Auburn Skilled Nursing and Rehab

Inspectors wroteBased on observation, interview, record review and review of the facility policy, the facility failed to maintain the unit refrigerator in a sanitary manner that followed acceptable standards of food safety. This had the potential to affect 37 residents receiving meals from the kitchen as Resident #14 and Resident #35 were ordered nothing-by-mouth (NPO). Facility census was 39 residents.

Inspectors wroteBased on record review, observation, and interview, the facility failed to maintain proper food storage in the kitchen to prevent potential contamination and spoilage. This had the potential to affect all residents who receive food from the kitchen. The facility identified three residents (Resident #9, Resident #6, and Resident #5) as NPO (Nothing by mouth), who were not affected. The facility census was 42.

Inspectors wroteBased on record review, observation, interview, review of the Centers for Disease Control and Prevention (CDC) Guideline for Isolation Precautions, and review of facility policy, the facility failed to timely implement orders for contact isolation for Resident #9 and ensure staff donned adequate personal protective equipment (PPE) when entering isolation rooms. This affected one resident (#9) of five reviewed for infection control. In addition, the facility failed to ensure staff performed appropriate hand hygiene during medication administration. This affected four residents (#7, #16, #21 and #27) of 10 observed for medication administration. The facility census was 42.

Inspectors wroteBased on observation, policy review, and staff/Resident interviews, the facility failed to maintain the dignity and privacy of one resident (Resident #07) of five residents reviewed for dignity and privacy. The facility census was 42. Findings Include: Review of medical record of Resident #07 revealed initial admission to facility on 04/22/25 for diagnosis including metabolic encephalopathy, pneumonia, chronic respiratory failure, high blood pressure, major depression and anxiety, spinal cord injury, and chronic lung disease. Review of the medical record for Resident #07 revealed the Minimum Data Set 3.0 (MDS 3.0) indicated Resident #07 required moderate to substantial assistance with personal care and was dependent on wheelchair for mobility. Observation on 09/02/25 at 9:50 A.M. [...]

Inspectors wroteBased on record review, observation and interview, the facility failed to ensure the call light was within reach, and failed to provide functional furniture to accommodate resident needs. This affected two (Resident #12 and Resident #16) of two residents reviewed for accommodation of needs. The facility census was 42.

Inspectors wroteBased on observation, interview, and policy review, the facility failed to ensure residents had access to paper towels. This affected one (Resident #8) of three residents reviewed for environment. The facility census was 42.

Inspectors wroteBased on record review, policy review, and interview, the facility failed to complete an activities assessment timely to ensure residents participated in group activities and/or preferred activities. This affected one (Resident #8) of one resident reviewed for activities. The facility census was 42.

Inspectors wroteBased on record review and interview the facility failed to address pharmacy recommendations for medication dosage adjustments for three of five Residents (Resident #04, #25, #1) reviewed for gradual dose reduction (GDR) monitoring. The facility census was 42.

Inspectors wroteBased on observation, record review and interview the facility failed to ensure medications were properly stored for residents identified as being able to self-administer medications. This affected one resident (Resident #16) of one residents reviewed for secured medication. The census was 42.

Inspectors wroteBased on record review and staff interview the facility failed to accurately document influenza, pneumococcal, and Covid-19 vaccination consents for three residents (Residents #07, #12 and #15) of the five residents reviewed for vaccinations. The facility census was 42Findings Include: 1. Review of medical record of Resident #07 revealed initial admission to facility on 04/22/25 with diagnoses including metabolic encephalopathy, pneumonia, chronic respiratory failure, high blood pressure, major depression and anxiety, spinal cord injury, and chronic lung disease. Review of Resident #07's influenza/pneumococcal vaccination consent signed on 04/23/25 revealed a question asking if Resident #07 had received the influenza/pneumococcal vaccine prior. There was a check marked by the word No after this question. No dates were entered for prior pneumococcal vaccinations. [...]

Inspectors wroteBased on observation, record review, interview, recipe review and policy review, the facility failed to ensure Resident #6's diet consistency was provided as ordered by the physician. This affected one (Resident #6) of three residents reviewed for food and nutrition.

Inspectors wroteBased on observation, medical record review, and interview, the facility failed to remove a female resident's long facial hairs. This affected one (Resident #13) of two residents reviewed for activities of daily living. The facility census was 37.

Inspectors wroteBased on observation, medical record review, and interview, the facility failed to ensure a resident who developed a pressure ulcer was evaluated for a modification of interventions to prevent further pressure ulcers and to enhance healing. This affected one (Resident #26) of two residents reviewed for pressure ulcers. The facility census was 37.

Inspectors wroteBased on observation, record review and interview, the facility failed to provide adequate pain relief for one (Resident #90) of two residents reviewed for pain. The facility census was 37.

Inspectors wroteBased on observation, record review and interview the facility failed to maintain an adequate infection control program to ensure all housekeeping staff were knowledgeable regarding disinfectant products to use to prevent the spread of infection. This had the potential to affect all 38 residents residing in the facility.

Inspectors wroteBased on observation, facility policy and procedure review and interview the facility failed to ensure all food items were held at a safe holding temperature and at point of service to prevent potential food borne illness. This had the potential to affect 30 residents who received meals from the kitchen and excluded Resident #26, #13 and #19 who received nothing by mouth (NPO) and Resident #15, #8, #34, #10 and #36 who received an alternative meal item during the 08/25/21 evening meal. The facility census was 38.

Inspectors wroteBased on record review and staff interview the facility failed to refer Resident #32, with a new diagnosis of schizophrenia, for a level II Pre-admission Screening and Resident Review (PASARR). This affected one (Resident #32) of one resident reviewed for PASARR.

Inspectors wroteBased on observation, record review and interview the facility failed to ensure Resident #40, who required staff assistance for activities of daily living including set up assistance with eating received adequate and timely assistance with meals. This affected one resident (#40) of two residents reviewed for activities of daily living.

Inspectors wroteBased on observation, record review and interview the facility failed to provide a comprehensive and individualized activity program to meet the total care needs of Resident #40. This affected one resident (#40) of three residents reviewed for activities.

Inspectors wroteBased on record review and interview the facility failed to ensure Resident #191 was free of a significant medication error. Resident #191, who had a critical potassium level (low potassium) did not receive Potassium medication as ordered resulting in a significant medication error for the resident. This affected one resident (#191) of nine residents observed for medication administration.