Health Center At The Renaissance

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident record review, staff interviews, review of Self-Reported Incidents (SRIs), and review of facility concern logs, a soft file investigation and facility policy review, the facility failed to ensure Residents #33 and #48 were free from verbal and physical abuse. This affected two residents (#33 and #48) of two residents reviewed for abuse. The facility census was 82.Findings include:1. Review of the medical record for Resident #33 revealed an admission date of 08/23/20 and diagnoses including dementia, hypertension, and major depressive disorder.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #33 had short- and long-term cognition impairment, was severely impaired regarding tasks of daily life, had a history of physical and verbally aggressive behaviors, was resistant to care, and was dependent on staff for toileting, lower body dressing and mobility.Review of the care plan last updated on 08/22/25 revealed Resident #33 had a diagnosis of dementia with a history of…

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 resident record review, staff interviews, review of Self-Reported Incidents (SRIs), review of facility soft file investigation, and facility policy review, the facility failed to report an incident of alleged abuse to the State Agency. This affected one (Resident #48) of two residents reviewed for abuse. The facility census was 82.Findings include:Review of the medical record for Resident #48 revealed an admission date of 03/03/25 with diagnoses including Alzheimer's disease, hypertension, osteoarthritis of the left knee, and right artificial hip joint. Review of the MDS assessment dated [DATE] revealed Resident #48 had a Brief Interview for Mental Status (BIMS) score of three which indicated severe cognitive impairment and the resident was dependent on staff for toileting, lower body dressing and hygiene. Review of the physician orders dated 03/03/25 revealed an order to assist Resident #48 with turning and repositioning during routine rounds and as needed. Review of the progress note dated 03/04/25 at…

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 record review, observations, staff interviews, and facility policy review, the facility failed to provide accommodation for a dependent resident's needs. This affected one (Resident #38) of three residents reviewed for nutrition. The facility census was 82. Findings include:Review of the medical record for Resident #38 revealed an admission date of 01/30/22 with diagnoses including dementia, major depressive disorder, and carpal tunnel syndrome of the right upper limb. Resident #38 received hospice care services. Review of the physician order dated 07/06/23 revealed an order for Resident #38 to reside in the memory support unit. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #38 had severe cognitive impairment and required assistance from staff for activities of daily living (ADL). Review of the care plan dated 08/18/25 revealed Resident #38 had an altered nutritional status related to dementia with a contributing history of decreased meal acceptance and weight loss.…

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, observation, interview and facility policy review, the facility failed to ensure medications were given according to physician's orders, creating a medication error rate of 16.0 percent (%). This affected two residents (#29 and #32) of three residents observed for medication administration. The facility census was 82. Findings include:1. Review of the medical record for Resident #29 revealed an admission date of 09/08/25 and diagnoses including metabolic encephalopathy, ventricular tachycardia, and stage four chronic kidney disease. A physician's order dated 09/18/25 was for 12.5 milligrams (mg) of spironolactone (a diuretic) to be given daily, with no other current orders for this medication. Another physician's order dated 09/08/25 was for a senna-docusate 8.6-50 mg (laxative and stool softener) combination medication to be given twice daily, and no current order for any senna-only pills to be given. Observation of a medication administration procedure for Resident #29 on 09/24/25 at 8:29 A.M. by Registered Nurse (RN) #868 revealed the nurse drew out two…

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 record review, review of the Self-Reported Incident (SRI) and interviews, the facility did not ensure all residents were protected from misappropriation of resident funds by staff. This affected one resident of four residents reviewed for resident rights. The facility census was 74. Findings included: Record review for Resident #535 revealed an admission date of 05/22/23 with diagnoses including anxiety disorder, hypertension, constipation, anorexia, major depressive disorder. Record review of the facility Minimum Data Set ( MDS) 3.0 assessment dated [DATE] revealed a Brief Interview for Mental Status ( BIMS) score of 11 indicating moderate cognitive impairment. Record review of the SRI dated 10/03/23 and the facility investigation revealed agency State Tested Nurse Assistant (STNA) # 176 took a check from Resident #535 and wrote it out for $4000. On 10/03/23 the family of Resident #535 alerted the facility that a check allegedly signed by Resident #535 had been electronically presented for payment to…

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 the facility failed to ensure a variety of foods were offered for Resident #51 and Resident #85 and failed to ensure Resident #2, Resident #65 and Resident #80, who were ordered a pureed diet received the proper serving size of soup. This affected two residents (#51 and #85) of four residents reviewed for food concerns based on the menu and three residents (#2, #65 and #80) of three residents reviewed for pureed diets. Findings include: On 03/10/20 observation of both the lunch and dinner meals revealed beef and barley soup was served for both meals. Interview with Dietary Managers #201 and #202 on 03/10/20 at 5:45 P.M. regarding observations of beef barley soup having been served on 03/10/20 for both lunch and dinner meals, and concerns residents (#51 and #85) had stated in regard to the lack of variety of meals served were discussed. Dietary Manager #201 stated, The same meals are not served back to back and denied beef and barley soup had been served at lunch and dinner on 03/10/20. Review of the menu spreadsheet on 03/10/20 with…

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 the facility failed to ensure a sanitary food preparation area was maintained during tray/serving line of meals to prevent potential contamination and/or food borne illness. This had the potential to affect 44 residents (#1, #2, #4, #5, #7, #9, #12, #13, #14, #18, #20, #22, #24, #27, #28, #29, #31, #35, #37, #48, #49, #51, #52, #58, #61, #64, #65, #66, #68, #73, #74, #77, #79, #80, #81, #84, #88, #90, #91, #93, #293, #294, #295 and #296) of 45 residents who take foods by mouth, reside on the second floor and receive their meals from the pantry. Findings include: Interview with Dietary Manager #201 on 03/09/20 at 10:00 A.M. revealed all dietary staff had been trained in safe food serving. Observation of the second floor food tray/serving line 03/10/20 at 11:28 A.M. revealed Dietary Aide #200 was observed to put a used paper towel, alcohol wipe and wrapper onto the serving area and those items fell upon the heavily traveled pantry floor. Dietary Aide #200 picked the items up off of the floor with bare hands and placed them back onto…

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.