Huntington Health and Rehabilitation Center

Inspectors wroteBased on observation, staff interview and resident interview, the facility failed to ensure a homelike environment by keeping rooms clean and maintaining a comfortable and safe room temperature. This included Resident's #202 and #23.

Inspectors wroteBased on observation and staff interviews, the facility failed to provide respiratory care in accordance with professional standards of practice, by not properly labeling and/or storing respiratory equipment. This failed practice was found true for (3) three of (4) four residents reviewed for respiratory compliance during the Long-Term Care Survey Process. Resident identifiers #92, #1, and #14. Facility Census 181.

Inspectors wroteBased on observation, record review, and staff interview, the facility failed to record the disposition of all controlled drugs within accepted standards of practice. This was a random opportunity for discovery. Additionally, the facility failed to provide pharmaceutical services to meet the needs of each resident. This was true for one (1) of five (5) residents reviewed for the care area of unnecessary medications. Resident Identifier: #62. Facility Census: 181.

Inspectors wroteBased on observation, resident interview, record review (recipes, production sheets) and staff interviews, this facility failed to ensure menus, recipes and production sheets are being followed. This was found during the Long term Care Survey Process. Facility census: 181.

Inspectors wroteBased on observation, resident interview, record review, and staff interview the facility failed to ensure meals were served in a palatable manner and a safe and appetizing temperature to ensure resident satisfaction. This was found during the Annual Survey Process.(Resident indicators- #1, #13, #31, #48 #125) (Census181)

Inspectors wroteBased on observations, staff interviews, and record reviews facility failed to follow proper sanitation and food handling practices to prevent the potential outbreak of foodborne illness. This was found during the Long Term Care Survey process and had the potential to affect all residents who receive nutrtion from the kitchen area. Facility census: 181.

Inspectors wroteBased on observation and staff interview, the facility failed to ensure residents were dressed in a manner to promote dignity. This was a random opportunity for discovery. Resident Identifier: #62. Facility Census: 181.

Inspectors wroteBased on resident interview, record review and staff interview, this facility failed to ensure reasonable accommodation of needs, a residents touch call light was to be accessible to the resident at all times. This was found during the Long Term Care Survey Process. This was true for (1) one of (1) one resident observations. Resident identifier#: 14. Facility census: 181.

Inspectors wroteBased on resident interviews, record review, and staff interviews, the facility failed to promote and facilitate resident self-determination by supporting resident choice regarding bathing. This failure was found in (1) one of (6) six residents reviewed for choices during the Long-Term Care Survey Process. Resident identifier #136. Facility Census: 181. Findings Include:a) Resident #136During the initial interview on 04/06/26 at 2:01 PM, Resident #136 stated, I want to take showers, but always on my day at the last minute they come and give me a bed bath, saying they haven't had time. They just don't want to get me up in the lift. A record review on 04/08/26 at 4:00 PM, of an Activities Preference Evaluation dated 06/09/25, question 3 indicates that it's very important for Resident #136 to choose between a tub bath, shower, bed bath or sponge bath. [...]

Inspectors wroteBased on record review and staff interview, the facility failed to provide a discharge/ transfer notice in writing to resident or resident representative. This was true for two (2) of five (5) residents reviewed. Resident identifiers: # 4 and #24. Census:

Inspectors wroteBased on Electronic Medical Record (EMR) review and staff interview, the facility failed to update PASARR's when Resident #150 had a diagnosis of Post Traumatic Stress Disorder (PTSD) and Resident #54 had a new diagnoses of major depressive disorder and anxiety. This failed practice was true for two (2) of nine (9) residents reviewed for PASARR's. Resident identifiers: Resident #54, #150. Facility census: 181.

Inspectors wroteBased on record review and staff interviews, the facility failed to include diagnoses of Post-Traumatic Stress Syndrome (PTSD), Bipolar disorder, and Major Depressive Disorder and anxiety on the Pre-admission Screening and Resident Review PASARR. This deficient practice was found true for (3) three of (9) nine residents reviewed for PASARR accuracy during the Long-Term Care Survey Process. Resident identifiers: #6, #54, and #150. Facility Census: 181. a) Resident #54 On 04/07/26 at 10:20 AM a review of the EMR for Resident #54 found a PASARR dated 04/24/16 noted the resident would be able to be discharged in 3-6 months. Resident #54 is currently resides at the facility. In addition, on 07/11/16 the diagnosis of Major Depressive Disorder was added. Anxiety diagnosis was added on 02/28/19. Bipolar Disorder was added on 05/12/20 to the diagnoses. No evidence was found of an updated PASARR. [...]

