Altercare of Navarre CTR for Rehab & NRSG Care

In the surveyor’s words

From the most serious findings on record at Altercare of Navarre CTR for Rehab & NRSG Care, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Aug 21, 2026

  Based on closed record review, facility investigation review, interviews and facility policy review, the facility failed to comprehensively assess and seek necessary medical intervention following an acute change in condition for Resident #93. This resulted in Immediate Jeopardy and serious injury, harm, significant impairment or death beginning on [DATE] at 7:00 P.M. when Resident #93, who was cognitively intact, was observed with slurred speech, a dazed/altered presentation, reported emesis, and an inability to independently operate his motorized wheelchair. Despite the identified acute change in condition, nursing staff failed to comprehensively assess the resident and notify the medical provider for direction and/or treatment. […]

• Actual harm, isolatedF684Jul 15, 2025

  Based on medical record review, review of hospital documentation, policy review, and interview, the facility failed to ensure ongoing assessments and monitoring were completed for Resident #10's right ring finger skin impairment. This finding affected one (Resident #10) of three residents reviewed for skin impairments.Actual harm occurred on 07/02/25 when Resident #10, who was assessed upon admission with a right ring finger bruise and/or scab, was admitted to the hospital with the diagnosis of a necrotic finger resulting in the partial amputation of his right ring finger.Findings Include:Review of Resident #10's medical record revealed the resident was admitted to the facility on [DATE] and discharged to the hospital on [DATE] with diagnoses including necrotizing fasciitis, cutaneous… […]

• Actual harm, isolatedF686Dec 6, 2023

  Based on closed medical record review, hospital record review and staff interview the facility failed to implement a comprehensive and individualized pressure ulcer prevention program for Resident #95 to prevent the development and worsening of pressure ulcers. Actual harm occurred on [DATE] when Resident #95 was admitted to the facility, at risk for pressure ulcer development and with evidence of pressure ulcers present and was not provided adequate assessment/monitoring of skin, wound care or effective and individualized pressure ulcer preventative measures. […]

• No harm, potential for more than minimal, widespreadF725Apr 21, 2026

  Based on observation, record review, interview, and review of facility policy, the facility failed to provide sufficient nursing staff to meet resident needs including answering call lights in a timely manner and operating mechanical lift devices in a safe manner. This affected three residents (#17, #40, and #61) and had the potential to affect all 89 residents in the facility. Findings include:On 04/13/26 at 10:44 A.M., an interview with Resident #39 stated there was not enough staff on first and second shifts, and call lights took a while to answer. On 04/13/26 from 11:06 A.M. through 11:32 A.M., observation and interview revealed Resident #40 was on airborne precautions for Covid with personal protective equipment (PPE) located outside the resident's closed door. At 11:06 A.M. […]

• No harm, potential for more than minimal, widespreadF885Mar 6, 2023

  Based on record review, staff interview, and facility policy review the facility failed to inform residents, their representatives, and families of the occurrence of confirmed infection of COVID-19 in the facility. This affected all the residents in the facility. Findings include: An investigation of the facility on 03/01/23 revealed the facility was in outbreak testing, a staff or resident tested positive for COVID-19 in the last 14 days. Review of the facility's log of COVID-19 positive staff and residents revealed the current outbreak started 12/18/22. During review of resident records, it was noted there was no evidence of family's and resident's being notified of new positive cases of COVID-19 in the facility. An email 03/06/23 at 3:46 P.M. […]