Putnam Nursing & Rehabilitation Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during the recertification survey from 3/30/2025 to 4/04/2025, the facility did not ensure the resident's right to a safe, clean, comfortable, and homelike environment. This was evident for 2 of 2 resident floors (2nd and 3rd Floors) during observation of the environment. Specifically, the 3rd Floor Unit had a broken handrail endcap, an ongoing foul, pervasive, strong odor of urine, a broken dresser and a ripped chair were observed in room [ROOM NUMBER], the shower room walls were stained, the community unit bathroom tiles were stained, floor molding was cracked, sheetrock had a gouge, the Community room floor had visible dust and debris, privacy curtains in resident rooms were visibly soiled, and some base board moldings were cracked and soiled with wax build up. The 2nd floor base board moldings were cracked and soiled with wax build up. The findings are: An undated Housekeeping Policy and Procedure documented the purpose to have a detailed room…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review during the recertification survey from 3/30/2025 to 4/4/2025 the facility did not ensure residents received treatment and care in accordance with professional standards of practice for 3 of 3 residents (#16, #60, and #37) reviewed for Positioning and Mobility. Specifically, Resident #16 was not provided a positioning device for their left-hand contracture (shortening and hardening of muscles often leading to deformity and rigidity of joints), Resident #60 was not positioned correctly in their wheelchair, and Resident #37 was not provided positioning devices they needed for comfort and positioning. Findings include: The facility policy, Contracture Prevention and Management documented departments will work in conjunction to apply preventive measures to prevent and manage contractures. Contractures can be prevented by the use of active and passive range of motion techniques as well as positioning devices, splints, and braces. 1. Resident #16 had diagnoses including multiple…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interviews conducted during the recertification survey from 3/30/2024 to 04/04/2025, the facility did not ensure that food was stored in accordance with professional standards for food service safety. Specifically, food items were not properly identified and dated in the kitchen refrigerators, freezers, food storage areas and unit pantry refrigerators. Staff in the kitchen were observed without hairnets worn properly and beard covers. Areas in the kitchen were found with broken tiles, damaged baseboards, and dirt/dust. Findings include: The facility policy Food Handling Program reviewed 07/20/2024 documented that during food preparation, proper levels of sanitation will be maintained in employee handwashing and the use of gloves and utensils. The initial inspection of the kitchen was conducted on 03/30/2024 at 9:30 AM with Food Service Worker #1 and the following was observed: - In the Walk- in Freezer foods were without identification labels and undated. The Food Service Worker…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review, and interview conducted during a recertification survey from 3/30/2025 to 4/4/2025, the facility did not ensure a person-centered comprehensive care plan was developed and/or implemented for 2 of 3 residents (#16 and #60) reviewed for Positioning and Mobility. Specifically, there was no documented evidence that a care plan was developed for Resident #16's left hand contracture (shortening and hardening of muscles often leading to deformity and rigidity of joints), or for Resident #60's positioning in their specialized wheelchair. Findings include: The facility policy, Comprehensive Care Plan Process, revised February 2024 documented each resident's comprehensive care plan will be individualized, define the problems/needs/goals, and the summary of the team's approach and outcomes. 1. Resident #16 had diagnoses including multiple sclerosis (nerve disease), primary generalized osteoarthritis (degeneration of joint cartilage and bone), and arthropathy (joint disease). The 1/20/2025 Annual Minimum Data Set (resident assessment) documented Resident #16…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review, and interview conducted during the recertification survey from 3/30/2025 to 4/4/2025, the facility did not ensure each resident who was unable to carry out activities of daily living received the necessary care and services to maintain good personal hygiene for 1 of 4 residents (Resident #16) reviewed for Activities of Daily Living. Specifically, Resident #16, who required extensive assistance with personal hygiene and was dependent with showers/ bathing, was observed during multiple observations with long fingernails and a left-hand contracture (shortening and hardening of muscles often leading to deformity and rigidity of joints). Findings include: The facility policy titled Nail Care, revised December 2023 documented provide nail care to all residents as part of routine activities of daily living. The undated facility policy titled AM Care, documented residents unable to care for themselves are provided total care. Resident #16 had diagnoses including multiple sclerosis (nerve disease), primary generalized osteoarthritis (degeneration of joint…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review conducted during the recertification survey from 3/30/2025-4/4/2025, the facility did not ensure that a Registered Nurse was on duty for at least 8 consecutive hours a day, 7 days a week for one of 26 weekend days reviewed from 10/5/2024 through 12/31/2024, and daily staffing reviewed from 3/1/2025 through 4/3/2025. Specifically, no Registered Nurse worked during the 24-hour period on 11/2/2024. Findings included: The Facility Assessment reviewed 1/15/2025 documented the Minimum Nursing Staffing Plan to include a Registered Nurse staffed on all shifts. During an interview and review of the Facility Assessment Minimum Nursing Staffing Plan on 4/4/25 at 9:01 AM, the Director of Human Resources/Covering Staffing Coordinator stated that no Registered Nurse worked on 11/2/2024. They stated they did not understand why that happened and stated they were aware of the regulation that a Registered Nurse must work at least 8 hours in every 24-hour period. During an interview on 04/04/25 at 11:24 AM, the Director of