Allbridge Rehabilitation and Nursing Center

Inspectors wroteBased on record review, staff and resident interviews, review of the facilities Self-Reported Incidents (SRI), and facility policy review, the facility failed to ensure a resident's allegation of physical abuse was timely reported to the State Survey Agency. This affected one (Resident #3) of three residents reviewed for abuse. The facility census was 43.

Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to ensure a requested discharge process was completed timely and thoroughly. This affected one (Resident #9) of three residents reviewed for discharge process. The census was 39. Findings Include:Resident #9 was admitted to the facility on [DATE]. His diagnoses were muscle wasting, cognitive communication deficit, traumatic subdural hemorrhage, dysphagia, ocular hypertension, presbyopia, atrophic disorder of skin, hypertension, hyperlipidemia, atrial fibrillation, atherosclerotic heart disease, psychosis, gout, anxiety disorder, adjustment disorder, and major depressive disorder. Review of his minimum data set (MDS) assessment, dated 09/10/25, revealed he was cognitively intact. [...]

Inspectors wroteBased on staff interview and document review the facility failed to timely submit at least quarterly the Payroll Based Journal (PBJ) staffing information for quarter one of 2025 to Centers for Medicare and Medicaid Services (CMS). This affected all 39 residents in the building.

Inspectors wroteBased on interview, review of personnel files, review of the tuberculosis (TB) risk assessment, and review of facility policies the facility failed to fully complete the TB risk assessment and failed to test staff according to their TB risk assessment. This had the potential to affect 39 of 39 residents residing in the facility.

Inspectors wroteBased on observation and staff interview, the facility failed to maintain and sanitary and homelike environment. This had the potential to affect the 39 of 39 residents residing in the facility.

Inspectors wrote3. Review of medical record for Resident #11 revealed an admission date of 01/12/24. Medical diagnoses included cognitive communication deficit, traumatic subdue hemorrhage, hypertension, arteriosclerotic heart disease, unspecified psychosis, alcohol abuse, major depressive disorder, and anxiety disorder. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment, dated 03/15/25 revealed the resident had a coded diagnoses of Anxiety, Depression, and Psychotic Disorder. Review of Resident #11 PASARR document dated 01/17/24, indicated no for mental health diagnoses and no diagnosis of substance use related disorder. Interview on 05/20/25 at 09:54 A.M. with Social Service staff #195 confirmed the PASARR documents for Resident #11 need to be updated to accurately reflect his diagnoses. 4. Record review of Resident #26 revealed an admission date of 11/07/23 with pertinent diagnoses of: [...]

Inspectors wroteBased on medical record review, resident interview, staff interview and test tray, the facility failed to maintain palatable and appetizing food temperatures. This had the potential to affect all but three (Resident #12, #21 and #26) who do not receive a meal tray from the kitchen. The census was 39.

Inspectors wroteBased on observation and staff interview, the facility failed to store, prepare, distribute and serve food under sanitary conditions. This had the potential to affect all but three (Resident #12, #21 and #26) who do not receive a meal tray from the kitchen. The census was 39.

Inspectors wroteBased on staff interview, records review and resident family interview, the facility failed to have written authorization to handle resident funds. This affected one (Resident #22) of five residents reviewed for funds. The facility census was 39.

Inspectors wroteBased on medical record review, review of the self reported incident, staff interview and review of the facility policy and procedure, the facility failed to report the alleged verbal abuse in a timely manner. This affected one (Resident #20) of one reviewed for self reported incidents. The census was 39.

Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure the plan of care included services for checking the dialysis port site. This affected one (Resident #9) of one resident reviewed for dialysis. The census was 39.

Inspectors wroteBased on observation, resident interview, record review, and staff interview, the facility failed to have functioning call lights in two rooms. This affected two (Resident #14 and #21) of six residents reviewed for environment. The facility census was 39.

Inspectors wroteBased on observation, record review, and staff interview, the facility failed to ensure enhanced barrier precautions (EBP) were followed for one (Resident #1) of four residents reviewed for EBP. The facility census was 39.

Inspectors wroteBased on staff interview, and record review the facility failed to ensure Residents received the treatment and care in accordance with professional standards when Resident #27 did not have timely follow up on Erivedge (a cancer drug) from the dermatologist office. This affected one (Resident #27) of three reviewed for quality of care. The facility census was 34.

Inspectors wroteBased on staff interview, record review ,observation, and facility policy review, the facility failed to ensure medication error rates were not greater than 5% when they tried to administer another Residents Lantus (insulin medication) to Resident #7 and omitted a probiotic medication for Resident #29. There was 35 opportunities with two errors for a medication error rate of 5.7%. This affected two (Resident #7 and #29) of four Residents reviewed for medication administration. The facility census was 34.

Inspectors wroteBased on observation, record review, and resident and staff interview, the facility failed to ensure the safety of Resident #34, who obtained access to a locked employee breakroom to utilize a facility microwave unsupervised. Actual harm occurred on 02/28/24 when Resident #34 sustained second degree burns to his left thigh after spilling hot water on his leg. The injury was a result of Resident #34 entering an employee breakroom with a Styrofoam cup of water where he proceeded to heat the water in the facility microwave without supervision. Upon exiting the breakroom the resident spilled the cup of hot water on his left thigh resulting in second-degree burns (a type of burn that affects the first and second layer of skin. The resident complained of subsequent pain to the area and required a wound care treatment. [...]

Inspectors wroteBased on closed medical record review, facility policy review, and interview the facility failed to ensure Resident #37's power of attorney (POA) was notified of change in dialysis days and a Notice of Medicare Non-Coverage (NOMNC) letter being issued. This affected one (Resident #37) of three residents reviewed for notification. The facility census was 36. Findings Include: Review of the closed medical record for Resident #37 revealed an initial admission date of 01/21/24 with diagnoses including malignant neoplasm of anal canal, dysphagia, human immunodeficiency virus (HIV), end stage renal disease, dependence on renal dialysis, hypertension, hyperlipidemia, anemia, colostomy status and gastro-esophageal reflux disease. Review of the State of Ohio Health Care Power of Attorney dated 06/06/22 revealed the resident's niece was named as the resident's POA. [...]