Renaissance Care Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 2 of 8 residents (Resident #61 and Resident #23) reviewed for ADLs. 1. The facility failed to ensure staff provided consistent showers/baths for Resident #61. 2. The facility failed to ensure staff provided consistent bed baths on 6 p.m. to 6 a.m. shift on Tuesdays, Thursdays and Saturdays for Resident #23. These failures could place residents at risk of not receiving needed hygiene care which could cause skin breakdown, a loss of dignity and self-worth. Findings include: 1. Record review of Resident #61's quarterly MDS assessment, dated 03/21/25, reflected a [AGE] year-old female who was admitted to the facility on [DATE]. She had a BIMS score of 13, which indicated she was cognitively intact. She had not rejected care and required supervision and touch assistance…

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, interview and record review, the facility failed to ensure that a resident who is fed by enteral means receives the appropriate treatment and services to prevent complications of enteral feeding for two of seven residents (Resident #171 and Resident #21) reviewed for quality of care. 1. The facility failed to ensure LVN A followed physician ordered water flushes between each medication administration given via the G-Tube for Resident #171 on 04/28/25. 2. The facility failed to ensure LVN J followed physician ordered water flushes between each medication administration given via the G-Tube for Resident #21 on 04/28/25. These failures could place residents at risk of nausea, shortness of breath and a decrease potential fluid overload. Findings include: 1. Record review of Resident #171's face sheet dated 04/30/25 reflected a [AGE] year-old male with and admission date 04/23/25. Diagnoses included dysphagia (difficulty swallowing), cerebral vascular accident (stroke), atrial fibrillation…

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, interview, and record review the facility failed to ensure that a resident who needed respiratory care, including tracheostomy care, was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents goals and preferences for two of three (Resident #170, and Resident #52) reviewed for respiratory care. 1. The facility failed to have Physician orders for the use of Oxygen and the amount to be administered to Resident #170 upon her admission to the facility on [DATE]. 2. The facility failed to have Physician orders for the use of Oxygen and the amount to be administered to Resident #52 upon his re-admission to the facility on [DATE]. These failures could place residents at risk of receiving an incorrect amount of oxygen and the risk of oxygen toxicity (occurs when the body inhales too much supplemental oxygen which can damage the lungs and affect the central nervous system). Findings include: 1. Record review of Resident…

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, the facility failed to provide pharmaceutical services including procedures that assure the accurate acquiring and administering of all medications to meet the needs of each resident for one of seven residents (Resident #55) reviewed for pharmacy services. The facility failed to ensure Resident # 55's discontinued Lorazepam 2mg/ml was removed from the Refrigerator in the Medication room. These failures could place residents at risk of nausea, shortness of breath and a decrease potential fluid overload. Findings include: During an observation of the facility's one Medication room on 04/30/25 at 11:41 a.m. with the ADON, revealed one medication was observed in the locked compartment of the medication rooms refrigerator. The lock box contained a vial of Lorazepam 2mg/ml for Resident #55. The fill date of the prescription was 07/19/25 with an expiration date 07/19/25. Record review of the Narcotic count sheet for Resident #55's Lorazepam 2mg/ml revealed the last time the medication was administered was on 01/25/24 with remaining amount…

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, interview, and record review, the facility failed to maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 18 residents (Resident #171 and Resident #55) observed for infection control. 1. The facility failed to ensure LVN A used the required PPE for Resident #171, who was on enhanced barrier precautions due to his g-tube (a tube inserted through the abdomen that delivers nutrition directly to the stomach), while administering residents' medication through the g-tube on 04/28/25. The facility failed to ensure Resident #171's room had a sign reflecting she was on enhanced barrier precautions. 2. The facility failed to ensure CNA K performed hand hygiene while providing incontinence care to Resident #55 on 04/28/25 and failed to ensure CNA K and Hospitality Aide D performed hand hygiene before leaving the resident's room. These…

