Inspection Reports for
Norwich Rehabilitation & Nursing Center
88 Calvary Drive, Norwich, NY, 13815
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
11.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
120% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Aug 1, 2025
Visit Reason
The inspection was conducted as part of recertification and an abbreviated survey to assess compliance with regulations related to resident safety, comfort, and homelike environment.
Findings
The facility failed to ensure a safe, clean, and homelike environment for two residents and several others who reported missing clothing. Issues included strong urine odor in a resident's room and bathroom, missing clothing items, and a wheelchair in disrepair that was not promptly fixed despite staff being informed.
Deficiencies (1)
F 0584: The facility did not maintain a safe, clean, and homelike environment. Resident #39's room and bathroom had a strong urine odor despite frequent cleaning. Resident #80 had missing clothing and a wheelchair with a broken wheel that was not repaired timely.
Report Facts
Residents affected: 9
Dates of cleaning omissions: 3
Dates of deep cleaning: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Environmental Services | Director of Environmental Services | Reported awareness of urine odor in Resident #39's bathroom and cleaning efforts. |
| Certified Nurse Aide #17 | Certified Nurse Aide | Reported laundry procedures and resident family doing laundry for Resident #39. |
| Certified Nurse Aide #12 | Certified Nurse Aide | Reported informing therapy about broken wheelchair for Resident #80. |
| Certified Nurse Aide #7 | Certified Nurse Aide | Reported missing laundry for Resident #80. |
| Receptionist #10 | Receptionist | Described clothing labeling and inventory process. |
| Housekeeper #16 | Housekeeper | Reported cleaning frequency and odor control efforts in Resident #39's room. |
| Housekeeper Supervisor #11 | Housekeeper Supervisor | Reported clothing labeling procedures. |
| Physical Therapist #13 | Physical Therapist | Reported lack of notification about broken wheelchair for Resident #80. |
| Maintenance/Environmental Service Director #3 | Maintenance/Environmental Service Director | Reported efforts to locate missing clothing and wheelchair repairs. |
| Occupational Therapist #14 | Occupational Therapist | Reported wheelchair maintenance responsibilities and unawareness of broken wheelchair. |
| Registered Nurse Unit Manager #6 | Registered Nurse Unit Manager | Reported that therapy should be notified of broken wheelchairs and was unaware of Resident #80's wheelchair condition. |
| Director of Rehabilitation #4 | Director of Rehabilitation | Reported wheelchair repair and replacement policies and quarterly equipment checks. |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 6
Date: Aug 1, 2025
Visit Reason
Six standard health citations related to quality of care including care plan, discharge, nutrition, respiratory care, and environment; all Level 2 severity with isolated or pattern scope.
Findings
Six standard health citations related to quality of care including care plan, discharge, nutrition, respiratory care, and environment; all Level 2 severity with isolated or pattern scope.
Deficiencies (6)
Develop/implement comprehensive care plan
Inappropriate discharge
Nutrition/hydration status maintenance
Nutritive value/appear, palatable/prefer temp
Respiratory/tracheostomy care and suctioning
Safe/clean/comfortable/homelike environment
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Aug 1, 2025
Visit Reason
The inspection was a recertification and abbreviated survey conducted from 7/29/2025 to 8/1/2025 to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including maintaining a safe, clean, and homelike environment, effective discharge planning, comprehensive care planning, nutritional status monitoring, respiratory care, and food service temperature control. Several residents experienced issues such as odor in rooms, missing personal belongings, lack of discharge plans, incomplete care plans, significant unaddressed weight loss, lack of physician orders for respiratory equipment, and improperly heated food.
Deficiencies (6)
F 0584: The facility failed to ensure a safe, comfortable, and homelike environment for residents, including odor control and proper management of personal belongings and assistive devices.
F 0627: The facility did not develop or implement effective discharge planning for residents, lacking ongoing assessment and documentation of discharge goals.
F 0656: The facility failed to develop and implement a comprehensive care plan including anticoagulant therapy monitoring for a resident.
