Cadia Rehabilitation Broadmeadow
CADIA REHABILITATION BROADMEADOW in MIDDLETOWN, DE — inspection on January 22, 2025.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
R78's clinical record revealed:
4/25/23 - R78 was care planned for potential physically aggressive behaviors as evidenced by yelling, kicking, hitting, slapping, striking out, etc.
Interventions included:
- allowing R78 10-15 minutes to calm down then reapproach,
- redirecting when visibly irritated and,
- speaking in a calm voice to keep R78 calm, and feel non threatened.
3/25/24 9:37 PM - A facility incident report submitted to the State Agency documented that R78 hit R66 on the face.
4/2/24 - A facility 5 day follow up summary documented, Were changes made to Care Plan? Yes .
Medication changes; Q 1 hr (hour) safety check.
1/16/23 11:05 AM - A review of R78's potential for physical aggression care plan revealed that it was not revised to include the new safety check interventions.
1/16/2 1:46 PM - In an interview, E2 (DON) confirmed that R78's care plan for physical aggression was not revised and updated after the 3/25/24 resident - to - resident physical altercation between R78 and R66.
1/22/25 at 3:04 PM - Finding was reviewed during the exit conference with E1 (NHA), E2 (DON), E3 (ADON), E8 (Staff Educator), E14 (COO) and E15 (CNO).
085050
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 085050 B.
Wing 01/22/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Cadia Rehabilitation Broadmeadow 500 South Broad Street Middletown, DE 19709
Review of R97's clinical record revealed:
12/19/24 - R97 was admitted to the facility with diagnoses including but were not limited to, dementia and difficulty swallowing.
12/20/24 10:05 AM - E13 (dietician) ordered in R97's EMR, Regular diet .Adaptive equipment: please issue divided plate, built up utensils and Kennedy cup with straw at all meals.
12/20/24 - R97 was care planned for .a potential nutritional problem r/t (related to) advanced age . self-feeding difficulty requiring adaptive equipment .[R97] has an ADL (activities of daily living) self-care performance deficit r/t limited mobility.
12/31/24 - R97 was care planned for .[R97] has actual contracture .decreased functional mobility .
1/13/25 4:06 PM -
During an interview, F6 (R97's daughter) stated that her mom [R97] needs her bedside water in an adaptive cup. F6 stated, The staff gives her water every shift in a Styrofoam white cup and she [R97] cannot pick it up due to her stroke. So only when the family or staff offer to hold her water cup can she drink it.
She likes water and will drink it, if she could pick up the cup.
1/13/25 4:06 PM - The surveyor observed R97's bedside table with a full, white Styrofoam cup with a straw and ice water in it.
1/14/25 10:30 AM - The surveyor observed R97's bedside table with a full, white Styrofoam cup with a straw and ice water in it.
1/15/25 1:07 PM -
During an interview, E32 (OT) stated, [R97] is ordered specialized dining utensils. It is part of the diet order.
The ([NAME]) cup is not left at the bedside because it has to be cleaned.
Usually, I talk to the family and have them buy another ([NAME]) cup for the resident to use for their water cup.
085050
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 085050 B.
Wing 01/22/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Cadia Rehabilitation Broadmeadow 500 South Broad Street Middletown, DE 19709
The facility failed to treat a UTI for 20 hours after the facility received a positive lab result.
3/28/25 3:21 PM - Findings were reviewed with E1 (NHA) and E2 (DON) during the exit conference.
085050
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 085050 B.
Wing 01/22/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Cadia Rehabilitation Broadmeadow 500 South Broad Street Middletown, DE 19709
Review of R97's clinical record revealed:
[DATE] - R97 was admitted to the facility with diagnoses including but were not limited to, dementia and difficulty swallowing.
[DATE] 9:56 AM - E13 (dietician) documented on the [facility] Nutrition Risk Assessment in R97's EMR, .
Estimated fluids- ml (milliliter) - 1500 - 1800 ml (,d+[DATE] ml/kg) (kilogram) .
Feeding status - Needs some assistance with meal set up or eating .
Assessment - .Daughter reports good oral intake but has had to assist with meals .
[DATE] 10:05 AM - E13 (dietician) ordered in R97S EMR, Regular diet .Adaptove equipment: please issue divided plate, built up utensils ands [NAME] cup with straw at all meals.
[DATE] 1:00 PM - E27 (MD) ordered in R97's EMR, Med Pass one time a day 120 mls and Juven two times a day for 4 weeks.
Mix with 240 mls water.
These two orders accounted for 600 mls of R97's documented oral intake during this time period.
[DATE] - R97 was care planned for several problems including: .(1) a potential nutritional problem r/t (related to) advanced age, . self-feeding difficulty requiring adaptive equipment .
Interventions for this problem included: provide adaptive equipment for feeding as needed .Monitor intake and record .[R97] has an ADL (activities of daily living) self-care performance deficit r/t limited mobility . (2) has impaired cognitive function/dementia .
Interventions for this problem included: Cue, reorient and supervise as needed . (3) has an ADL (activities of daily living) self-care performance deficit r/t (related to) limited mobility .Interventions for this problem included: Assist with eating as needed .
The daily totals of R97's fluid intake were:
[DATE] - 1440 mls
[DATE] - 1200 mls.
085050
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 085050 B.
Wing 01/22/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Cadia Rehabilitation Broadmeadow 500 South Broad Street Middletown, DE 19709