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 the facility failed to ensure all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately, but not later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse or resulted in serious bodily injury to the administrator of the facility and to the other officials, including to the State Survey Agency, in accordance with State law through the established procedures for one of 7 residents (Resident #66) reviewed for abuse and neglect . The facility failed to report allegations of neglect and abuse which involved Resident #66 to the Administrator and appropriate State Agency immediately on 04/26/25. This failure could place residents at risk of abuse and neglect. Findings Include: Record review of Resident #66's admission MDS assessment, dated 4/26/25, reflected an [AGE] year-old female who was admitted to 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 interview and record review, the facility failed to have evidence that all alleged violations were thoroughly investigated for one of 7 residents (Resident #66) reviewed for abuse and neglect. The facility failed to ensure allegations of abuse and neglect were investigated when Resident #66 reported an allegation of abuse and neglect to the facility. This failure could place residents at risk for abuse and neglect . Findings Include: Record review of Resident #66's admission MDS assessment, dated 4/26/25, reflected an [AGE] year-old female who was admitted to the facility on [DATE]. She had little to no cognitive impairment and had a BIMs of 15 . Her active diagnoses included coronary artery disease (a heart condition where plaque builds up inside the coronary arteries), Hypertension (elevated blood pressure), Ulcer (the break or erosion in the lining of an organ or tissue), Diabetes (a disease that results in too much sugar in the blood), Thyroid Disorder(a condition that prevents your thyroid from…

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 the facility failed to label drugs and biologicals used in the facility in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable for the facility's one medication room reviewed for storage. The facility failed to ensure a vial of TB PPD, that was opened and used, was not dated in the medication room refrigerator. This failure could affect residents and staff resulting in diminished effectiveness, and not receiving the therapeutic benefits of the medications. The findings included: An observation on 04/30/25 at 11:35 a.m. of the medication room refrigerator with the ADON revealed an undated open vial of Tuberculin Purified protein derivative. The ADON stated it appeared one dose might have been used out of the multi dose vial. In an interview with the ADON on 04/30/25 at 11:41a.m. he stated the TB PPD had to be dated when opened. He stated once it was open it would only be good for 30 days. He stated the risk of not dating…

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, interview, and record review the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for three of five residents (Resident #2, Resident #4, and Resident #8) reviewed for catheter and incontinence care. 1. The facility failed to ensure CNA A and CNA B maintained the foley catheter drainage bag below Resident #2's bladder while they transferred the resident with a mechanical lift on 02/04/25 2. The facility failed to ensure CNA C provided Resident #4 timely and appropriate perineal care after an incontinent episode when she failed to check and change the resident from 06:00 a.m. to 10:30 a.m. and failed to clean the resident's penis and scrotum from front to back on 02/05/24. 3. The facility failed to ensure CNA C provided timely incontinence care for Resident #8 on 02/05/25. These failures could place residents at risk for not receiving appropriate care to address their incontinence and could…

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, interview and record review the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for three of eight residents (Residents #4, #5, and #6) reviewed for medications and for 1 (nurses cart hall 300/400) of 2 medication carts reviewed for pharmacy services in that: 1. The Nurses Cart Hall 300/400 had 1 insulin pen for Resident #5 with an expired open date of [DATE] and 1 insulin pen for Resident #6 with no open date . Observation of the pen reflected it was not full and it was used. 2. The facility failed to administer Resident #4's Phenobarbital (treats seizures) according to doctor's orders on [DATE] and [DATE]. These failures placed residents at risk of not receiving the therapeutic benefits of the medications. The Findings included: 1. Observation on [DATE] at 09:40 AM of nurses cart hall 300/400, with LVN F revealed: - The pen…