F 0692: The facility did not ensure residents maintained acceptable nutritional status, failed to complete weekly weights as ordered, notify medical providers of significant weight loss, and delayed occupational therapy referral.
F 0695: The facility did not provide safe and appropriate respiratory care, lacking physician orders and care plan documentation for use of a continuous positive airway pressure machine.
F 0804: The facility failed to ensure food and drink were served at palatable and safe temperatures, with observed meal items served below recommended temperatures.
Report Facts
Residents affected: 2
Residents affected: 3
Weight loss percentage: 9.2
Weight loss pounds: 20.4
Meal temperatures: 114
Meal temperatures: 112
Meal temperatures: 106.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Environmental Services #3 | Director of Environmental Services | Interviewed about odor issues in Resident #39's bathroom and cleaning efforts |
| Certified Nurse Aide #17 | Certified Nurse Aide | Reported on laundry and wheelchair issues for Resident #80 |
| Receptionist #10 | Receptionist | Described clothing labeling and inventory process |
| Housekeeper Supervisor #11 | Housekeeper Supervisor | Discussed clothing labeling and laundry procedures |
| Physical Therapist #13 | Physical Therapist | Commented on wheelchair repair notification process |
| Occupational Therapist #14 | Occupational Therapist | Discussed wheelchair maintenance and repair |
| Registered Nurse Unit Manager #6 | Registered Nurse Unit Manager | Discussed wheelchair repair and care plan documentation |
| Director of Rehabilitation #4 | Director of Rehabilitation | Described equipment checks and repair process |
| Director of Social Services #9 | Director of Social Services | Responsible for discharge planning and social services evaluations |
| Certified Nurse Aide #7 | Certified Nurse Aide | Commented on care plan knowledge and anticoagulant monitoring |
| Licensed Practical Nurse #8 | Licensed Practical Nurse | Discussed care plan completion and anticoagulant therapy |
| Certified Nurse Aide #12 | Certified Nurse Aide | Observed assisting Resident #1 and wheelchair issues |
| Licensed Practical Nurse Unit Manager #15 | Licensed Practical Nurse Unit Manager | Discussed weight monitoring and reporting |
| Registered Dietician | Registered Dietician | Reviewed weights and nutritional status |
| Licensed Practical Nurse #23 | Licensed Practical Nurse | Discussed feeding assistance and therapy referral |
| Occupational Therapist #25 | Occupational Therapist | Evaluated feeding ability of Resident #3 |
| Certified Nurse Aide #17 | Certified Nurse Aide | Reported feeding difficulties and weight loss |
| Licensed Practical Nurse #24 | Licensed Practical Nurse | Discussed feeding assistance |
| Licensed Practical Nurse #27 | Licensed Practical Nurse | Observed food temperature testing |
| Dietary Aide #28 | Dietary Aide | Reported warming soup and food temperature |
| Food Services Director | Food Services Director | Discussed food temperature policies and practices |
Inspection Report
Abbreviated Survey
Capacity: 79
Deficiencies: 1
Date: Dec 3, 2024
Visit Reason
The abbreviated survey was conducted to assess compliance with regulations regarding residents' advance directives and code status documentation.
Findings
The facility failed to properly document and communicate a resident's updated advance directive to staff, resulting in cardiopulmonary resuscitation being performed contrary to the resident's wishes. Immediate Jeopardy was identified but later removed after corrective actions including staff education were implemented.
Deficiencies (1)
F 0578: The facility failed to establish mechanisms for documenting and communicating a resident's choice regarding Advance Directives, resulting in cardiopulmonary resuscitation being performed against the resident's do not resuscitate order.
Report Facts
Residents affected: 79
Staff educated: 100
Staff interviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #3 | Registered Nurse | Co-signed Medical Orders for Life Sustaining Treatment and failed to verify physician order |
| Assistant Director of Nursing #5 | Assistant Director of Nursing | Notified Administrator and involved in resuscitation event |
| Physician Assistant #4 | Physician Assistant | Pronounced resident deceased and gave telephone order for Full Code |
| Nurse Practitioner #8 | Nurse Practitioner | Signed Medical Orders for Life Sustaining Treatment form |
| Director of Nursing | Director of Nursing | Provided interview regarding nurse responsibilities for verifying physician orders |
| Medical Director | Medical Director | Provided interview regarding physician order entry |
| Administrator | Administrator | Provided interview regarding code status update expectations |
| Corporate Director of Nursing #12 | Corporate Director of Nursing | Completed Investigative Summary |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Dec 3, 2024
Visit Reason
One Level 4 immediate jeopardy deficiency related to treatment refusal and advance directives; corrected by January 5, 2025.