Inspectors wroteBased on observation, record review, and staff interview the facility failed to develop a resident-centered care plan for activities for Resident #16, and the use of side rails for Resident #13. This failed practice was found true for (2) two of 41 residents reviewed for care plan accuracy during the Long-Term Care Survey Process. Resident identifiers #16, and #13. Facility Census:181. Findings Include: a) Resident #16 The initial observation on 04/06/26 at 2:50 PM, found Resident #16 lying in bed, hollering out. No stimulation was on in the room. A record review on 04/09/26 at 9:00 AM, revealed a diagnosis of Autism for Resident #16. Further record review revealed an initial activities assessment for Resident #16 dated 07/30/25, under section C, Number 6 comments reads as follows: [...]

Inspectors wroteBased on Electronic Medical Record (EMR) review and staff interview, the facility failed to ensure residents were given the opportunity to attend care plan conferences and failed to revise a care plan after a resident had all teeth extracted. This was true for two (2) of 41 residents reviewed for care plans. Resident identifiers: #54, # 48. Facility census: 181.

Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to provide an activities program to meet the needs and interests of each resident. This failed practice was found true for (1) one of (2) two residents reviewed for activities during the Long-Term Care Survey Process. Resident identifier #16. Facility Census: 118. Findings Include:a) Resident #16The initial observation on 04/06/26 at 2:50 PM, found Resident #16 lying in bed, hollering out. No stimulation was on in the room. A record review on 04/09/26 at 9:00 AM, revealed a diagnosis of Autism for Resident #16. Further record review revealed an initial activities assessment for Resident #16 dated 07/30/25, under section C, Number 6 comments reads as follows: Per former caregiver, resident enjoys being up and active even if she is unable to meaningfully participate. [...]

Inspectors wroteBased on record review, resident interview, and staff interview, the facility failed to provide care and services in accordance with professional standards of practice. For one (1) of five (5) residents reviewed for the care area of unnecessary medications, the facility failed to implement physician's orders for blood glucose monitoring and failed to administer medication as ordered. For one (1) of three (3) residents reviewed for the care area of pain management, the facility failed to provide medication for hemorrhoid pain relief. Resident Identifiers: #62 and #136. Facility Census: 181.

Inspectors wroteBased on observation, staff interview and resident interview, the facility failed to keep an accurate medical record in the area of blood pressure documentation for Resident #8. Findings Included:a) Resident #8 During an interview with Resident #8 on 04/06/26 at 1:26 PM, he reported having a fistula in his left arm. He stated no one ever tried to take his blood pressure in that arm. On 04/09/26, a review of resident's blood pressure summary since 01/01/26 show the following blood pressures documented to have been taken in the left arm in 2026: 3/7/26 122/68 l/arm Licensed Practical Nurse (LPN) #1873/16/26 127/77 l/arm LPN #823/20/26 124/66 l/arm Registered Nurse (RN) #744/3/26 112/62 l/arm RN #744/4/26 104/67 l/arm LPN #614/8/26 111/69 l/arm l/arm LPN #123 c)Review of Facility Performance Improvement Project dated 04/02/26. [...]

Inspectors wroteBased on observation, record review, and staff interview, the facility failed to establish and maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections. The facility failed to implement the correct transmission based precautions for a resident being treated for an active multidrug-resistant organism (MRDO). This was true for one (1) of three (3) residents reviewed for the care area of transmission based precautions. Resident Identifier: #182. Facility Census: 181. [...]

Inspectors wroteBased on observation and resident and staff interview, the facility failed to ensure call lights were within reach and accessible to Residents #166, 487, 184, 38. This was a random opportunity for discovery. Resident identifiers: 166, 487, 184, 38. Facility census: 184.

