Servicios Integrados De Rehabilitacion (siro) Inc

Inspectors wroteBased on medical record review and staff interview, it was determined that the facility failed to ensure that the pharmacist reviewed and documented the resident's medication regimen in the clinical records. This deficient practice was identified in 3 out of 8 (Residents # 25, #33, #35).

Inspectors wroteBased on medical record review and staff interview, it was determined that the facility failed to ensure that the medication reconciliation included the pharmacist's review and signature in the resident's clinical record 2 out 8 (Resident #33, #35).

Inspectors wroteBased on observation and staff interview, it was determined that the facility failed that the medication carts were properly secured to prevent unauthorized access to medication.

Inspectors wroteBased on observations made on 3/10/2026 through 3/11/2026 from 8:00 AM to 4:00 PM, it was identified that the facility failed to assure that all mechanical, electrical and patient care equipment is maintained in safe operating condition.

Inspectors wroteBased on observation conducted at front of the nursing station on 03/10/2026, it was determined that the facility did not ensure that the following information was posted and readily accessible to residents, and family members and legal representatives of residents.

Inspectors wroteBased on interview with MDS Coordinator (employee # 3) and document review performed on 3/11/2026 at 11:00 AM, it was determined that the facility failed to ensure the designation of a charge nurse in each shift to perform the specific responsibilities designated by the facility.

Inspectors wroteBased on an interview with the Minimum Data Set- (MDS) coordinator (employee #2), it was determined that the facility failed to accurately electronically transmit resident assessment instrument status correctly in 2 out of 2 closed records reviewed (RR). (Resident #1 and #2)

Inspectors wroteBased on observations of the Kitchen, review of policies procedures and facility staff interview performed on 04/28/2025 from 8:00 AM through 3:30 PM, it was determined that the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety.

Inspectors wroteBased on observations, staff interviews and review of policies and procedures on 04/28/2025 through 04/29/2025 at 8:12 AM through 3:30 PM, it was determined that 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. Findings incliude: 1. During the round conducted in the residents' rooms, the following was observed: a. On 04/28/2025 at 9:48 AM, the physical therapy assistant (employee #4) was observed entering room [ROOM NUMBER] A without washing her hands and without wearing gloves while placing ice packs on Resident #201. The Director of Nursing (DON) (employee #1) was interviewed on 04/29/2025 at 10:45 AM, and asked for a policy and procedure for the placement of cold compresses. [...]

Inspectors wroteBased on an interview with the Infection Control coordinator (employee #1) on 4/29/2025, it was determined that the facility failed to ensure an antibiotic stewardship program that promoted appropriate antibiotic use and included education of nursing and medical staff.

Inspectors wroteBased on observations of the physical environment, review of policies procedures and facility staff interview performed on 04/28/2025 from 8:00 AM through 3:30 PM, it was determined that the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. This deficient practice had the potential to affect 18 out of 18 residents receiving services at areas where the deficient environment and items.

Inspectors wroteBased on observations of the physical environment, review of policies procedures and facility staff interview performed on 04/28/2024 from 8:00 AM through 3:30 PM, it was determined that the facility failed to promote the resident right to receive services in a safe, clean, comfortable, and homelike environment. This deficient practice had the potential to affect 15 out of 15 residents receiving services.

Inspectors wroteBased on reviews of 8 medical records and interviews conducted on 04/28/2025 to 04/29/2025 from 8:00 AM to 4:00 PM, it was determined that the facility failed to ensure that each resident's medication regimen is free of unnecessary medications. This deficient practice affects 3 out of 8 receiving services at the facility (RS# 102, # 201 and 204).

Inspectors wroteBased on reviews of 8 medical records and interviews conducted on 04/28/2025 to 04/29/2025 from 8:00 AM to 4:00 PM, it was determined that the facility failed to ensure that the residents who have not used psychotropic drugs are not given these drugs unless the medication is necessary to treat a specific condition as diagnosed and documented in the clinical record. This deficient practice affects 3 out of 8 receiving services at the facility (RS #102,# 201 and #205).

Inspectors wroteBased on observations of the physical environment and facility staff interview performed on 04/28/2025 from 8:00 AM through 3:30 PM, it was determined that the facility failed to maintain an effective pest control program so that the facility is free of pests.

Inspectors wroteBased on observations of the Kitchen, review of policies procedures and facility staff interview performed on 04/22/2024 through 04/23/2024 to from 8:00 AM through 4:00 PM, it was determined that the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety.

Inspectors wroteBased on observations of the physical environment, review of policies procedures and facility staff interview performed on 04/22/2024 through 04/23/2024 to from 8:00 AM through 5:00 PM, it was determined that the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. This deficient practice had the potential to affect 18 out of 18 residents receiving services at areas where the deficient environment and items.

Inspectors wroteBased on records reviewed (RR) and interview with the Minimum Data Set- MDS coordinator (employee #1) it was identified that the facility failed to transmit as required, MDS (Minimum Data Set) with review of health data and resident status in 1 out of 1 MDS record over 120 days old.

Inspectors wroteBased on an interview with the Minimum Data Set- (MDS) coordinator (employee #1), it was determined that the facility failed to accurately electronically transmit resident assessment instrument status correctly in 1 out of 2 closed records reviewed (RR). (Resident #2)

Inspectors wroteBased on observations of the physical environment, review of policies procedures and facility staff interview performed on 04/22/2024 through 04/23/2024 to from 8:00 AM through 5:30 PM, it was determined that the facility failed to promote the resident right to receive services in a safe, clean, comfortable, and homelike environment. This deficient practice had the potential to affect 18 out of 18 residents receiving services.

Inspectors wroteBased on observations and interview with the TSA (employee #2) performed from 04/22/2024 thru 04/23/2024, from 8:20 AM thru 4:30 PM, it was determined that the facility failed to provide a designated a person to serve as the director of food and nutrition services. This deficient practice had the potential to affect 18 admitted residents.