Eastside Center for Health & Rehabilitation, LLC

Inspectors wroteBased on interviews, observations, and record reviews, the facility failed to develop and/or implement policy and procedures for residents to file grievances to ensure timely resolution to resident concerns. This has the potential to affect all residents.

Inspectors wroteBased on record review and interview, the facility failed to recognize a potential significant weight loss and a potential significant weight gain for 1 of 6 residents reviewed for nutrition. (Resident #12 [R12])On 3/30/26, a review of R12's clinical record was complete. R12 was care planned for diabetes with an intervention to monitor, document/report any signs or symptoms of weight loss . R12 also had a care plan problem for overweight/obesity/risk of malnutrition related to chronic disease (diabetes mellitus Type II) with an intervention to monitor/evaluate weight/weight changes. Documentation indicated that on 3/5/26, R12 weighed 294 pounds (#). Then on 3/12/26, R12 weighed 263 #'s, indicating a potential for a significant weight loss of 30.6 #.On 3/16/26, R12 weighed 266.1 #'s. Then on 3/26/26, R12 weighed 310.2 #'s, indicating a potential for a significant weight gain of 44.1 #'s. [...]

Inspectors wroteBased on record reviews and interviews, the facility failed to ensure the attending Provider signed the medication Order Review History Report (Physician block orders) that is required during a visit at least every 60 days plus a 10 day grace period for 3 of 5 sampled residents reviewed for unnecessary medications. (Resident #2 [R2] R9, R46) and 2 of 3 reviewed for Activities of Daily Living (R6 and R14) In addition, the facility failed to ensure the attending Provider signed the medication Order Review History Report (Physician block orders) that is required during a visit for a new admission at least every 30 days plus a 10 day grace period for 1 of 1 sampled resident reviewed for hospitalization (Resident #58 [R58]).

Inspectors wroteBased on observations and interviews, the facility failed to ensure that plastic scoops were not left in the flour and sugar bins, in the walk in refrigerator the facility failed to prevent cross contamination when they had a plastic container with lettuce leaves, bag of carrots, unpeeled cucumber and an onion wrapped in plastic wrap all in the same container on 1 of 4 days of survey (3/29/26) in addition the facility failed to ensure all kitchen staff were wearing facial hair restraints on 2 of 4 days of survey (3/29/26 and 3/30/26).

Inspectors wroteBased on record review and interview, the facility failed to ensure that the State mental health authority for Pre-admission Screening and Resident Review (PASRR) was notified after a resident was admitted with a diagnosed and/or experienced symptoms related to a mental disorder or trauma event to determine if a change in level of service was required for 1 of 1 sampled residents reviewed for PASRR (Resident #8 [R8]).

Inspectors wroteBased on record review and interview, the facility failed to ensure a care plan was developed and implemented to address the needs of a resident to minimize triggers that may cause re-traumatization for 1 of 1 resident(s) reviewed for Pre-admission Screening and Resident Review (Resident #8 [R8]).

Inspectors wroteBased on interviews, and record reviews, the facility failed to assist a resident with scheduling a follow-up appointment for Eye Care or assist the resident to obtain new eyeglasses when they were lost for 1 of 1 resident(s) reviewed for vision and hearing (Resident #3 [R3]).

Inspectors wroteBased on observation, facility policy review, and interview, the facility failed to ensure that staff followed Enhanced Barrier Precautions during a pressure ulcer dressing change for 1 of 1 resident (Resident #32 [R32]).

Inspectors wroteBased on record reviews and interview, the facility failed to notify the Ombudsman of transfers/discharge to a hospital for 2 of 3 residents reviewed (Resident #48 [R48] and R58).

Inspectors wroteBased on observations, record reviews and interviews, the facility failed to ensure that a resident record contained accurate, complete, and/or readily accessible information for 2 of 22 residents reviewed on survey (Resident #3 [R3], and R10).

Inspectors wroteBased on observations and interview, the facility failed to maintain a clean/sanitary environment on 1 of 1 days of survey (12/30/25). This has the potential to effect all residents.

Inspectors wroteBased on observation and interview, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety, by not storing food in a sanitary manner and not maintaining a clean kitchen floor for 1 of 1 days of survey (12/30/25).

Inspectors wroteBased on review of the Complete IDDSI [International Dysphagia (difficulty swallowing) Diet Standardisation Initiative] Framework guidance, record review, and interviews, the facility failed to provide a resident with a minced and moist meal as ordered by a physician for 1 of 2 residents reviewed with a therapeutic diet (Resident #1 (R1).

Inspectors wroteBased on observations and interviews, the facility failed to ensure that garbage and refuse were disposed of in a manner to prevent pest infestation for 1 of 1 survey days. (12/30/25).