Inspectors wroteBased on Record Review and Staff Interview, the facility failed to ensure the Resident and/or Power of Attorney (POA) was notified of a change in condition/order. This was a random opportunity for discovery that had the potential to affect more than a limited number of residents. Resident Identifiers: #7, #151, #169, #48, #8, #80, #97, #59, #34, #58, #111, #152, #124, #116, and #33. Facility Census:

Inspectors wroteBased on record review and staff interview, the facility failed to ensure complete and accurate Minimum Data Set (MDS) assessments for two (2) of 50 residents reviewed in the long-term care survey sample and one (1) of three (3) closed record reviews. Resident identifiers: #9, #21, and #183. Facility census: 184.

Inspectors wroteBased on record review and staff interview, the facility failed to revise care plans for three (3) of 50 reisdents. Resident #31's care plan was not revised regarding safety checks. Resident #109 did not have a care plan revised with the discontinuation of dialysis and comfort care in place. Resident #67 did not have a care plane revision for the discontinuation of opiate. Resident #24 did not have a care plan for Enhanced-Barrier Precautions (EBP) and a multidrug resistant organism (MDRO). Resident identifiers: #31, #109, #67. Facility Census: 184.

Inspectors wroted) Resident #179 On 03/17/25 at 3:28 PM, Resident #179 was interviewed in her room. She was tearful. She stated she was supposed to have a shower today, but she hadn't had one yet. She stated she wanted her hair washed today. Her hair looked greasy. Review of the facility's shower schedule showed the resident was scheduled to receive showers on Mondays and Thursdays. Resident #179's bathing/showering task report for the last 30 days was reviewed on 03/18/25. The only shower documented in the last 30 days was on 03/17/25. The resident was documented as receiving bed or towel baths on 02/19/25, 02/20/25, 02/21/25, 02/22/25, and 02/24/25. The resident was out of the facility from 02/24/25 through 03/07/25. The resident was documented as receiving bed or towel baths on 03/07/25, 03/08/25, 03/09/25, 03/10/25, 03/13/25, 03/15/25, and 03/16/25. [...]

Inspectors wroteBased on record review and staff interview, the facility failed to follow physician's orders for Resident #144's arm restrictions, the amount of assistance needed for transfers for Resident #31, Resident #31's safety checks, and Resident #7's aspiration precautions. This was true for three (3) of 50 residents reviewed during the survey process. Resident Identifiers: #144, #31 and #7. Facility Census: 184. Findings Include: a) Resident #144 On 03/19/25 at 9:00 AM, a record review was completed for Resident #144. The review found a physician's order dated 11/19/24 stating, Dialysis: No BP (blood pressure) or lab draw in right arm due to permacath every shift for ESRD (end stage renal disease). The review, for 03/2025, found multiple dates and times the blood pressure was taken in the right arm. The following are the dates and times: [...]

Inspectors wroteBased on observation and resident and staff interview, the facility failed to ensure proper portions were served to residents during mealtimes. This was a random opportunity for discovery. This has the potential to affect more than a limited number of residents. Facility census: 184.

Inspectors wroteBased on observation and resident and staff interview, the facility failed to provide appetizing and palatable meals to residents of the facility. This was a random opportunity for discovery. This has the potential to affect more than a limited number of residents residing in the facility. Resident identifiers: #116, #166. Facility census:

Inspectors wroteBased on observations, record review, and staff interview, the facility failed to ensure meals were delivered in a timely manner and failed to ensure snacks were delivered to residents, as ordered. This was a random opportunity for discovery. This has the potential to affect more than a limited number of residents residing in the facility. Resident identifiers: #65, #135, #76, #134, #1, #155, #149, #87, #54, #30, #19.

Inspectors wroteBased on observation, record review, and staff interview, the facility failed to ensure complete temperature logs for food, the chemical test log for the three (3) compartment sink, and to reheat resident food to appropriate temperatures before consumption. This was a random opportunity for discovery. This had the potential to affect more than a limited number of residents.

Inspectors wroteBased on record review and staff interview, the facility failed to ensure an accurate and complete record for five (5) of 50 residents. For Resident #144 the diagnosis for a medication was incorrect. The date of transfer and diagnosis of a medication for Resident #24 was incourrect. Resident #14's choice for medically assisted nutrition was incorrect and Resident #487's code status and documentation of a fracture for Resident #69 were incorrect. Resident Identifiers: #144, #24, #14 #487 and #69. Facility Census: 184. FindingsiInclude: a) Resident #144 On [DATE] at 12:15 PM, a record review was completed for Resident #144. The review found a physician's order for Eliquis 5mg (milligram) by mouth two times daily for essential (primary) hypertension. However, the primary use for Eliquis, a blood thinner, is prevention and/or treatment of blood clots. [...]