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, interviews, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen reviewed for Food and Nutrition Services. 1. The facility failed to ensure the walk-in freezer was free of ice accumulation. 2. The facility failed to ensure Dietary [NAME] O used proper hand hygiene while handling and serving food during the lunch meal preparation and service on 02/04/25. These failures could place residents at risk for food-borne illness if consumed and food contamination. Findings included: 1. Observation on 02/04/25 at 9:13 AM of the walk-in freezer revealed ice accumulation of about 4 ft length x 3 ft wide including icicles up to 2 inches covering the ceiling. There was an ice thickened patch of about 2 ft length x 1 foot length in the back right corner of the walk-in freezer. There were ice particles and patches of ice covering the floor of the walk-in freezer. There were ice patches near the door of the walk-in freezer. The freezer door was difficult 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 observations, interviews, and record review, the facility failed to maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for four of eight Residents (Resident #1, Resident #2, Resident #4, and Resident #8) observed for infection control. 1. The facility failed to ensure CNA A used the required PPE for Resident #1, who was on enhanced barrier precautions due to her venous access device, while assisting resident with toileting on 02/04/25 and failed to perform hand hygiene before and after assistance. 2. The facility failed to ensure CNA A and CNA B used the required PPE for Resident #2, who was on enhanced barrier precautions due to her foley catheter, while performing a mechanical lift transfer on 02/04/25. 3. The facility failed to ensure that CNA C changed her gloves and performed hand hygiene before moving to the clean supplies after completion of incontinence care to Resident #4 and before leaving the resident'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.

Based on observations, interviews, and record review the facility failed to maintain equipment in safe operating condition in facility's kitchen reviewed for physical environment. 1. The facility failed to ensure the walk-in freezer was in good repair and free of ice accumulation on 02/04/25. 2. The facility failed to ensure 3-compartment sink was not leaking underneath from the pipe. 3. The facility failed to ensure the steam table did not have 3 missing knobs while in use for lunch on 02/04/25. This failure could place a potential for fire hazard risk in the facility kitchen with equipment not in safe operating condition. Findings included: 1. Observation on 02/04/25 at 9:13 AM of the walk-in freezer revealed ice accumulation of about 4 ft length x 3 ft wide including icicles up to 2 inches covering the ceiling. There was an ice thickened patch of about 2 ft length x 1 foot length in the back right corner of the walk-in freezer. There were ice particles and patches of ice covering the floor of the walk-in freezer. There were ice patches near the door of the walk-in freezer. 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 observation, interview, and record review, the facility failed to ensure residents were free from abuse for one (Resident #9) of four residents reviewed for abuse. The facility failed to protect Resident #9 from verbal abuse by LVN E on 07/26/2024 at 9:15 AM. The noncompliance was identified as Past Noncompliance (PNC). The noncompliance began on 07/26/2024 at 9:15 AM and ended on 08/01/2024. The facility had corrected the noncompliance before the incident investigation began on 02/04/2025. This failure could place residents at risk of serious injury and harm. Findings included: Record review of Resident #9's face sheet, undated, reflected she was an [AGE] year-old female, admitted to the facility on [DATE] with the diagnoses of stroke and dementia (loss of cognition). Record review of Resident #9's Comprehensive MDS, dated [DATE], reflected she had a memory problem and had severely impaired cognition. Record review of Resident #9's care plan, undated, reflected she needed extensive assistance 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure residents receive adequate supervision and assistance devices to prevent accidents for one of nine residents (Resident #1) reviewed for quality of care. The Facility failed to ensure CNA A used a gait belt when transferring Resident #1 from her wheelchair to the toilet on and off the toilet on 02/04/25. These failures could affect the residents by placing the residents at risk for falls, injuries, and skin tears. Findings included: Record Review of Resident #1's 5-day MDS assessment, dated 01/16/25 reflected a [AGE] year-old female admitted to the facility on [DATE]. Resident #1 was cognitively intact with a BIMs of 15. She had limited range of motion of one side of her lower extremities and was dependent with toileting hygiene and toilet transfers. She was occasionally incontinent of bladder and bowel. She was mobile with a wheelchair and was receiving physical and occupational therapy. Diagnoses included osteomyelitis of 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 observation, interview and record review, the facility failed to maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for two (Residents #12 and #18) of seven residents observed for infection control. 1. CNA T failed to perform hand hygiene between glove changes, and when she went from dirty to clean during incontinence care for Resident #12. 2. The facility failed to ensure Resident #18's nasal cannula oxygen was not lying on wheelchair seat when not in use. These failures placed residents at risk for spread of infection through cross-contamination. Findings included: 1. Record review of Resident #12's face sheet dated 02/15/2024 reflected she was [AGE] years old female. She was admitted to the facility on [DATE]. She was admitted with the diagnoses of Alzheimer's disease, osteoarthritis (is a degenerative joint disease that causes pain,…

