Renaissance Rehabilitation And Healthcare Center

Based on observation, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards reviewed for food service safety in the reviewed 1 of 1 kitchen. The facility failed to ensure food safety by not consistently monitoring, discarding expired food, maintaining unsanitary kitchen equipment, and storage areas. These failures can place residents at risk for foodborne illness. Findings included:Observation in the kitchen on 9/08/2025 at 9:15 AM of the one refrigerator in the kitchen reflected the following: - Dannon Creamy Yogurt with an expiration date of 9-03-2025.Observation in the kitchen on 9/08/2025 at 9:23 AM of the one pantry reflected the following: - Marshmallows with an expiration date of 8-18-2025. - Wonder Hamburger buns with an expiration date of 8-18-2025.- Wonder Hot Dog buns with an expiration date of 8-28-2025.- Observation in the kitchen on 9/08/2025 at 9:30 AM of the one pantry reflected the following: - The ice machine scoop container had standing water in it with a brown dirt-looking…

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 review, the facility failed to ensure residents received services in the facility with reasonable accommodations of resident's needs and preferences except when to do so would endanger the health and safety of the resident or other residents for 1 of 5 residents (Resident #37) reviewed for resident rights. The facility failed to ensure Resident's #37's call light was within reach on 09/08/25. This failure could place residents at risk of needs not being met. Findings included: Record Review of Resident #37's face sheet dated 09/08/25 reflected the resident was a [AGE] year-old female admitted on [DATE]. Her diagnoses included ataxia (a neurological condition characterized by a lack of coordination and control of movements), chronic obstructive pulmonary disease (COPD) (a lung disease characterized by chronic respiratory symptoms and airflow limitation), atherosclerotic heart disease of native coronary artery (coronary artery disease) (heart disease involving 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 that drugs and biologicals used in the facility were stored properly for 1of 1 medication storage rooms reviewed.The facility failed to ensure that expired medication administration supplies were removed from 1 of 1 medication storage rooms.This failure could place residents at risk for ineffective treatments and unnecessary invasive procedures. Use of these expired supplies could cause a central line medication catheter to dislodge, become infected, or need surgical replacement. Findings include: Observation on [DATE] at 3:00 PM of the medication storage room revealed the following medication administration supplies were expired: 1 Intravenous Administration Kit Expired [DATE] 1 Central line medication catheter Stabilizer Device Expired [DATE] 1 Central line medication catheter Stabilizer Device Expired [DATE] 4 Central line medication catheter Protection Disc (For Insertion Cite) Expired [DATE] 8 Central line medication catheter…

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 and prevention control program that included, at a minimum, a system for preventing and controlling infections for 1 of 5 residents reviewed for wound care (Resident #4).LVN B failed to wash or sanitize her hands while going from a dirty to clean surface while performing wound care on 09/09/25 at 11:10 AM for Resident #4.This deficient practice placed residents at risk for cross contamination and the spread of infection.Record review of Resident #4's face sheet dated 09/09/25 reflected Resident #4 was a [AGE] year-old male with an admission date of 01/22/24. Resident #4's diagnoses included stage 4 pressure ulcer to coccyx ((tailbone) a triangular bone at the base of the spinal column), or stage 4 bedsore, (a severe wound that extends through all layers of skin into the underlying tissues, exposing muscle, bone, or tendon), dementia (a general name for a decline in cognitive abilities that impacts a person's ability…

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 interviews and records review, the facility failed to ensure that medical records were accurately documented for four (4) of thirteen (13) residents (Resident #6, Resident #8, Resident #12, Resident #13) reviewed for accurate clinical records, in that: The facility failed to ensure Resident #6, Resident #8, Resident #12, and Resident #13's EMARs were accurately reflecting narcotic medications administered. This deficient practice could result in errors in care and treatment. Findings included: Resident #6 Review of Resident #6's face sheet reflected a [AGE] year-old female admitted to the facility on [DATE] with diagnoses that included: Cirrhosis of the Liver (scarring of the liver), Muscle Weakness, Pain in unspecified joint, Femur fracture (large upper leg bone), unsteadiness on feet and repeated falls. Review of Resident #6's MDS assessment, dated 07/11/2023, reflected a BIMS of 5, indicating severe cognitive impairment. Review of Resident #6's EMAR reflected on 7/15/2023 and 7/16/2023 the 4:00 PM a…