Inspectors wroteBased on observation and resident and staff interview, the facility failed to maintain proper infection control standards by failing to complete hand hygiene with residents before meals. This was a random opportunity for discovery. This had the potential to affect more than a limited number of residents residing in the facility. Resident identifiers: #97, #106. Facility census: 184.

Inspectors wroteBased on Observation and Record Review, the facility failed to provide a home-like dining environment and to serve residents in the Third Floor Assisted Dining Room at the same time in order. This was a random opportunity for discovery. This failed practice had the potenital to affect more than a limited number of residents. Resident Identifer: #7. Facility Census: 184.

Inspectors wroteBased upon Record Review and Staff Interview, the facility failed to ensure a resident with capacity was given the right to participate in the development and sign advance directives and a signature was not obtained in a timely manner by the Resident's Health Care Surrogate. This was true for two (2) of fifty (50) advanced directives reviewed. Resident identifiers: #487 and #75. Facility Census: 184.

Inspectors wroteBased on record review and staff interview, the facility failed to ensure a complete and accurate Preadmission Screening and Resident Review (PASRR) had been completed for one (1) of four (4) residents reviewed for the care area of PASRR. Resident identifier: #179. Facility census: 184.

Inspectors wroteBased on record review and staff interview, the facility failed to develop and implement care plans This was true for two (2) of five (5) residents reviewed. Resident identifiers: #144 and #24. Facility Census: 184. Findings Include: a) Resident #144 On 03/18/25 at 1:00 PM, a record review was completed for Resident #144. The review found the care plan focus area of (Name of Resident) may decline to attend dialysis, at times. She may refuse hygiene care, including showers and bed baths. May report contradictory information at time (Typed as written.) These areas had no interventions or goals noted. In addition, the focus area of risk for falls had an intervention stating, no description provided. (Typed as written.) Lastly, a focus area of risk for pain, listed an intervention of administer medication as ordered. [...]

Inspectors wroteBased on record review and staff interview, the facility failed to document the amount of nutritional supplement consumed for one (1) of 10 residents reviewed for the care area of nutrition. Resident Identifier: #14. Facility census: 184.

Inspectors wroteBased on observation, record review, and staff interview, the facility failed to ensure the medication error rate during the facility task of Medication Administration was less than 5%. The medication error rate was 7%. Resident identifier: #17. Facility Census: 184.

Inspectors wroteBased on Observation, Policy and Procedure and Staff Interview, the facility failed to provide a resident with adaptive equipment per order. This was a random opportunity for discovery. Resident identifier: #146. Facility Census: 184.

Inspectors wroteBased on observations and staff interviews the facility failed to post the correct menus. The lunch menus posted on the third and fourth floors of the initial tour for the complaint survey were incorrect. This deficient practice had the potential to affect all residents receiving nourishment from the kitchen. Facility census: 173.

Inspectors wroteBased on observations and staff interview the facility failed to prepare and serve food in accordance with professional standards for food service safety. During the tour of the kitchen for the complaint survey it was discovered a dietary aide was not wearing a beard guard. The deficient practice had the potential to affect all residents receiving nourishment from the kitchen. Facility census: 173.

Inspectors wroteBased on record review, observation, resident interview and staff interview, the facility failed to maintain an effective pest control program so the facility would remain free of pests and rodents. These were random opportunities for discovery. This faileed practice had the potential to affect all residents residing in the facility. Facility census: 185.

Inspectors wroteBased on record review, staff interview, and Resident Council meeting, the facility failed to invite residents to care plan meetings, and to revise a care plan. This was true for five (5) out of 41 residents reviewed during the long-term survey process. This failed practice had the potential to affect more than a limited number of residents. Resident identifiers: #163, #61, #22, #185, and #1. Facility Census: 185. Findings Included: a) Resident #163 During the Resident Council meeting on 08/01/23 at 3:18 PM, Resident #163 said she has never been asked to attend a care plan meeting regarding her care. Resident #163 was admitted to the facility on [DATE]. Resident #163 has capacity. Notes in chart found there were two (2) care conference notes on 04/11/23 and 05/30/23. These notes stated, care conference help on this date. All care plans were reviewed, goals appropriate and will proceed. [...]