Nursing reviewed the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and interview conducted during the recertification survey from 3/30/2025 to 4/04/2025, the facility did not ensure the Quality Assurance & Performance Improvement and Quality Assessment & Assurance committees consisted at a minimum of the Medical Director, or their designee, and the Infection Control Practitioner attendance quarterly meetings. Specifically, the Medical Director or designee had not participated in Quality Assurance & Performance Improvement meetings for three out of the four meetings and the Infection Control Practitioner did not participate in two out of four Quarterly meetings as required. The findings are: The facility Quality Assurance and Performance Improvement Policy, last revised on April 6, 2025, documented the Quality Assessment and Assurance Committee comprised of the Administrator, Director of Nursing Services, Medical Director, Clinical Coordinators, Unit Managers, Governing Body, and all Department heads. A review of the Quarterly Meeting Attendance Sheets entitled Quality Assurance and Performance Improvement for 6/6/24, 9/6/24,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview during the recertification survey conducted from 3/30/2025 to 04/04/2025, the facility did not ensure infection control prevention practices were maintained to prevent the development and transmission of communicable diseases and infections. Specifically, housekeeping staff did not wear the appropriate Personal Protective Equipment when going inside the room of a resident on Droplet Precautions. Findings include: On 3/30/2025 at 10:46 AM, an observation of room [ROOM NUMBER] was conducted. A Droplet Precaution sign was observed on the door, and personal protective equipment was hanging on door. On 03/31/25 at 01:51 PM during view of video footage with the facility Administrator, observed that on 3/30/25 at 11:18 am, Housekeeper #1 went into room [ROOM NUMBER] without a gown, came out wearing gloves, and pushed the housekeeper cart down the hall. On 04/01/25 at 9:24 AM, observed Housekeeper #2 place three (3) new bins in room [ROOM NUMBER] wearing a surgical mask,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, and interview conducted during the Recertification Survey from 12/13/2022 to 12/19/22, the facility did not ensure that all drugs and biologicals used in the facility were labeled in accordance with accepted professional principles and included the appropriate accessory and cautionary instructions, and an expiration date when applicable for 1 of 3 medication carts reviewed for medication storage. Specifically, Medication Cart # 1 contained both an open Novolog insulin pen and an open multidose bottle of Lispro insulin not labeled with a resident's name and/or date opened. The findings are: During an observation on 12/14/22 at 12:45 PM of Medication Cart #1 on the 2 East Unit, an open Novolog insulin pen was observed in a labeled bag with the residents name, but without a label affixed to the insulin pen with the resident's name and/or the date it was opened. A bottle of Lispro insulin was observed open, without a resident's name and/or date it was opened, and was not in a plastic bag. An interview was conducted with the Licensed Practical Nurse (LPN #1) on…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews conducted during a Recertification Survey from 12/13/2022-12/19/2022 the facility did not ensure that an infection prevention and control program was established and maintained to prevent the development and transmission of COVID-19. Specifically one LPN #4 (Licensed Practical Nurse) did not use appropriate Personal Protective Equipment (PPE) including eye protection and gowns when providing patient care for two of five residents (Residents #66, #28,) who were COVID 19 positive. The findings are: The Centers for Disease Control and Prevention (CDC) guidance titled COVID-19 Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic updated 9/10/21, documented Health Care Providers (HCPs) who enter the room of a resident with suspected or confirmed SARS-CoV-2 infection should adhere to Standard Precautions and use a NIOSH-approved N95 or equivalent or higher-level respirator, gown,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interviews during the recertification survey, the facility did not ensure that each resident was provided with the necessary care and services to ensure that the resident's ability to communicate their needs to staff was available. This was evident for 1 of 1resident (Resident #41) reviewed for communication. Specifically, Resident #41 spoke Polish as her primary language and had little understanding of the English language. The resident was not provided with a Polish translator as indicated in the resident's Comprehensive Care Plan Additionally, the staff did not know how to access the language phone line to obtain a translator. The findings are: Resident # 41 was admitted to the facility on [DATE] with diagnoses including Alzheimer Dementia, Major Depressive Disorder, and Arthritis. The 11/23/18 Annual MDS (Minimum data Assessment; an assessment tool) revealed that Resident #41 had severe cognitive impairment, the ability to express ideas and wants was sometimes…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, an interview, and record reviews conducted during the Recertification Survey, it was determined that for one of one (Resident #104) reviewed for Acidents the facility did not ensure that the resident environment remained as free of accident hazards as possible. Specifically, a resident with a diagnosis of Parkinson Disease (a progressive neurological disease marked especially by tremor of resting muscles, rigidity and slowness of movement) was being pushed in a wheelchair by staff in an unsafe manner. The findings are: Based on observations, an interview, and record review conducted during the Recertification Survey, it could not be ensured that facility revised the comprehensive Care Plan for 1 of 1 resident (#104) reviewed for accidents. Specifically, a resident with a diagnosis of Parkinson's Disease (a progressive neurological disease marked especially by tremor of resting muscles, rigidity and slowness of movement) was being pushed by staff in an unsafe manner. The findings are: Resident #104 was re-admitted to the facility 5/28/19 with Diagnoses…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.