Advanced Rehabilitation and Healthcare of Vernon

Inspectors wroteBased 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 1 of 4 residents (Resident #3) reviewed for medication administration. Resident #3's medications were in a paper medication cup, unattended by a nurse, on her bedside nightstand on the morning of 7/22/2026 at 11:15 AM. This failure could place the resident at risk for adverse consequences from not taking her prescribed medications at the prescribed time.

Inspectors wroteBased 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) to meet the needs for 1 of 6 residents (Resident #61) reviewed for pharmaceutical services. 1. LVN-B facility failed to administer medications to Resident #61 according to physician's orders.2. LVN-B left Resident #61's medication with her in a pill cup to take later. This failure could place residents who received medications at risk for not receiving the intended therapeutic benefit of the medications.

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, for the facility's only kitchen residents as evidence by: The facility failed to ensure:A. The temperature of the walk-in freezer was below 0 degrees Fahrenheit; B. The [NAME] counter drawers and cabinets in the dining room were clean and not soiled;C. The refrigerator in the Activity Room was clean and not soiled, opened food items were placed in sealed containers and were labeled with a use by date. These failures could place residents at risk for foodborne illness, compromised nutritional health status, and being served food items that may not be fresh, taste stale, or be contaminated.

Inspectors wroteBased on interviews and record reviews, the facility failed to ensure the transfer or discharge is documented in the resident's medical records and appropriate information is communicated to the receiving healthcare institution or provider for 1 of 2 (Resident #2) reviewed for discharges. 1. The facility failed to ensure the transfer or discharge was documented in the Resident #2's medical records.2. There was no documentation from the physician indicating that Resident #2 had specific needs that could not be met in the facility. These failures affected discharged residents and could place the residents at risk of being discharged and not having access to available advocacy services, discharge/transfer options, and appeal process.

Inspectors wroteBased 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 to help prevent the development and transmission of communicable disease and infections for one (Resident #1) of three residents reviewed for infection control practices. CNA A failed to perform proper hand hygiene and glove changes while providing incontinence care to Resident #1 on 06/11/2025. This failure could place residents at risk for the spread of infection.

Inspectors wroteBased on interview and record review, the facility failed to ensure each resident / and or their representative were invited to attend/participate attend and IDT in the care plan meeting including both the comprehensive and quarterly review assessments for with the participation of the resident for 1 of 6 residents (Resident's #1) reviewed for care plan timing and revision. The facility failed to ensure representatives/residents were invited to attend comprehensive care meetings for Resident #1. The facility failed to document the reason for the representative/resident non-participation in the care plan meeting. This failure could place residents at risk of not being able to attain or maintain their highest practicable level of physical, mental, and psychosocial well-being.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide an ongoing program to support residents in their choice of activities, both facility-sponsored group and individual activities and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident, encouraging both independence and interaction in the community, for 2 of 32 residents (Residents #19 and #105) reviewed for activity programming, as evidenced by: 1. Resident #19 did not have an in-room activity plan developed and implemented to meet her individual interests, abilities, and needs. 2. Resident #105 did not have an in-room activity plan developed and implemented to meet his individual interests, abilities, and needs. 3. [...]

Inspectors wroteBased on interview and record review, the facility failed to maintain medical records that were complete and accurately documented in accordance with accepted professional standards and practices for 8 of 32 residents (Residents #57, #8, #43, #68, #82, #100, #105, and #261) whose records were reviewed for accurate and complete documentation. 1. The facility failed to ensure physician orders were written for Resident #57 for dialysis. 2. The facility failed to ensure Resident #8's Out of Hospital - Do Not Resuscitate Order form included a date for the physician's signature and included the physician's license number. 3. The facility failed to ensure Resident #43's Out of Hospital - Do Not Resuscitate Order form included the physician's printed name. 4. [...]

Inspectors wroteBased on interview and record review the facility failed to ensure assessments accurately reflected the resident's status for 1 of 7 residents (Resident #90) reviewed for accuracy of assessments. 1. The facility failed to ensure Resident# 90's MDS accurately reflected that he did not an enteral feeding tube. This failure could place residents at risk for not receiving care and services to meet their physical needs and promote feelings of well-being and quality of life.