Findings
One Level 4 immediate jeopardy deficiency related to treatment refusal and advance directives; corrected by January 5, 2025.
Deficiencies (1)
Request/refuse/dscntnue trmnt;formlte adv dir
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Apr 15, 2024
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Mar 11, 2024
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Feb 21, 2024
Visit Reason
One Level 0 deficiency related to other laws, codes, rules and regulations with unclear scope.
Findings
One Level 0 deficiency related to other laws, codes, rules and regulations with unclear scope.
Deficiencies (1)
Other laws, codes, rules and regulations.
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Feb 20, 2024
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Feb 12, 2024
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Feb 6, 2024
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 30, 2024
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 22, 2024
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Jan 9, 2024
Visit Reason
The inspection was conducted based on a complaint investigation regarding allegations of abuse between residents and concerns about supervision and safety measures including wander alert devices and food service safety.
Complaint Details
The complaint involved allegations that Resident #62 slapped Resident #235 in the face and entered their room uninvited multiple times. The investigation was incomplete and failed to clarify dates and locations of the alleged abuse. Staff did not report the incident timely to the Administrator or Department of Health. The Director of Nursing and Administrator acknowledged failures in reporting and investigation.
Findings
The facility failed to thoroughly investigate allegations of resident-to-resident abuse and did not report the incident as required. The facility also failed to provide adequate supervision and ensure the use of wander alert devices for an elopement risk resident. Additionally, food service safety deficiencies were found including expired sanitizer strips, presence of fruit flies, damaged ice machines, unclean walls and ceilings, and unlabeled food items.
Deficiencies (3)
F 0610: The facility did not ensure allegations of abuse were thoroughly investigated or reported to the Department of Health for 2 residents involved in an incident of alleged resident-to-resident abuse.
F 0689: The facility did not ensure adequate supervision or use of wander alert devices for 1 resident at risk of elopement, resulting in the resident being found unsupervised in a non-residential area.
F 0812: The facility did not ensure food storage and preparation met professional standards, with expired sanitizer strips, fruit flies in kitchens, damaged ice machines, unclean walls and ceilings, and unlabeled opened food items observed.
Report Facts
Residents reviewed for abuse allegation: 2
Residents reviewed for supervision: 4
Kitchens reviewed for food safety: 3
Fruit flies observed: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing #3 | Director of Nursing | Named in investigation and interview regarding abuse allegation and supervision failures |
| Licensed Practical Nurse #4 | Licensed Practical Nurse | Witnessed incident, involved in investigation, and counseling on abuse reporting |
| Certified Nurse Aide #5 | Certified Nurse Aide | Witnessed incident and reported resident statements about abuse |
| Administrator | Administrator | Interviewed regarding reporting procedures and knowledge of abuse incident |
| Food Service Director | Food Service Director | Interviewed regarding food safety deficiencies and awareness of expired supplies and pest issues |
| Housekeeping Supervisor | Housekeeping Supervisor | Interviewed regarding cleaning responsibilities and awareness of unclean areas |
| Maintenance Director | Maintenance Director | Interviewed regarding maintenance issues and work order procedures for damaged equipment |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 4
Date: Jan 9, 2024
Visit Reason
Four Level 2 deficiencies related to dialysis, food sanitation, accident hazards, and investigation of alleged violations; all corrected by February 25, 2024.
Findings
Four Level 2 deficiencies related to dialysis, food sanitation, accident hazards, and investigation of alleged violations; all corrected by February 25, 2024.
