Rumford Community Home

Inspectors wroteBased on observations and interview, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in a sanitary, orderly, and comfortable environment on 2 of 2 units (East and West) and the laundry room for 3 of 3 facility observations/tours. (4/21/26 and 4/22/26)

Inspectors wroteBased on interviews and record reviews the facility failed to review and revise the care plan by an interdisciplinary team (IDT) meeting, which included the participation of the resident and resident's representative, after each Minimum Data Set (MDS) 3.0 assessment, for 7 of 14 residents whose care plans were reviewed (Resident #1, #5, #6, #7, #15, #27, #29).

Inspectors wroteBased on observations, interviews, and a review of Safety Data Sheets (SDS), the facility failed to ensure that the resident's environment was free of accident hazards relating to the storage of chemicals being properly secured for 1 of 2 days of survey (4/22/26).

Inspectors wroteBased on record review and interviews the facility failed to ensure annual performance reviews were completed at least once every 12 months for 3 of 5 Certified Nursing Assistants selected for reviews (CNA) (Staff #2, Staff #4 and Staff #5).

Inspectors wroteBased on observations, interviews, and review of the Food Storage policy (dated 2013), the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for a hood system, floors, a small reach-in standing freezer, a grease trap and a large walk-in freezer; and failed to ensure foods were labeled and dated in a walk-in freezer for 1 of 1 kitchen tour for 1 of 2 days of survey. (4/21/26)

Inspectors wroteBased on observations and interviews, the facility failed to promote care for resident in a manner that maintains the resident's dignity by allowing an uncovered colostomy bag to be seen by passersby for 1 of 2 residents (Resident #1) observed for dignity related to urinary/colostomy bags during 1 of 2 days of survey (4/21/26).

Inspectors wroteBased on record review and interview the facility failed to notify a provider when a resident verbalized desire to self-harm for 1 of 14 residents reviewed during the survey process (Resident [R]#16).

Inspectors wroteBased on record review and interview the facility failed to update a care plan to include goals and interventions in the area of suicidal ideation for 1 of 14 sampled residents (Resident (R)#16).

Inspectors wroteBased on observations and interview, the facility failed to maintain a garbage storage area in a sanitary condition to prevent the harborage and feeding of pests for 1 of 2 trash dumpsters for 1 of 2 days of survey (4/21/26).

Inspectors wroteBased on record review and interviews, the facility failed to conduct an annual review of its Infection Prevention and Control Program (IPCP).

Inspectors wroteBased on record review, facility policies, review of a reportable incident form, and interviews the facility failed to ensure that a resident was free from injury when the facility staff failed to properly transfer a resident causing the resident to sustain a laceration on the nose and several lacerations with hematomas to the head for 1 of 13 residents requiring a mechanical lift for transfers. (Resident #1)

Inspectors wroteBased on observations, interviews, review of the Dish Machine Temperature Logs (dated 2013), and review of the Food Storage policy (dated 2013), the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for ceiling tiles, floors, and a wall mounted fan; failed to ensure foods were sealed, labeled and dated in a reach-in freezer and in a walk-in refrigerator; failed to ensure that the kitchen ice machine was plumbed in accordance with code requirements to prevent food contamination and failed to ensure that the dish machine was monitored for proper wash and rinse temperatures to ensure clean and sanitized utensils and dishes, all for 1 of 1 kitchen tour for 1 of 1 day of survey (2/4/25).

Inspectors wroteBased on interviews, the facility failed to conduct regular inspection of all bed frames, mattresses, and bed rails as part of a regular maintenance program to identify areas of possible entrapment for 32 of 32 beds. This has the potential to affect the safety of all residents.

Inspectors wroteBased on interviews and record review, the facility failed to ensure resident preferences were followed for 2 of 3 residents reviewed for bathing ( Residents #23 #8).

Inspectors wroteBased on observations and interview, the facility failed to adequately maintain maintenance and housekeeping services necessary to maintain the facility in good repair and sanitary conditions for 2 of 2 units (East and West), a laundry cart, the conference room and the laundry room for 2 of 2 environmental tours (2/5/25 and 2/6/25).

Inspectors wroteBased on observations and interviews, the facility failed to maintain respiratory equipment in a sanitary manner to help prevent the development and transmission of disease and infection related to respiratory care for 3 of 4 days of survey. (2/4/25, 2/5/25 and 2/10/25)

Inspectors wroteBased on Certified Nursing Assistant (CNA) employee education record review and interview, the facility failed to monitor and ensure that the Certified Nursing Assistants (CNAs) received the required 12 hours of annual in-service education training for 5 of 5 randomly selected CNAs employed greater than 1 year (CNA #1, CNA #2, CNA #3, CNA #4, and CNA #5). Findings On 2/6/25, a surveyor reviewed the following employee education files: 1. CNA #1 was hired 3/27/23. A review of CNA #1's education records revealed they had not received the required 12 hours of education/in-service training including Resident Rights, Dementia, Quality Assurance and Performance Improvement Program (QAPI), and Infection Control in 2024. 2. CNA #2 was hired 4/10/23. [...]

Inspectors wroteBased on interviews, record reviews, and facility policy, the facility failed to ensure a baseline care plan was developed and implemented within 48 hours that included the problems, interventions, and initial goals needed to provide minimum healthcare information necessary to properly care for 1 of 15 residents reviewed for baseline care plans. (Resident #15).

Inspectors wroteBased on interviews, observations, and record review, the facility failed to document and adequately monitor a resident after an unwitnessed fall for 1 of 2 residents reviewed for falls (Resident #28). In addition, the facility failed to ensure that physician orders were followed for 1 of 2 residents reviewed. (Resident #8 & (Resident #7)

Inspectors wroteBased on observation, interview, and a review of Safety Data Sheets (SDS), the facility failed to ensure that the resident's environment was free of accident hazards relating to the storage of chemicals being properly secured for 1 of 5 days of survey (2/10/25).

Inspectors wroteBased on record review and interview, the facility failed to show evidence of an attempt of a gradual dose reduction (GDR) and lacked documentation to justify the continued use of an antidepressant medication for 1 of 5 residents reviewed for unnecessary medications (#5.)

Inspectors wroteBased on record review and interview, the facility failed to conduct an annual review of it's Infection Prevention and Control Program (IPCP).

Inspectors wroteBased on interview and policy review, the facility failed to designate a qualified staff member to function as the Infection Preventionist, who is responsible for the facility's Infection Control Program since 12/4/22.

Inspectors wroteBased on immunization record review, review of the facility's immunization policy and interview, the facility failed to implement their Influenza, Pneumococcal, COVID policy for 1 of 5 residents whose immunization records were reviewed. (#19)

Inspectors wroteBased on immunization record review, review of the facility's immunization policy and interview, the facility failed to implement their Infection Prevention & Control Policy for 1 of 5 residents whose immunization records were reviewed. (#19)

Inspectors wroteBased on observations and interview, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for a baseboard heater, the grease trap, the cement floor, a standing floor fan, the food disposal unit, the large food mixer, the dish machine, and the hood system filters for 1 of 3 days of survey (11/6/23). Additionally, the facility failed to ensure all staff with facial hair were wearing facial hair protectors for 1 of 3 days of survey (11/8/23).

Inspectors wroteBased on record review and interviews, the facility failed to review and revise the care plan to reflect the current needs of a resident in the area of pressure ulcers. (#22)

Inspectors wroteBased on observation and interview, the facility failed to maintain a garbage storage area in a sanitary condition to prevent the harborage and feeding of pests for 1 trash dumpster for 1 of 3 days of survey. (11/6/23)