Inspectors wroteBased on observation, interview and the facility failed to ensure that drugs and biologicals were secured and stored in locked compartments, and permit only authorized personnel to have access to the keys for 1 of 3 medication carts (Hall 4 medication cart) observed for medication storage, in that:. The Hall 4 Medication cart was left unlocked. This failure placed the residents at risk for medications being misappropriated or for potential harm and adverse reactions from access to medications not prescribed for them.

Inspectors wroteBased on observations, interview and record review, the facility failed to establish and 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 1 of 3 residents (Resident #71) when reviewed for infection control. 1. The facility failed to ensure CNA D washed or sanitized her hands between glove changes as appropriate while providing incontinence care for Resident # 71. This failure could place residents at risk for cross contamination and the spread of infection.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain all mechanical, electrical, and patient care Equipment in safe operating condition for 1 (Hot water heater) of 3 reviewed for essential equipment. The facility failed to repair or replace the hot water heater that supplied hot water for Halls 1, 2 and 3 for 7 days. This was determined to be past noncompliance because the facility took corrective actions prior to surveyor entry. This failure could place residents at risk for poor hygiene and health.

Inspectors wroteBased on interview, and record review, the facility failed to maintain medical records that were complete, and accurate for 2 of 8 residents (Resident #1, Resident #2) reviewed for medical records. The facility failed to update the eMAR after medication administered for Resident #1 and Resident #2. This failure could place the residents at risk of medication errors which could result in incorrect treatment.

Inspectors wroteBased on interview and record review the facility failed to ensure assessments accurately reflected the resident's status for 4 of 4 Residents (Residents #54, #65, #75 and #85) reviewed for accuracy of assessment. 1. The facility failed to ensure Resident #54's MDS, dated [DATE], accurately reflected the residents use of antipsychotics. 2. The facility failed to ensure Resident #65's MDS, dated [DATE]accurately reflected the residents use of antipsychotics. 3. The facility failed to ensure Resident #75's MDS, dated [DATE], accurately reflected the resident had a diabetic ulcer. 4. The facility failed to ensure Resident #85's MDS, dated [DATE], Accurately reflected the residents use of antipsychotics. These failures could place residents at risk of not receiving the proper care and services due to inaccurate records.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure parenteral fluids were administered consistent with professional standards of practice and in accordance with physicians' orders, the comprehensive person-centered care plan and the resident's goals and preferences for 1 of 3 residents (Resident #83) reviewed for receiving parenteral (administered through a vein) fluids. The facility failed to ensure Resident #83's midline intravenous catheter (an intravenous catheter that is suitable for long term infusion therapy) dressing to her right upper arm, was changed every Wednesday as ordered by her physician. This failure could place residents at risk of complications such as infection and/or sepsis and midline catheter displacement and/or infiltration.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure that a resident who needed respiratory care, was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan and the residents' goals, and preferences for 2 of 2 residents (Residents #22 and #43) reviewed for respiratory care. 1. The facility failed to ensure Resident #22's CPAP mask was kept in a bag while not in use. 2. The facility failed to ensure oxygen tubing for Residents #43 was changed weekly. These failures could place residents at risk for infections and transmission of communicable diseases.

Inspectors wroteBased on interview and record review the facility failed to, in accordance with accepted professional standards and practices, maintain medical records on each resident that were complete and accurately documented for 1 of 2 residents (Resident #102) reviewed for accuracy of medical records. The facility failed to ensure Resident #102 medical record was complete and included physician orders for continuous oxygen. This failure could place residents at risk of receiving inadequate care and services.

Inspectors wroteBased on observation, interview and record review the facility failed to establish and 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 1 of 3 (Resident #31) residents reviewed for infection control. CNA C failed to thoroughly clean feces from the area between the buttocks and around the anus during incontinent care for Resident #31. This failure could place resident at risk of unnecessary infections.