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, interview and record review, the facility failed to respect the residents' right to confidentiality in his or her personal and medical records for one (Medication Cart Hall 100-200 Computer) of three medication cart computers reviewed for confidential medical records. LVN A failed to lock Medication Cart Hall 100-200 Computer, used for documenting residents' health information, and left Resident #25's information exposed. This failure could place residents at risk of resident-identifiable information being accessed by unauthorized persons. Findings included: Observation on 02/14/2024 at 11:03 AM revealed a computer on LVN C's medication cart (Medication Cart Hall 100-200 Computer) in front of room (111) was left unlocked and unattended with resident information available for 5 minutes from 11:03 AM to 11:08 AM. Resident #25's name, date of birth , allergies and part of her medication orders records were exposed while LVN C stepped away from her cart to assist other residents in the next door room (109). Interview on 02/14/2024 at 11:09 AM with LVN C revealed…

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, interview, and record review the facility failed to ensure resident has a right to a safe, clean, comfortable and homelike environment for one (Resident #7) of 24 residents reviewed for safe and sanitary environment. The facility failed to ensure Resident #7's mattress was free of stain and in good condition. This failure could place residents at risk for an unsanitary and hazardous living conditions. Findings included: Review of Resident #7's admission MDS assessment dated reflected she was a [AGE] year-old female admitted to the facility on [DATE] diagnoses of acute respiratory failure with hypoxia (condition where you don't have enough oxygen in the tissues in your body), arthritis and hip fracture. Resident #7 had a BIMS of 13 indicating she was cognitively intact. Observation and interview on 02/13/24 10:41 AM revealed Resident # 7's mattress had a yellowish/brownish stain on left middle side about 2.5 feet in length by a foot wide. Resident #7 stated she had noticed the stain on her…

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, interview, and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that include measurable objectives and time frames to meet Residents' mental and psychosocial needs for 2 (Residents #54 and Resident #44) of 24 residents reviewed for care plans. 1- The facility did not develop and implement a comprehensive person-centered care plan to address Resident #54's dependence on indwelling urinary catheter. 2- The facility failed to develop a care plan for Resident #44's communication deficit related to diagnoses of aphasia and apraxia. These failures could place resident at risk of not having a plan developed to address care needs. Findings included: 1- Resident #54 Review of Resident #54's admission MDS assessment dated [DATE] revealed Resident #54 was [AGE] year-old Female admitted to facility on 10/6/2023. Relevant diagnoses include Cancer, Anemia (Lower amount of healthy red blood cells ),…

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, interview and record review the facility failed to ensure that a Resident who needs respiratory care was provided such care, consistent with professional standards of practice for 1 of 3 Residents (#26) reviewed for respiratory care, in that: Resident #26 oxygen concentrator's humidifier bottle was not labeled or dated which was a facility policy requirement. These failures could place residents who received oxygen therapy at risk of respiratory infections. The findings were: Review of Resident #26's Quarterly MDS dated [DATE] reflected Resident #26 was an [AGE] year-old Male admitted in the facility on 8/3/2023. Relevant diagnoses include coronary artery disease (a condition that affects heart), Heart failure (a serious condition in which the heart doesn't pump blood as efficiently as it should), Hypertension (high blood pressure), and Pneumonia (an infection that affects one or both legs). The Quarterly MDS reflected Resident #26 was on oxygen therapy. Review of Resident #26'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.