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 the necessary services for residents who are unable to carry out activities of daily living to maintain good grooming and personal hygiene for 3 (Resident #20, Resident #213 and Resident #42) of 15 residents reviewed for ADLs. The facility failed to ensure: -Resident#20 had her fingernails cleaned and trimmed. -Resident#213 had her fingernails cleaned and trimmed. -Resident #42 had his facial hair and fingernails trimmed. These failures could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk for infections and a decreased quality of life. Findings include: 1. A record review of Resident #20's Quarterly MDS assessment dated [DATE] reflected Resident #20 was a [AGE] year-old female admitted to the facility on [DATE] with diagnoses included type 2 diabetes mellitus and dementia (loss of intellectual functioning, especially with impairment of memory and abstract thinking, and often 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 observations, interviews, and record review, the facility failed to distribute and serve food in accordance with professional standards for food service safety for the facility's only kitchen for 2 of 2 (Freezer #1 and #2) reviewed for kitchen sanitation. The facility failed to ensure items in Freezer #1 and #2 were sealed properly. This failure could place residents at risk for food contamination and food-borne illness. Findings included: Observations on 06/27/23 for Freezer #1 revealed: - at 11:16 AM revealed a box of bacon was open, not sealed about 2 inches with bacon not sealed. - at 11:18 AM revealed a box of biscuits was open, not sealed about 1.5 inches. Interview on 06/27/23 at 11:19 AM, with Dietary Aide F revealed she did not use the biscuits today so she was not sure how long they had been unsealed. She stated she used the bacon this morning. She stated the items should be sealed. Observation on 06/27/23 at 11:26 AM, for Freezer #2 revealed a box of pork patties, dated 05/12/23 open about 2 inches not sealed. Interview on 06/27/23 at 11:27 AM, with Dietary…

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 designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for 5 (Resident #22, Resident #27, Resident #31, Resident #40, and Resident #45) of 6 residents reviewed for infection control. The facility failed to ensure MA A disinfected the blood pressure cuff in between blood pressure checks for Residents #22, #27, #31, #40, and #45. This failure could place residents at-risk of cross contamination which could result in infections or illness. Findings included: Record review of Resident #22's Quarterly MDS assessment, dated 05/12/23, reflected he was a [AGE] year-old male admitted to the facility on [DATE], with diagnoses included elevated blood pressure, and hyperlipidemia (high levels of fat in the blood). He had a BIMS of 03 indicating his cognition was severely impaired. Record review 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 observation, interview, and record review, the facility failed to ensure an effective pest control program was implemented so the facility was free of pests and rodents for the facility's only kitchen, dining room and one of three halls (Hall 200) reviewed for pest control. The facility failed to keep an effective pest control program to ensure kitchen, dining room and residents' rooms on Hall 200 were free of flies. This failure could place residents at risk for reduced quality of life. Findings included: Observation on 06/27/23 at 11:04 AM revealed four flies were in the dish area of kitchen while Dietary Aide F wash using the dish machine. Observations on 06/27/23 at 11:10 AM and 11:15 AM revealed fly light had no light on it and was not plugged in the kitchen. Interview on 06/27/23 at 11:20 AM with Dietary Aide F and the Dietary Manager revealed the electronic fly light did not work to their knowledge. Observation on 06/27/23 at 11:23 AM revealed three flies in food prep area of kitchen while 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.

Based on observation, interview and record review the facility failed to provide pharmaceutical services to ensure the accurate acquiring, receiving, dispensing, administering, and securing of medications for 1 (200 hall medication aide cart) of 2 medication carts reviewed for pharmacy services in that: The facility failed to ensure medications in unsecured containers were immediately removed from the 200 hall MA cart. This failure could place residents at risk of not having the medication available due to possible drug diversion and at risk of not receiving the intended therapeutic benefit of the medication. Findings Included: An observation on 06/27/2023 at 12:20 PM of the MA Cart for Hall 200 revealed the blister pack for Resident #43's tramadol 50 mg tablet (controlled medication used for pain) had 1 blister seal broken and the pill was still inside the broken blister and taped over. In an observation and interview on 06/27/23 at 12:20 PM, MA A stated she was unaware when the blister pack seal was broken, and she was not aware of who might have damaged the blister. She stated…

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 the facility failed to ensure a medication error rate below 5%. There were 2 errors out of 27 opportunities, resulting in a facility had a 7.4 percent (%) medication error rate for one (Resident #45) of 6 residents reviewed for medication administration. The facility failed to ensure MA A administered medications per the physician orders for Resident #45. MA A administered the wrong dose of Eliquis (anticoagulant medication used to treat and prevent blood clots) and ropinirole HCl (used to treat restless leg syndrome). This failure could place residents at risk for not receiving therapeutic effects of their medications. The findings included: A record review of Resident #45's Quarterly MDS assessment dated [DATE], revealed Resident #45 was a [AGE] year-old female admitted to the facility on [DATE] with diagnoses including pulmonary embolism (a condition in which one or more arteries in the lungs become blocked by a blood clot), restless legs syndrome, and…

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.