, frozen and refrigerated foods are properly handled .All products should be dated upon receipt and when they are prepared. […]

• No harm, potential for more than minimal, patternF759Nov 2, 2023

  Based on policy review, medical record review, observation, and interview, the facility failed to ensure a medication administration rate of less than 5 percent (%) when 1 of 3 nurses (Licensed Practical Nurse (LPN) #2) failed to properly administer medications for 1 of 5 sampled residents (Resident #20) observed during medication administration. This resulted in a medication administration error rate of 51.52 %. The findings include: Review of the facility's policy titled, Administering Medications through an Enteral Tube, dated 2018, revealed .Administrator each medication separately and flush between medications .Use a clean syringe with an .connector to administer medications through an enteral tube . […]

• No harm, potential for more than minimal, patternF880Nov 2, 2023

  Based on policy review, observation, and interview, the facility failed to ensure proper infection control practices when 5 of 9 (Certified Nursing Assistants (CNA) #4, #5, #6, #7), and Licensed Practical Nurse (LPN #1) staff members failed to perform hand hygiene during meal pass, failed to clean reusable equipment after administering medications, and failed to place a clean barrier between medications and the surface under it. The findings include: 1. Review of the facility policy titled, Handwashing/Hand Hygiene, dated August 2019, revealed .this facility considers hand hygiene the primary means to prevent the spread of infections .All personnel shall follow the handwashing/hand hygiene procedures to help prevent the spread of infections to other personnel, residents, and visitors… […]

• No harm, potential for more than minimal, isolatedF689Dec 11, 2024

  Based on policy review, medical record review, and interview, the facility failed to ensure residents were free from fall accident hazards for 1 of 3 (Resident #42) sampled residents reviewed for falls. The staff failed to the ensure the foot pedals where on the wheelchair and the resident's feet could rest on the foot pedals during wheelchair mobility. The finding include: 1. Review of the facility policy titled, Accident and Incident prevention of Residents, dated July 2017, revealed .Our facility strives to make the facility as free from accidents and incidents as possible. Resident safety and supervision and assistance to prevent accidents are facility-wide priorities . 2. […]

• No harm, potential for more than minimal, isolatedF695Dec 11, 2024

  Based on policy review, medical record review, observation, and interview, the facility failed to follow physician orders for oxygen and provide necessary respiratory care consistent with professional standards of practice for 2 of 3 (Resident #35 and #39) sampled residents reviewed for oxygen therapy. The findings include: 1. Review of the undated facility policy titled, Oxygen Administration, revealed .Verify that there is a physician's order for this procedure. Review the physician's order or facility protocol for oxygen administration .The following equipment and supplies will be necessary when performing this procedure .Portable oxygen cylinder (strapped to the stand) .Humidifier bottle .Regulator . […]