Inspectors wroteBased on observation, record review, resident interview, staff interview, and facility policy review, the facility failed to assist dependent Residents with activities of daily living (ADL's) in accordance with the Residents assessed needs for care. This is true for four (4) of eight (8) residents reviewed for ADL care. This failed practice had the potential affect more than a limited number of residents. Resident identifiers: #58, #91, #87, and #1. Facility census 185.

Inspectors wroteBased on observation and staff interview, the facility failed to provide meals at the scheduled time to ensure no more than 14 hours were between the evening and the morning meal and to ensure resident evening scheduled snacks were provided. This had the potential to affect all residents that get their nutrition from the kitchen. Facility census: 185.

Inspectors wroteBased on observation and staff interview, the facility failed to complete the refrigerator temperature log on the refrigerator on the third floor and fourth floor pantries and completed the PM shift temperature on the reach in freezer prior to the shift. This has the potential to affect all Residents that get their nutrition from the kitchen and pantries. Facility census: 185.

Inspectors wroteBased on observation and staff interview, the facility failed to store garbage and refuse in a proper manner to prevent rodents and pests. This has the potential to affect more than a limited number of residents that reside in the facility. Facility census: 185.

Inspectors wroteBased on medical record review and staff interview, the facility failed to maintain an accurate and complete medical records. This was true for four (4) of 41 medical records reviewed. This practice had the potential to affect more than a limited number of residents. Resident identifiers: #162, #66, #185, and #84. Facility census: 185.

Inspectors wroteBased on observation and staff interview, the facility failed to ensure residents were provided care in a dignified manner for one (1) of two (2) residents reviewed for the care area of dignity. Resident #84 was assisted with meals by staff who stood over the resident while assisting during the meal. This failed practice had the potential to affect a limited number of residents. Resident identifier: Resident #94. Facility census: 185.

Inspectors wroteBased on medical records and staff interview, the facility failed to complete a Minimum Data Set (MDS) in the area of skin conditions for one (1) of one (1) residents reviewed for skin conditions. This failed practice had the potential to affect a limited number of residents. Resident identifier: #60. Facility census: 185.

Inspectors wroteBased on record review and staff interview, the facility failed to ensure an accurate discharge Minimum Data Set (MDS) assessment for one (1) of five (5) closed records reviewed during the long-term care survey. Resident identifier: #182. Facility census: 185.

Inspectors wroteBased on record review and staff interviews, the facility failed to ensure that the resident's Pre-admission Screening (PAS) reflected pre-admission diagnoses for two (2) of three (3) residents reviewed for the category of Preadmission Screening and Resident Review (PASARR), during the long-term care survey. This failed practice had the potential to affect a limited number of residents. Resident identifiers: #53 and #1. Facility census: 185.

Inspectors wroteBased on record review and staff interview, the facility failed to ensure a baseline care plan was completed for one (1) of one (1) newly admitted residents reviewed. The facility failed to complete a baseline care plan for Resident #235 for the area of Activities of Daily Living (ADLs). Resident identifier: Resident #235. Facility census: 185.

Inspectors wroteBased on record review, and staff interview, the facility failed to develop a person-centered care plan. This was true for three (3) of 41 residents reviewed for care plans. This failed practice had the potential to affect a limited number of residents. Resident identifiers: #58, #163, and #60. Facility census 185.

Inspectors wroteBased on medical record review and staff interview, the facility failed to assess pressure ulcers when first identified to receive appropriate care and treatment for one (1) of three (3) residents reviewed for pressure ulcers. This failed practice had the potential to affect a limited number of residents. Resident identifier: #60 Facility census: 185.

Inspectors wroteBased on observation, resident interview and staff interview, the facility failed to ensure resident environment remains as free of accident hazards as is possible. This was a random opportunity for discovery and had the potential to affect a limited number of residents. Resident Identifiers: Resident # 58. Facility census 185.