Gardner Rehabilitation And Nursing Center
Inspection Findings
F-Tag F0842
F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Based on records reviewed and interviews for one of three sampled residents (Resident #1), the facility failed to ensure they maintained a complete and accurate medical record when Certified Nurse Aide (CNA) documentation related to positioning was either incomplete and/or inaccurate.Findings include:Review of
the Facility policy titled, Documentation in Medical Record, revised January 2025, indicated the following:-Staff shall document all assessments, observations, and services provided in the resident's medical record in accordance with state law and facility policy. -Documentation shall be accurate, relevant, and complete, containing sufficient details about the residents' care and/or responses to care. Resident #1 was admitted to the Facility July 2025, with diagnoses including but not limited to; cerebral infarct (blood clot blocks an artery in the brain, cutting off blood flow to a specific area), end-stage kidney disease, and pressure ulcers.Review of Resident #1's Minimum Data Set (MDS) admission Assessment, dated 08/05/25, indicated he/she was dependent on staff assistance for bed positioning.Review of Resident #1's ADL Flow Sheet (CNA documentation) dated 08/01/25 through 08/14/25 indicated for the following shifts, documentation was inaccurate or incomplete for positioning:-08/02/25 at 6:00 A.M, 10:00 A.M., 12:00 P.M., and 2:00 P.M. left blank.-08/03/25 at 8:00 A.M, 10:00 A.M., and 2:00 P.M. documented NA (not applicable).-08/05/25 at 6:00 A.M., left blank, 10:00 A.M., 12:00 P.M., and 2:00 P.M. documented NA.-08/08/25 at 8:00 A.M. and 10:00 A.M. documented NA.-08/10/25 at 10:00 A.M. documented NA.During
an interview on 09/09/25 at 4:00 P.M., the Director of Nursing (DON) said the CNA assigned the resident is responsible for completing the CNA flow sheet. The DON said the CNA flow sheet documentation on 08/02/25, 08/03/25, 08/05/25, 08/09/25 and 08/10/25 should not be blank or documented as NA. The DON said Resident #1's CNA flow sheet was not complete or accurate.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
GARDNER REHABILITATION AND NURSING CENTER in GARDNER, MA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GARDNER, MA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GARDNER REHABILITATION AND NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.