Waterfront Rehabilitation and Healthcare Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812May 30, 2024

  Based on observation, interview, and facility policy review, the facility failed to ensure food and beverages stored in one of one kitchen were dated and did not have expired manufacturer's use by dates. This had the potential to affect 114 of 116 residents who consumed food prepared in the facility's kitchen. Findings include: 1. Observation on [DATE] from 9:20 AM to 10:00 AM, during the initial kitchen inspection, with the Dietary Manager (DM) present, revealed the following: a. […]

• No harm, potential for more than minimal, patternF550May 30, 2024

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure seven of eight residents (Resident (R)10, R77, R9, R45, R25, R57, and R83) reviewed for dignity were treated in a dignified manner out of 26 sampled residents. The facility failed to promote a dignified dining experience which included timely meal service, eating food at the same time as tablemates, and items served in non-disposable dishes for six of six residents (Resident (R)10, R77, R9, R45, R25, and R57) reviewed for dignity in dining. Additionally, the facility failed to honor R83's right to a dignified existence and self-determination by making her wear an identification wrist band after she made staff aware that she preferred not to wear the band. Findings include: 1. […]

• No harm, potential for more than minimal, patternF584May 30, 2024

  Based on observation, interview, and record review, the facility failed to ensure there was an adequate supply of linens for 10 (R9, R25, R45, R75, R33, R7, R15, R94, R74, and a resident requesting to remain anonymous) out of 26 sampled and 25 supplemental residents. Specifically, there was an insufficient supply of towels to meet residents' needs. Findings include: 1. During the Resident Council Group interview on 05/28/24 at 10:00 AM, three of five residents who attended stated there was a problem with the availability of towels: -R9 and R25 stated there were not enough towels (bath towels and wash cloths) available. […]

• No harm, potential for more than minimal, patternF803May 30, 2024

  Based on observation, interview, record review, facility menu review, and facility policy review, the facility failed to ensure menus were prepared in advance which included a specific vegetable that was to be served for 39 of 56 lunch and supper meals on the facility's four-week menu cycle. This had the potential to affect 114 of 116 residents who consumed food prepared in the facility's kitchen. Findings include: 1. Review of R77's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/23/24, located in the electronic medical record (EMR) under the MDS tab, revealed a Brief Interview for Mental Status (BIMS) score of 14 out of 15, which indicated R77 was cognitively intact. […]

• No harm, potential for more than minimal, patternF804May 30, 2024

  Based on observation, interview, test tray review, record review, review of Resident Council Minutes, and facility policy review, the facility failed to serve food that was palatable and at appetizing temperature for 13 of 13 residents (Resident (R) 26, R67, R81, R10, R86, R100, R105, R83, R84, R30, R45, R25, and R9) reviewed for food palatability out of 26 sampled residents. This failure had the potential to affect all 114 of 116 residents who consumed food prepared from the facility's kitchen. Findings include: 1. […]