Post Nursing & Rehab Center

Inspectors wroteBased on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen (Kitchen A) reviewed for dietary services, in that: From 10/1/25 to 10/3/25, the facility failed to properly cover and store resident cups and drinks, exposing the rims of the glasses to the underside of serving trays. From 10/1/25 to 10/2/25, the facility failed to ensure food items (resident drinks, bread, frozen bread and frozen broccoli) in the dry pantry and freezer were labeled with received or use-by dates. On 10/1/25, the facility failed to maintain hot food items (spaghetti) at the required serving temperature of 165 F. From 10/1/25 to 10/3/25, the facility failed to separate dented cans from undamaged cans. [...]

Inspectors wroteBased on interviews and record review, the facility failed to ensure that each resident was treated with dignity and respect for 1 of 16 residents (Resident #30) reviewed for resident rights, in that: Resident #30's care plan, dated 09/18/25, which Resident #30 had access to, contained negative descriptive language (argumentative, picky and manipulative) to describe Resident #30. This failure could negatively affect residents psychologically, socially, emotionally and physically overall affecting their dignity and quality of life.

Inspectors wroteBased on interviews and record reviews, the facility failed to ensure all Pre-admission Screening and Resident Review (PASRR) Level I residents with mental illness were provided with an accurate PASRR Level I for 2 of 16 residents (Resident #2 and Resident #3) reviewed for PASRR screening, in that: 1. Resident #2 did not have an accurate and updated PASRR Level 1 assessment reflecting a diagnosis of mental illness. 2. Resident #3 did not have an accurate and updated PASRR Level 1 assessment reflecting a diagnosis of mental illness. These failures could place residents, with an inaccurate PASRR Level 1 and no PASRR Level 2 Evaluation, at risk of not receiving care and services to meet their needs.

Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 6 (Resident #17 and Resident #4) residents reviewed for infection control. 1. CNA A failed to utilize hand hygiene between glove changes during foley catheter care for Resident #4.2. CNA B failed to utilize hand hygiene between glove changes during incontinence care for Resident #17. These failures could place residents at risk for cross contamination and infection.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide information to resident's and their representatives on their rights related to filing grievances or concerns for 12 of 12 confidential residents. The facility failed to ensure 12 of 12 confidential residents were provided, through postings in prominent locations, the Grievance Procedure, were provided access to the Grievance form, were provided information who the facility grievance official was, their contact information, how to file an anonymous grievance, and their right to obtain a written decision related to their grievance. This failure could place the residents at risk of unresolved grievances and decreased quality of life.

Inspectors wroteBased on observation, interview and record review the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 5 of 13 residents (Residents #10, #12, #14, #19, #23) and 1 of 5 staff (MA A) reviewed for infection control. 1. MA A failed to properly clean multi-use medical devices between each resident during medication administration for Resident #10, #12 and #23. 2. MA A failed to sanitize hands between residents during medication administration for Resident #10, #14, #19 and #23. These failures could place residents at risk for spread of infection and cross contamination.

Inspectors wroteBased on record review and interview, the facility failed to develop a comprehensive care plan to meet the highest practicable physical, mental, psychosocial well-being for 1 of 14 residents (Residents #34) reviewed for care plans as follows: Resident #34 did not have a care plan for PASRR positive or PASRR services. These failures could place residents at risk of not receiving the care required to meet their individualized needs.

Inspectors wroteBased on interview and record review the facility failed to ensure, before a resident was transferred to a hospital or the resident went on therapeutic leave, provided written information to the resident or the resident representative that specified the duration of the bed-hold policy, if any, during which the resident was permitted to return and resume residence in the nursing facility for 2 of 6 residents (Resident #1 and Resident #2) reviewed for notice of bed hold up on transfers. The facility failed to provide Resident #1, and Resident #2 or their resident representatives with a written bed-hold policy when the residents were transferred out to the hospital or were on therapeutic leave. This failure could place residents at risk for of being improperly discharged and placed in unsafe conditions.

Inspectors wroteBased on interview and record review, the facility failed to ensure all residents had the right to formulate an advance directive for 4 of 14 residents (Residents #12, #15, #16, and #30) reviewed for advanced directives, in that: Residents #12, #15, #16 and #30 was listed as a DNR (Do Not Resuscitate) but had an Out-of-Hospital Do Not Resuscitate (OOH-DNR) forms that were incorrectly filled out or missing required information. These failures could place residents at risk for not having their end of life wishes honored and incomplete records.

Inspectors wroteBased on observation, interview and record review, the facility failed to provide an ongoing program to support residents in their choice of activities, facility-sponsored group, designed to meet the interest of and support the physical, mental, and psychosocial well-being of 3 of 14 residents (Residents #4, #12 and #24) reviewed for activities. The facility: 1. Failed to engage in activities at scheduled times. 2. Failed to offer engaging activity replacement for scheduled activities that were cancelled or not completed. This failure could affect Residents of the facility by not addressing their physical, mental, and psychosocial needs for each to attain or maintain their highest practicable physical, mental, and psychosocial outcome.

Inspectors wroteBased on interviews and record reviews the facility failed to ensure the residents had the right to be informed of the risks, and participate in, his or her treatment which included the right to be informed in advance, by the physician or other practitioner or professional, of the risks and benefits of proposed care, of treatment and treatment alternatives or treatment options and to choose the alternative or option he or she preferred, for 2 of 14 residents ( Resident #11 and #19) reviewed for resident rights . The facility failed to obtain a signed informed consent based on information of the benefits, risks, and options available from for Residents #11 and #19 prior to administering melatonin (sleep aide). [...]