BERWICK, PA- GLEN BROOK REHABILITATION AND HEALTHCARE CENTER

The Department of Health & Human Services conducted an inspection of the facility. The following highlighted decencies listed below were found in a public survey.

Honor the resident’s right to organize and participate in resident/family groups in the facility.

Based on a review of grievances filed with the facility and the minutes from resident group meetings and staff interviews, it was determined that the facility failed to put forth sufficient efforts to promptly resolve continued resident complaints and grievances expressed during resident group meetings, including those voiced by six of the seven residents (Residents 21, 51, 59, 60, 90, and 102) attending a group meeting.

Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Based on review of clinical records and select facility policy and staff interview, it was determined that the facility failed to timely consult with the physician and notify the resident’s interested representative of significant weight changes and the potential need to alter treatment for two residents out of 27 sampled (Resident 79 and 122)

Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Based on observations, a review of a select facility policy, and resident and staff interviews, it was
determined that the facility failed to provide and/or make information regarding the facility’s grievance policy and the residents’ rights to file an anonymous grievance readily available in prominent locations on the nursing units.

Respond appropriately to all alleged violations.

Based on a clinical record and select policy review and resident interview and staff interviews, it was determined that the facility failed to identify and thoroughly investigate resident injuries of unknown source to rule out abuse, neglect or mistreatment for one of the 27 residents sampled (Resident 86).

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Based on clinical record review and staff interview, it was determined that the facility failed to ensure that the necessary resident information was communicated to the receiving health care provider for one resident out of 27 residents sampled (Resident 18).

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Based on clinical record review and staff interview, it was determined that the facility failed to ensure that a written notice of a facility-initiated transfer to the hospital was provided to the resident and the residents’ representative written in a language and manner that could be easily understood for one out of 27 residents reviewed (Residents 18).

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Based on a review of clinical records, and staff interviews, it was determined the facility failed to provide services necessary to maintain and prevent further decline in activities of daily living to the extent practicable for one of one resident reviewed for ADL decline (Resident 75).

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Based on observation and staff interview it was determined that the facility failed to maintain acceptable practices for the storage and service of food to prevent the potential for microbial growth in food and contamination, which increased the risk of food-borne illness in the food and nutrition services department.