Inspectors wroteBased on observation and interview, the facility failed to maintain an Infection Control Program designed to help prevent the development and spread of infection related to laundry room storage for 1 of 1 laundry room tour (12/30/25).

Inspectors wroteBased on observations, interviews, facility policy review, and record review, the facility failed to monitor a resident's bowel movements and initiate the Bowel Regime protocol on shift 7 for 1 of 1 residents reviewed (Resident # [R] 46). This failure resulted in R46 not having a bowel movement for an additional 16 shifts which resulted in R46 screaming out for help and crying because of the pain due to gas buildup and constipation.

Inspectors wroteBased on Payroll Based Journal staffing report and interviews, the facility failed to ensure sufficient direct care staff were scheduled and on duty to meet the needs of residents that reside in the facility for weekends of the fourth quarter (July 1 - September 30, 2024).

Inspectors wroteBased on record reviews and interviews, the facility failed to ensure that the resident and/or resident representative was provided with written information to formulate an advanced directive or appoint a surrogate, was completed for 4 of 7 residents reviewed for advanced directives.(Resident #[R] 7 , R46, R214, and R17).

Inspectors wroteBased on observations and interviews, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building and resident equipment in good repair and in a sanitary condition for 2 of 3 days of survey (2/23/25, 2/24/25).

Inspectors wroteBased on record reviews and interviews, the facility failed to ensure residents with a specialized mental health diagnosis had been referred to the appropriate state-designated authority for Pre-admission Screening & Resident Review (PASRR) evaluation and determination for 1 of 2 residents reviewed for PASRR evaluation (Resident #48 [R48]).

Inspectors wroteBased on record review, interviews and observations, the facility failed to follow hospital discharge orders for 1 of 13 sampled Residents (163 [R163])

Inspectors wroteBased on interviews and Beneficiary form review, the facility failed to ensure that a Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) was provided to 2 of 3 residents whose Medicare Part A services were discontinued (Residents #24 [R24], and R36).

Inspectors wroteBased on record review and interview, the facility failed to develop a care plan for a current problem of Atrophic Vaginitis for 1 of 4 residents reviewed for care planning a current medical problem requiring physician ordered treatment (Resident #1[R1].

Inspectors wroteBased on record review and interviews, the facility failed to follow Physician orders to provide a low sodium diet and assist a resident out of bed to a chair for meals for 1 of 1 sampled resident (Resident#1[R1]).

Inspectors wroteBased on observations and interview, the facility failed to ensure that the resident's environment was free from accident hazards related to baseboard heaters in disrepair with heating elements exposed for 5 of 16 room observations.

Inspectors wroteBased on record review and interview, the facility failed to follow a Physician Assistant order for 1 of 1 sampled resident (Resident #1 [R1]).

Inspectors wroteBased on observation, interviews, and record review the facility failed to ensure proper medication and biological storage temperatures for 1 of 2 medication storage room refrigerators (B wing).

Inspectors wroteBased on interviews, the facility failed to ensure there was a Food Service Director (FSD) that met the qualifications of a FSD. This has the potential to affect all the residents.

Inspectors wroteBased on observations and interview, the facility failed to ensure dishes were stored in a sanitary manner for 3 of 3 days (12/18/23, 12/21/23, and 12/22/23), failed to ensure food was stored under sanitary conditions for 1 of 3 days (12/18/23), failed to ensure that dented cans were removed from use for 1 of 3 days (12/18/23), failed to remove expired foods from walk-in refrigerator and emergency food supply storage for 1 of 3 days (12/18/23), failed to retrieve a bread delivery from the loading dock allowing it to be stored next to a full garbage bag for 1 of 3 days (12/21/23), failed to ensure dishes were not wet stacked for 1 of 3 days, (12/21/23), and failed to ensure sanitizing chemical was present in sanitation sink for 1 of 1 days (12/21/23).

Inspectors wroteBased on observation and interview, the facility failed to properly dispose of garbage on 2 of 3 days of survey (12/18/23 and 12/21/23).

Inspectors wroteBased on record review and interviews, the facility failed to inform a Resident Representative (RR), in advance, of treatment risks and benefits, options, and alternatives related to use of an antipsychotic medication for 1 of 5 sampled residents reviewed for psychoactive medication use (Resident #10 (R10)).

Inspectors wroteBased on facility policy review, employee personnel file review, and interview, the facility failed to ensure that references were checked for 1 of 5 sampled employees hired in 2023 (Employee #2, (E2)).

Inspectors wroteBased on record reviews and interview, the facility failed to ensure that the clinical records contained accurate documentation for 1 of 5 residents reviewed for unnecessary medications. (Resident #28 [R28])