Agility Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Agility Health and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF692Jun 9, 2026

  Based on observation, interview and record review, the facility failed to timely assess, investigate and implement interventions for significant weight loss for 1 of 3 sampled residents (Resident 112) reviewed for nutrition services. Resident 112, a resident identified as at risk for weight loss, experienced harm when they had a significant weight loss of 20 percent total body weight in a month, mild-moderate wasting as observed in temples and orbitals and appeared thin. This failure placed them at risk for functional decline, impaired wound healing, and a diminished quality of life. […]

• Actual harm, isolatedF689Mar 23, 2022

  Based on interview and record review, the facility failed to provide the required assistance to prevent falls with associated injuries for one of two residents (Resident 1) reviewed for falls. The facility also failed to ensure staff followed safe practices and care plan for bed mobility while providing care. Facility staffs' failure to provide two-person assistance with bed mobility, as the resident was assessed to require, resulted in harm to Resident 1 who rolled out of bed during care and sustained injuries, swelling, and bruising to their forehead and right forearm. Findings included . […]

• No harm, potential for more than minimal, widespreadF882Jun 14, 2022

  Based on interview and record review, the facility failed to ensure the designated Infection Preventionist (IP) met the qualifications for experience, education, training or certification, per the regulation for the role to assume responsibility for the facility's activities aimed at preventing healthcare-associated infections by ensuring that sources of infections were isolated to limit the spread of infectious organisms, attended Quality Assurance Performance Improvement (QAPI, the data-driven, proactive approach to improving the quality of life, care, and services in nursing homes) on a regular basis. This failure placed the residents and staff at risk for the transmittable COVID-19 (a highly infectious respiratory illness caused by a virus) and/or unmet care needs. […]

• No harm, potential for more than minimal, patternF656Jun 9, 2026

  Based on interview and record review, the facility failed to ensure care plans were accurate to include all needed care and/or remove discontinued/resolved health issues for 5 of 22 sampled residents (Residents 7, 5, 27, 4, and 98) reviewed for accuracy of care plans. This failure placed residents at risk of lack of care, unmet needs, inaccurate medical records, and a diminished quality of life. Findings included.Resident 7 Review of the electronic health record (EHR) showed Resident 7 admitted to the facility on [DATE] with diagnosis of stroke with right side weakness and had a pressure injury to the bottom. The resident was able to make needs known. During an interview on 06/03/2026 at 10:05 AM, Resident 7 stated their bottom was real sore. […]

• No harm, potential for more than minimal, patternF919Jun 9, 2026

  Based on observation and interview, the facility failed to ensure bathroom call light pull cords were accessible to residents from the floor on 2 of 4 sampled halls (100 and 300) reviewed for call light systems. This failure placed residents at risk for inability to summon help in the event of an emergency, increased risk of injury and unmet or delayed care needs. Findings included. Observations on 06/03/2026 at 2:27 PM and 06/09/2026 at 9:30 AM showed the bathroom emergency call light pull cords in resident rooms 106, 107, 121 and 311 hung above the handrail on the wall and were not readily accessible to a resident if they were on the floor after a medical emergency or fall. […]