Medical Management Health and Rehab Center

Inspectors wroteBased on observations, staff interviews, and a review of the facility's policy titled Food Storage Guideline, the facility failed to discard expired food items and failed to properly label, and date food products as required. The facility also failed to maintain sanitary practices during the handling of dishware and utensils, resulting in wet nesting and cross contamination risks. These deficient practices had the potential to place 69 residents who received an oral diet from the kitchen at risk for contracting a foodborne illness. Findings Include:A review of the facility's policy titled Food Storage Guideline dated 03/2024 documented that non perishable food was required to have a delivery date and once opened, an open date. Items were to be discarded by the expiration or use by date listed on the product. [...]

Inspectors wroteBased on observation, staff interviews, record review, and facility policies Resident Rights and Smoking Policy-Residents the facility failed to protect and promote the rights of one of 11 resident (R) (R28) related to smoking. The facility census 71. A review of the facility's policy titled Resident Rights (revised 02/2021) documented under Policy Interpretation and Implementation stated that residents were to be free from corporal punishment or involuntary seclusion, and from physical or chemical restraints not required to treat the resident's symptoms. It further stated that residents had the right to exercise his or her rights without interference, coercion, discrimination, or reprisal from the facility. [...]

Inspectors wroteBased on observations and staff interviews, the facility failed to ensure the confidentiality of resident medical records for one of 71 sampled resident (R) (R 67).

Inspectors wroteBased on record review, staff interviews, and the facility policy titled Resident Assessment - Coordination with PASARR Program, the facility failed to conduct a Preadmission Screening and Resident Review (PASARR) Level II assessment for one of 24 sampled residents (R28). This deficient practice had the potential to affect residents who required Level II PASARR specialized services.

Inspectors wroteBased on observations and interviews, the facility failed to provide effective infection control practices related to fingerstick blood sugar checks for one of 24 sampled resident(R) (R67). During medication administration on 04/19/2026 at 10:57 AM, Licensed Practical Nurse (LPN) AA removed the glucometer from the medication cart, sanitized her hands, cleaned the glucometer, and placed it in her gloved hand. LPN AA entered R 67 room and placed the glucometer directly on the resident's bedside table without a barrier. LPN AA wiped R67's right index finger with an alcohol pad and performed the blood glucose fingerstick. After completing the procedure, LPN AA cleaned the glucometer with a disinfectant wipe and placed the wet glucometer directly on top of the medication cart to dry without a barrier. [...]

Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to ensure the environment was free of accident hazards when water temperatures were not maintained at a safe temperature level for five residents (Resident (R) 67, R53, R47, R14, and R22 who resided on one of four halls (B hall). The water temperatures on the facility's B hall ranged between 138.9 degrees Fahrenheit (F) and 149.1 degrees F on 6/16/2025. On 6/16/2025, the Maintenance Supervisor failed to notify the Administrator, nursing staff, and residents and implement interventions to protect the residents on the B hall when the water temperatures became excessively hot after they were adjusted and checked around noon on 6/16/2025. [...]

Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to provide education on the risks and benefits of psychotropic medications prior to the initiation of such medication to one of five residents (Resident (R)38) reviewed for unnecessary medication out of a total sample of 22. This had the potential to cause R38 not to be able to give informed consent for the use of a psychotropic medication.

Inspectors wroteBased on observation, interview, record review, and document review, the facility failed to follow current standards of practice for flushing a PICC (Peripherally Inserted Central Catheter) line for one of one resident (Resident (R)73) observed with a PICC line during the medication administration observation out of a total sample of 22. This failure had the potential to cause R73 to not receive the whole dose of an intravenous antibiotic and increased the risk of occlusion of the catheter.

Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to have ongoing communication and collaboration with the dialysis center for one of two residents (Resident (R) 38) reviewed for dialysis out of a total sample of 22. This had the potential for R38's care needs to not be met.

Inspectors wroteBased on interview, record review, and review of the facility's policy, the facility failed to ensure the Pharmacist Consultant identified and reported to the facility and to the prescriber that a PRN (as needed) antianxiety medication did not have a duration of use for one of seven residents (Resident (R) 1) reviewed for unnecessary medications out of a total sample of 22. This failure placed the resident at risk for not being reevaluated for the medication necessity.

Inspectors wroteBased on observation, interview, record review, and document review, the facility failed to ensure one of six residents (Resident (R) 7) observed during the medication administration observation, was free from a significant medication error. The medication error occurred when the licensed nurse failed to recognize the physician ordered insulin was not expired and could have been administered to R7. This failure had the potential for R7 to experience hyperglycemia and if left untreated could have led to diabetic ketoacidosis.

Inspectors wroteBased on observation, staff interviews, record review, and a review of the facility policy titled Abuse, Neglect, and Exploitation, the facility failed to protect two residents' (R) (R2, R3) right to be free from sexual abuse by a resident (R1). Specifically, the facility failed to implement appropriate interventions and separate vulnerable residents from potential perpetrators.

Inspectors wroteBased on record review, family and staff interviews, and a review of the facility's policy titled Abuse, Neglect and Exploitation, the facility failed to report allegations of sexual abuse to the State Survey Agency within the required timeframes and failed to notify the residents' Responsible Parties of the incidents. This deficient practice affected two of three residents (R) (R2 and R3), who were reviewed for abuse reporting.

Inspectors wroteBased on staff interviews, record review, and a review of the facility's policy titled Care Plans - Comprehensive, the facility failed to develop and implement comprehensive care plans that addressed sexual abuse incidents, prevention measures, and safety interventions. This deficient practice affected three of three residents (R) (R1, R2, R3) reviewed for abuse.

Inspectors wroteBased on observations, resident and staff interviews, record review, and review of the facility policies titled Transmission-Based (Isolation) Precautions, and Smoking Policy-Residents, the facility failed to allow four of 11 residents (R) (R38, R22, R61, and R65) who desired to smoke and had a positive Covid-19 test, the choice to continue smoking while on isolation.

Inspectors wroteBased on record review, staff interviews, and review of the facility policy titled admission Criteria, the facility failed to complete a new Pre-admission Screening and Review (PASRR) Level II after admission to the facility for one resident (R) R21. This had the potential to adversely affect one of three residents reviewed with a qualifying psychological diagnosis.

Inspectors wroteBased on observations, resident and staff interviews, review of facility documents, and review of the facility's policy titled Transmission-Based (Isolation) Precautions, the facility failed to ensure infection control practices were followed to prevent transmission and spread of Covid-19, related to staff entering and exiting three resident rooms on C Hall without donning proper personal protective equipment (PPE) and failing to close the door of two Covid positive resident's rooms during care. The facility was in an outbreak, with 44 residents and 13 staff tested positive for Covid-19, including 13 of the 15 residents residing on C hall. This deficient practice had the potential to spread Covid-19 infection to other residents residing in the facility, staff, and visitors. The sample size was 27 residents.