Deficiencies (4)
Dialysis
Food procurement,store/prepare/serve-sanitary
Free of accident hazards/supervision/devices
Investigate/prevent/correct alleged violation
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Jan 9, 2024
Visit Reason
The inspection was conducted as part of the recertification and abbreviated surveys from 1/3/2024 to 1/9/2024 to assess compliance with regulatory requirements for nursing home care.
Findings
The facility failed to thoroughly investigate and report allegations of resident-to-resident abuse, ensure adequate supervision and use of wander alert devices for residents at risk of elopement, provide appropriate dialysis care including monitoring of dialysis access sites, and maintain food service areas free from contamination and in accordance with professional standards.
Deficiencies (4)
F 0610: The facility did not ensure allegations of abuse between residents #62 and #235 were thoroughly investigated or reported to the Department of Health as required.
F 0689: The facility did not ensure adequate supervision or use of wander alert devices for resident #232, who was found unsupervised in a non-residential area without the device after hospital return.
F 0698: Resident #335 did not receive dialysis care consistent with professional standards, lacking ongoing assessment, monitoring of dialysis access site, and consistent communication with the dialysis center.
F 0812: The facility did not ensure food storage and preparation areas were maintained according to professional standards, with expired sanitizer strips, presence of fruit flies, damaged ice machines, unclean walls and ceilings, and undated opened food items observed in multiple kitchens.
Report Facts
Residents affected: 2
Residents affected: 1
Residents affected: 1
Kitchens reviewed: 3
Dates of dialysis treatments documented: 6
Dates of pest control service: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing #3 | Director of Nursing | Conducted abuse investigation and interviewed regarding resident-to-resident abuse incident |
| Licensed Practical Nurse #4 | Licensed Practical Nurse | Witnessed resident incident and counseled on abuse reporting |
| Certified Nurse Aide #5 | Certified Nurse Aide | Witnessed resident incident and intervened during abuse event |
| Administrator | Administrator | Interviewed regarding abuse reporting and facility policies |
| Registered Nurse #9 | Registered Nurse | Conducted elopement risk evaluation and interviewed regarding dialysis care |
| Licensed Practical Nurse #19 | Licensed Practical Nurse | Documented resident wandering and dialysis care |
| Activities Director #16 | Activities Director | Interviewed regarding wander alert device checks |
| Food Service Director | Food Service Director | Interviewed regarding kitchen sanitation and food safety issues |
| Housekeeping Supervisor | Housekeeping Supervisor | Interviewed regarding cleaning responsibilities and kitchen cleanliness |
| Maintenance Director | Maintenance Director | Interviewed regarding maintenance issues and pest control |
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 8, 2024
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 2, 2024
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Dec 26, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Dec 18, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Dec 11, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Oct 23, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Oct 10, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Oct 2, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Aug 28, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Aug 21, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jun 5, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Annual Inspection
Deficiencies: 0
Date: May 11, 2023
Visit Reason
The inspection was conducted as an annual survey of Norwich Rehabilitation & Nursing Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 23, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Dec 5, 2022
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jul 25, 2022
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jul 11, 2022
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: May 30, 2022
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: May 9, 2022
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Apr 18, 2022
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Feb 14, 2022
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 31, 2022
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Nov 1, 2021
Visit Reason
One deficiency related to abuse reporting documentation.
Findings
One deficiency related to abuse reporting documentation.
Deficiencies (1)
R9-10-803.J — Abuse reporting documentation
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Jul 9, 2021
Visit Reason
The inspection was conducted as a recertification survey to evaluate the facility's compliance with infection prevention and control requirements.
Findings
The facility failed to ensure an effective infection prevention and control program during medication administration. Specifically, a licensed practical nurse did not perform hand hygiene between residents, increasing the risk of germ transmission.
Deficiencies (1)
F 0880: The facility did not ensure hand hygiene was performed between medication administrations for multiple residents, violating infection prevention protocols. Licensed practical nurse #10 was observed not performing hand hygiene during medication passes on 7/8/21.
Report Facts
Residents affected: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #10 | Observed not performing hand hygiene between medication administrations | |
| Director of Nursing (DON)/Infection Control Nurse | Interviewed regarding infection control protocols |
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