Renaissance Care Center

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the comprehensive care plan described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for five of 15 residents (Residents #58 , #62, #51, #8, and #4) reviewed for comprehensive care plans. 1. The facility failed to include, in the care plan for Resident #58, his left-hand contracture and interventions to prevent further decline. 2. The facility failed to include, in the care plan for Resident #62, her contracture to her right hand and arm and interventions to prevent further decline. 3. The facility failed to develop care plans for Resident #51's Activity of Daily Living assistance needs, and his antianxiety medication. 4. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents with limited range of motion received appropriate treatment and services to increase range of motion and/or prevent further decrease in range of motion for two of five Residents (Resident #58 and Resident #62) reviewed for quality of care. 1. The facility failed to implement interventions to prevent further decline of Resident #58's contracture to his left hand and arm. 2. The facility failed to implement interventions to prevent further decline of Resident #62's contracture to her right hand and arm. This failure could place residents at risk for decline in range of motion, decreased mobility, and worsening of contractures.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety for the facility's only kitchen in: 1. The facility failed to ensure refrigerator food items were dated when received, and freezer item were properly sealed on 06/02/26. 2. The Dietary Manager and Dietary [NAME] K failed to wear effective hair restraints during breakfast meal preparation on 06/04/26. These failures could affect residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness and food contamination.

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain medical records on each resident in accordance with accepted professional standards and practices that are complete, accurately documented and systematically organized for one of eight (Resident #61) reviewed for administration. The facility failed to ensure staff documented Resident # 61's wound care on the MAR/TAR, that was provided or declined on 05/05/26, 05/07/26, 05/08/26, 05/12/26, 05/13/26, 05/15/26, 05/19/26, 05/21/26, 05/22/26, 05/25/26, 05/27/26, 05/28,26, 05/29/26, 05/31/26, and 06/03/26. This failure could place residents at risk of not receiving treatments as ordered which could impact the residents' health and recovery.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide the necessary services for residents who are unable to carry out activities of daily living to maintain good grooming and personal hygiene for two of five residents (Resident #58 and Resident #51) reviewed for quality of life. The facility failed to ensure Resident #58 had his nails cut and cleaned. The facility failed to ensure Resident #51's fingernails were trimmed. These failures could place residents, who were dependent on staff for ADL care, at a loss of dignity and a decreased quality of life.

Inspectors wroteBased on observation, interview and record review, the facility failed to provide pharmaceutical services including procedures that assure the accurate acquiring and administering of all medications to meet the needs of each resident for one of eight residents (Resident #39) reviewed for pharmacy services. The facility failed to ensure RN C followed the manufacturer's instructions to keep the needle in Resident #39's skin for 5 seconds to ensure complete administration of the Humalog insulin on 06/06/26. This failure placed residents at risk of not receiving the full dosage of medication.

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 1 of 5 residents (Resident #1) and 1 of 2 shower rooms observed for infection control. 1. The facility failed to ensure CNA A and CNA B performed hand hygiene between gloves changes while providing incontinence care to Resident #1 and failed to ensure CNA A used the required PPE for Resident #1, who was on enhanced barrier precautions due to a wound on her toe on her right foot, during incontinence care on 08/20/25. 2. The facility failed to ensure staff did not place soiled linens on the floor on the hall 500 shower room on 08/20/25. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial wellbeing for 2 (Resident #61 and Resident #23) of 24 residents reviewed for staffing concerns. 1. The facility failed to ensure Residents #61 and #23 received consistent showers/bed baths on their shower days for the evenings of 6 pm to 6 am shift due to staffing issues. 2. The facility failed to ensure sufficient staff to meet resident needs in April 2025. These failures placed residents at risk of not getting needed care and services, a decrease in quality of care and quality of life and/or injury.

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 for the facility's only kitchen. 1. The facility failed to ensure stove grease trap was cleaned and emptied. 2. The facility failed to ensure cold food temperatures were at or below 40 degrees F for 3 menu items for lunch on 04/28/25. 3. The facility failed to ensure hot food temperatures were taken and were above 135 F for menu items for lunch on 04/28/25. 4. The facility failed to ensure Dietary Manager wore a facial restraint for his mustache during lunch meal preparation on 04/28/25. These failures could affect residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness, and food contamination.

