Tri Cities Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Tri Cities Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF684Jul 9, 2026

  Based on interview, record review, and review of the facility's policy, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice and their comprehensive person-centered care plan for 1 of 5 sampled residents (Resident (R)1). The facility admitted R1 on [DATE], with a diagnosis of diabetes mellitus, with orders obtained for blood glucose monitoring (BGM) and insulin. The facility documented administration of R1's insulin; however, there was no documented evidence of the BGM for the dates of 07/02-04/2026. Per the facility's documentation, R1 was sent to the hospital on [DATE] for hyperglycemia. […]

• No harm, potential for more than minimal, widespreadF801Oct 10, 2024

  Based on document review, interview, and policy review, the facility failed to ensure the dietary department was managed by a qualified director of food and nutrition services with the potential to affect 67 of 69 residents living at the facility. Findings include: Review of the 2022 Food Code US (United States) FDA (Food and Drug Administration), dated 01/18/23, Chapter 2-3 and located at https://www.fda.gov/media/164194/download?attachment, indicated Certified Food Protection Manager .The person in charge shall be a certified food protection manager who has shown proficiency of required information through passing a test that is part of an accredited program . […]

• No harm, potential for more than minimal, widespreadF803Oct 10, 2024

  Based on observation, menu review, interview, and facility policy review, the facility failed to ensure the menus and menu extensions were followed which included providing appropriate approved food substitutions, ensuring recipes were followed, and proper scoop sizes were utilized for 67 out of 69 residents residing in the facility. This failure had the potential for residents to lose weight. Findings include: Review of the facility's undated policy titled, Menu Changes, indicated .Changes may be made to the existing menu by the Dietary Manager or Kitchen Supervisor for the following reasons .Product as ordered for meal was out of stock .Menu items which are substituted are noted by the Food Service Manager or Kitchen Supervisor . 1. […]

• No harm, potential for more than minimal, widespreadF812Oct 10, 2024

  Based on observation, document review, interview, and policy review the facility failed to ensure food items in the kitchen and storage areas were dated and labeled, food temperature logs were completed on a consistent manner, and utensils were not stored in ready to eat food for 67 out of 69 residents. This failure had the potential to lead to food-borne illnesses and cross contamination. Findings include: Review of the facility's policy titled, Food Temperature, dated 02/09/16, indicated .Temperature checklists and thermometers will be available in the kitchen. […]

• No harm, potential for more than minimal, widespreadF814Oct 10, 2024

  Based on observation and interview, the facility failed to ensure garbage was properly disposed of and contained; with the potential to affect 69 census residents and staff in the facility. This failure had the potential to attract pests. Findings include: During an initial tour of the kitchen on 10/07/24 at 11:30 AM, there were two outside dumpsters inside a fenced area. The lids to the dumpsters were off the hinges and exposed the partial contents of the inside of each dumpster. On the outside of the fenced area, there was debris which included old food, soup containers, disposable cups, and used adult briefs. A strong odor omitted from the trash. There was also debris which surrounded the trash bins on the inside of the fenced area. […]