Center For Rehabilitation At Hampton Woods The

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interviews and facility policy review, the facility failed to ensure food was safely stored and dated in both the kitchenette and the main facility kitchen. The facility also failed to maintain biannual cleaning of the hood system. This had the potential to affect all 21 residents residing in the facility. The facility identified all 21 residents as receiving food from the kitchen. Findings include:1. Observation of the kitchenette on 12/29/25 from 8:27 A.M. to 8:37 A.M. with Food Service Supervisor (FSS) #97 revealed sitting on a tray on top of the microwave was one 24-ounce container of Mrs. [NAME] Maple Syrup open to air due to the flip top part of the cap was missing. In the refrigerator, there was one five-pound container of cottage cheese half full with a best buy date of 12/18/25. At the time of observation FSS #97 confirmed the maple syrup was open to air, and the cottage cheese was outdated and should have been thrown away. Observation of the main kitchen on 12/29/25…

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, record review and review of facility policy, the facility failed to ensure the commercial dryer was free from excessive lint build-up. This had the potential to affect all residents in facility. The facility census was 21.Findings include:Observation and interview with Laundry Supervisor #135 on 12/30/25 at 10:35 A.M. confirmed lint compartment on commercial dryer had quite a bit of lint and that it appeared to not have been cleaned out prior to use on 12/30/25. Laundry Supervisor #135 indicated that the lint compartment was to be cleaned twice each shift with staff initialing the sign off log located beside commercial dryer once a shift.Review of dryer lint log on 12/30/25 at 10:35 A. M. revealed it contained laundry staff initials of Laundry Supervisor #135 on 12/29/25 as having completed the lint cleaning for 12/29/25; however, during the observation and interview on 12/30/25 at 10:35 A.M., Laundry Supervisor #135 confirmed that it had not been cleaned out properly prior to being used on 12/30/25.Review of the undated laundry policy, Procedure D,…

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, interview, and review of the facility policies, the facility failed to develop and implement baseline care plans that include dates of completion/implementation, goals, instructions, and necessary interventions to be able to provide effective and person-centered care for Residents #17, #20, #31, #32, #33, #34, and #36. This affected seven residents (#17, #20, #31, #32, #33, #34, and #36) out of 15 residents whose care plans were reviewed. The facility census was 21.Findings include:1. Review of the medical record for Resident #20 revealed an admission date of 12/17/25 with diagnoses including periprosthetic fracture around the internal prosthetic left hip joint, generalized muscle weakness, difficulty in walking, gastroesophageal reflux disease (GERD) without esophagitis, neuromuscular dysfunction of the bladder, presence of unspecified artificial hip joint, anxiety disorder, essential (primary) hypertension, hypothyroidism, unspecified glaucoma, stage three chronic kidney disease,…

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, interview and facility policy review, the facility failed to develop a person-centered care plan for Resident #22. This affected one resident (#22) out of 15 residents reviewed for care plans. The facility census was 21.Findings include:Review of the medical record for Resident #22 revealed an admission date of 11/15/25 with diagnoses including abscess of the liver, cerebral infarction (stroke), atherosclerotic heart disease, cognitive communication deficit, neoplasm (tumor) of liver, non-ST elevation myocardial infarction (heart attack).Review of Resident #22's Fall Risk Assessments dated 11/15/25 revealed the resident was assessed to be a high fall risk.Review of Resident #22's care plan, initiated on 11/18/25, didn't address the resident was a high risk for falls. Review of facility document titled Investigation Report Record, dated 11/23/25, revealed while Resident #22 was sitting on the edge of the bed, the resident slid off the bed onto the floor with a new intervention to place bed…

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, observation, interviews and facility policy review, the facility failed to ensure fall prevention interventions were in place for Resident #22, who was at high risk for falls and had a history of falls at the facility. This affected one resident (#22) out of two residents reviewed for accidents. The facility census was 21.Findings include:Review of the medical record for Resident #22 revealed an admission date of 11/15/25 with diagnoses including abscess of the liver, cerebral infarction (stroke), atherosclerotic heart disease, cognitive communication deficit, neoplasm (tumor) of liver, non-ST elevation myocardial infarction (heart attack).Review of Resident #22's Fall Risk Assessments dated 11/15/25 revealed the resident was assessed to be a high fall risk.Review of Resident #22's care plan, initiated on 11/18/25, didn't address the resident was a high risk for falls. Review of facility document titled Investigation Report Record, dated 11/23/25, revealed while Resident #22 was sitting…