Inspectors wroteBased on interview and record review, the facility failed to ensure prompt efforts to resolve grievances for 6 (confidential residents) of 13 residents reviewed for grievances. The facility failed to provide a written response to the Resident Council addressing the grievances reported from their meetings on February 2025 and March 2025 which included ongoing issues with call light response times. These failures could place residents at risk of unresolved grievances, a decreased sense of self-worth, and a decline in quality of life. Findings Included: Record review of the Resident council meeting notes from February 19, 2025 reflected, .New Business .b. New Concerns: Aids do not answer call lights in timely manner , nurses need to help answer lights, especially emergency lights Record review of the Resident council meeting minutes from March 19, 2025 reflected, .New Business: a. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 2 of 8 residents (Resident #61 and Resident #23) reviewed for ADLs. 1. The facility failed to ensure staff provided consistent showers/baths for Resident #61. 2. The facility failed to ensure staff provided consistent bed baths on 6 p.m. to 6 a.m. shift on Tuesdays, Thursdays and Saturdays for Resident #23. These failures could place residents at risk of not receiving needed hygiene care which could cause skin breakdown, a loss of dignity and self-worth.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that a resident who is fed by enteral means receives the appropriate treatment and services to prevent complications of enteral feeding for two of seven residents (Resident #171 and Resident #21) reviewed for quality of care. 1. The facility failed to ensure LVN A followed physician ordered water flushes between each medication administration given via the G-Tube for Resident #171 on 04/28/25. 2. The facility failed to ensure LVN J followed physician ordered water flushes between each medication administration given via the G-Tube for Resident #21 on 04/28/25. These failures could place residents at risk of nausea, shortness of breath and a decrease potential fluid overload.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a resident who needed respiratory care, including tracheostomy care, was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents goals and preferences for two of three (Resident #170, and Resident #52) reviewed for respiratory care. 1. The facility failed to have Physician orders for the use of Oxygen and the amount to be administered to Resident #170 upon her admission to the facility on [DATE]. 2. The facility failed to have Physician orders for the use of Oxygen and the amount to be administered to Resident #52 upon his re-admission to the facility on [DATE]. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to provide pharmaceutical services including procedures that assure the accurate acquiring and administering of all medications to meet the needs of each resident for one of seven residents (Resident #55) reviewed for pharmacy services. The facility failed to ensure Resident # 55's discontinued Lorazepam 2mg/ml was removed from the Refrigerator in the Medication room. These failures could place residents at risk of nausea, shortness of breath and a decrease potential fluid overload.

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 2 of 18 residents (Resident #171 and Resident #55) observed for infection control. 1. The facility failed to ensure LVN A used the required PPE for Resident #171, who was on enhanced barrier precautions due to his g-tube (a tube inserted through the abdomen that delivers nutrition directly to the stomach), while administering residents' medication through the g-tube on 04/28/25. The facility failed to ensure Resident #171's room had a sign reflecting she was on enhanced barrier precautions. 2. [...]

Inspectors wroteBased on interview and record review the facility failed to ensure all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately, but not later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse or resulted in serious bodily injury to the administrator of the facility and to the other officials, including to the State Survey Agency, in accordance with State law through the established procedures for one of 7 residents (Resident #66) reviewed for abuse and neglect . The facility failed to report allegations of neglect and abuse which involved Resident #66 to the Administrator and appropriate State Agency immediately on 04/26/25. This failure could place residents at risk of abuse and neglect. Findings Include: [...]

Inspectors wroteBased on interview and record review, the facility failed to have evidence that all alleged violations were thoroughly investigated for one of 7 residents (Resident #66) reviewed for abuse and neglect. The facility failed to ensure allegations of abuse and neglect were investigated when Resident #66 reported an allegation of abuse and neglect to the facility. This failure could place residents at risk for abuse and neglect . Findings Include: Record review of Resident #66's admission MDS assessment, dated 4/26/25, reflected an [AGE] year-old female who was admitted to the facility on [DATE]. She had little to no cognitive impairment and had a BIMs of 15 . [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to label drugs and biologicals used in the facility in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable for the facility's one medication room reviewed for storage. The facility failed to ensure a vial of TB PPD, that was opened and used, was not dated in the medication room refrigerator. This failure could affect residents and staff resulting in diminished effectiveness, and not receiving the therapeutic benefits of the medications.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for three of five residents (Resident #2, Resident #4, and Resident #8) reviewed for catheter and incontinence care. 1. The facility failed to ensure CNA A and CNA B maintained the foley catheter drainage bag below Resident #2's bladder while they transferred the resident with a mechanical lift on 02/04/25 2. The facility failed to ensure CNA C provided Resident #4 timely and appropriate perineal care after an incontinent episode when she failed to check and change the resident from 06:00 a.m. to 10:30 a.m. and failed to clean the resident's penis and scrotum from front to back on 02/05/24. 3. [...]

