Altercare Post-Acute Rehab Center

In the surveyor’s words

From the most serious findings on record at Altercare Post-Acute Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF580Mar 12, 2026

  Based on record review, staff interview, and facility policy review, the facility failed to timely notify the physician of a significant change in condition and failed to notify the physician when nursing staff independently held physician ordered medications. This affected one resident (#169) of three residents reviewed for notification of change. Findings include:Review of the closed medical record for Resident #169 revealed an admission date of 12/11/25 and a discharge date [DATE]. […]

• No harm, potential for more than minimal, isolatedF684Mar 12, 2026

  Based on record review, review of the emergency transport report, review of hospital records, interview and facility policy review, the facility failed to ensure Resident #169's insulin was administered as prescribed and failed to ensure timely transfer to the emergency room when a significant change in condition was identified. This affected one (Resident #169) of three residents reviewed for medication administration. The facility census was 66.Findings include:Review of the closed medical record for Resident #169 revealed an admission date of [DATE] and a discharge date [DATE]. […]

• No harm, potential for more than minimal, isolatedF759Mar 12, 2026

  Based on observation, interview, and record review, review of manufacture's guidelines and facility policy review, the facility failed to ensure a medication error rate of less than 5%. Four errors were observed in 34 opportunities resulting in a 11.76% medication error rate. This affected one (Resident #114) of four residents observed for medication administration. The facility census was 66.Findings include:Review of the medical record for Resident #114 revealed an admission date 02/24/26 with diagnoses including respiratory failure, malnutrition, embolism of right upper extremity and bilateral lower extremities, anemia and hypotension.Review of the admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #114 had moderate cognitive impairment and required… […]

• No harm, potential for more than minimal, isolatedF842Mar 12, 2026

  Based on record review, staff interviews and facility policy review, the facility failed to ensure a complete and accurate medical record for Resident #169. This affected one (Resident #169) out of nine residents' records reviewed during a complaint investigation. The facility's census was 66.Findings include:A review of Resident #169's medical record revealed an admission date of 12/11/25 with diagnoses including type II diabetes mellitus with hyperglycemia, cognitive communication deficit, orthostatic hypotension, dehydration, depression, generalized anxiety disorder and acute kidney failure.A review of Resident #169's Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident required partial to moderate assistance with bathing and with personal hygiene. […]

• No harm, potential for more than minimal, isolatedF690Aug 17, 2023

  Based on record review and staff interview, the facility failed to ensure catheter care was provided to Resident #7. This affected one (Resident #7) of one resident reviewed for urinary catheter care. The census was 64. Findings include: Review of Resident #7's medical record revealed he was admitted to the facility on [DATE] with diagnoses that included pleural conditions-hydropneumothorax, hemiplegia/hemiparesis, difficulty walking, muscle weakness, chronic atrial fibrillation, constipation, hypertension, dysphagia, ataxia, vertigo, major depressive disorder, hypothyroidism, anxiety, insomnia, restlessness/agitation, and cerebrovascular disease. Review of Resident # Minimum Data Set (MDS) assessment dated revealed the resident was alert and oriented. […]