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 provide nutritional supplements as ordered by the physician to Resident #22. This affected one resident (#22) out of three residents reviewed for nutrition. The facility census was 21.Findings include:Review of the medical record for Resident #22 revealed an admission date of 11/15/25 with diagnoses including abscess of liver, type two diabetes mellitus with hyperglycemia (unusually high amount of glucose present in blood), cerebral infarction (stroke), atherosclerotic heart disease, cognitive communication deficit, neoplasm (tumor) of liver, and non-ST elevation myocardial infarction (heart attack).Review of 12/08/25 discharge return anticipated Minimum Data Set (MDS) 3.0 assessment revealed Resident #22 was independent for daily decision making, was independent for eating, and had a nonprescribed weight loss and was on a therapeutic diet.Review of Resident #22's 12/29/25 Minimum Data Set (MDS) Medicare five-day assessment and 12/18/25 MDS Medicare five day/End of PPS part A stay…

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 review of facility policy, the facility failed to ensure proper storage of clean Hoyer lift pads (slings designed to cradle a person who is being transferred with a mechanical lift device). This had the potential to affect all residents in facility. The facility census was 21.Findings include: Observation of the dirty laundry room (the enclosed room where the soiled linen is stored, sorted, and washed) on 12/30/25 at 10:33 A.M. revealed clean Hoyer lift pads were stored on hook beside commercial washer on the dirty laundry side of the laundry room.Interview with Laundry Supervisor #135 on 12/30/25 at 10:33 A.M. confirmed the Hoyer pads hanging on the hook beside the commercial washing machines were clean. During the interview, Laundry Supervisor #135 stated that the proper storage site is in the clean laundry room (the adjacent room where clean laundry is brought to be dried, folded or hung to dry, then packed on linen carts to bring to the clean linen closets on the units) and that staff had been told several times that they were not to hang 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and facility policy review the facility failed to notify Resident #12's physician that he had an active infection and was currently being isolated before sending him to an appointment at the physician's office. This affected one resident (#12) of three residents reviewed for infection control. The facility census was 23. Findings include: Review of the medical record for Resident #12 revealed an admission date of 03/19/24. Diagnoses included congestive heart failure, type two diabetes mellitus, and diarrhea unspecified. Review of the hospital information sent to the facility on admission, printed on 03/19/24 revealed Resident #12 had a positive stool for clostridioides difficile (c-diff) on 03/14/24. Resident #12 was started on oral vancomycin 250 milligrams (mg) (antibiotic) four times daily on 03/19/24. Review of the physician's order dated 03/20/24 and discontinued on 04/02/24 revealed Resident #12 was to remain in contact isolation for c-diff. Review of the physician's…

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, staff interview, and facility policy review the facility failed to provide residents and/or resident representatives of bed hold notice and/or bed hold policy upon discharge to the hospital. This affected four residents (#3, #11, #14, and #26) of four residents reviewed for hospitalizations. The facility census was 17. Findings include: 1. Review of the medical record for Resident #3 revealed admission date of 03/17/23 and a discharge date of 05/22/23 with diagnoses including pleural effusion (accumulation of excess fluid around the lungs), cystitis (inflammation of the urinary bladder), cerebral infarction (stroke), hemiplegia (paralysis) affecting left nondominant side and right dominant side, dysphagia (difficulty swallowing), diabetes mellitus, chronic kidney disease stage three, and systolic congestive heart failure, and depressive disorder. Review of the progress notes for Resident #3 revealed on 04/08/23 Resident #3 had increased edema to thighs and abdomen, and family had…

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, interview, and facility policy review the facility failed to ensure Resident #7's discharge assessment was submitted within 14 days after completion. This affected one resident (#7) of one resident reviewed for assessments. The facility census was 17. Findings include: Review of the medical record for Resident #7 revealed an admission date of 12/06/22 and a discharge date of 12/27/22. Medical diagnoses included diverticulitis (the inflammation or infection of small pouches) of large intestine, influenza, osteoarthritis of the right knee, moderate protein-calorie malnutrition, obsessive compulsive disorder, anxiety, gastro-esophageal reflux disease (stomach acid repeatedly flows back up into the esophagus), and hypercholesterolemia (high cholesterol levels in the blood). The Discharge Return Not Anticipated Minimum Data Set (MDS) assessment was completed with an assessment reference date of 12/27/22. Review of the facility batch status report dated 05/23/23 revealed Resident #7's Discharge…

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, interview, and facility policy review the facility failed to administer all doses of an antibiotic to treat a urinary tract infection for Resident #81. This affected one resident (#81) of three residents who were all receiving antibiotics for a urinary tract infection. Findings include: Review of the medical record for Resident #81 revealed an admission date of 05/12/23. Diagnoses included acute cystitis with hematuria, acute kidney failure, urinary tract infection (UTI), and cerebral infarction. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #81 had mild cognitive impairment. Resident #81 required limited one-person assistance for bed mobility, transfers, dressing, toilet use, and personal hygiene; and supervision with set up help only for eating. Resident #81 was always continent of urine and bowel. Review of the admission physician's order dated 05/12/23 revealed an order to administer Keflex (antibiotic) 250 milligrams every eight hours for…

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.