Inspectors wroteBased on observation, interview and record review the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for three of eight residents (Residents #4, #5, and #6) reviewed for medications and for 1 (nurses cart hall 300/400) of 2 medication carts reviewed for pharmacy services in that: 1. The Nurses Cart Hall 300/400 had 1 insulin pen for Resident #5 with an expired open date of [DATE] and 1 insulin pen for Resident #6 with no open date . Observation of the pen reflected it was not full and it was used. 2. The facility failed to administer Resident #4's Phenobarbital (treats seizures) according to doctor's orders on [DATE] and [DATE]. [...]

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 for one of one kitchen reviewed for Food and Nutrition Services. 1. The facility failed to ensure the walk-in freezer was free of ice accumulation. 2. The facility failed to ensure Dietary [NAME] O used proper hand hygiene while handling and serving food during the lunch meal preparation and service on 02/04/25. These failures could place residents at risk for food-borne illness if consumed and food contamination.

Inspectors wroteBased on observations, interviews, 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 four of eight Residents (Resident #1, Resident #2, Resident #4, and Resident #8) observed for infection control. 1. The facility failed to ensure CNA A used the required PPE for Resident #1, who was on enhanced barrier precautions due to her venous access device, while assisting resident with toileting on 02/04/25 and failed to perform hand hygiene before and after assistance. 2. The facility failed to ensure CNA A and CNA B used the required PPE for Resident #2, who was on enhanced barrier precautions due to her foley catheter, while performing a mechanical lift transfer on 02/04/25. 3. [...]

Inspectors wroteBased on observations, interviews, and record review the facility failed to maintain equipment in safe operating condition in facility's kitchen reviewed for physical environment. 1. The facility failed to ensure the walk-in freezer was in good repair and free of ice accumulation on 02/04/25. 2. The facility failed to ensure 3-compartment sink was not leaking underneath from the pipe. 3. The facility failed to ensure the steam table did not have 3 missing knobs while in use for lunch on 02/04/25. This failure could place a potential for fire hazard risk in the facility kitchen with equipment not in safe operating condition.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were free from abuse for one (Resident #9) of four residents reviewed for abuse. The facility failed to protect Resident #9 from verbal abuse by LVN E on 07/26/2024 at 9:15 AM. The noncompliance was identified as Past Noncompliance (PNC). The noncompliance began on 07/26/2024 at 9:15 AM and ended on 08/01/2024. The facility had corrected the noncompliance before the incident investigation began on 02/04/2025. This failure could place residents at risk of serious injury and harm.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents receive adequate supervision and assistance devices to prevent accidents for one of nine residents (Resident #1) reviewed for quality of care. The Facility failed to ensure CNA A used a gait belt when transferring Resident #1 from her wheelchair to the toilet on and off the toilet on 02/04/25. These failures could affect the residents by placing the residents at risk for falls, injuries, and skin tears.

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 two (Residents #12 and #18) of seven residents observed for infection control. 1. CNA T failed to perform hand hygiene between glove changes, and when she went from dirty to clean during incontinence care for Resident #12. 2. The facility failed to ensure Resident #18's nasal cannula oxygen was not lying on wheelchair seat when not in use. These failures placed residents at risk for spread of infection through cross-contamination.

Inspectors wroteBased on observations, interview and record review, the facility failed to respect the residents' right to confidentiality in his or her personal and medical records for one (Medication Cart Hall 100-200 Computer) of three medication cart computers reviewed for confidential medical records. LVN A failed to lock Medication Cart Hall 100-200 Computer, used for documenting residents' health information, and left Resident #25's information exposed. This failure could place residents at risk of resident-identifiable information being accessed by unauthorized persons.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure resident has a right to a safe, clean, comfortable and homelike environment for one (Resident #7) of 24 residents reviewed for safe and sanitary environment. The facility failed to ensure Resident #7's mattress was free of stain and in good condition. This failure could place residents at risk for an unsanitary and hazardous living conditions.

Inspectors wroteBased on observation, interview, and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that include measurable objectives and time frames to meet Residents' mental and psychosocial needs for 2 (Residents #54 and Resident #44) of 24 residents reviewed for care plans. 1- The facility did not develop and implement a comprehensive person-centered care plan to address Resident #54's dependence on indwelling urinary catheter. 2- The facility failed to develop a care plan for Resident #44's communication deficit related to diagnoses of aphasia and apraxia. These failures could place resident at risk of not having a plan developed to address care needs.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure that a Resident who needs respiratory care was provided such care, consistent with professional standards of practice for 1 of 3 Residents (#26) reviewed for respiratory care, in that: Resident #26 oxygen concentrator's humidifier bottle was not labeled or dated which was a facility policy requirement. These failures could place residents who received oxygen therapy at risk of respiratory infections.