Amelia Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Amelia Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF602May 15, 2026

  Based on resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to protect the resident's right to be free from financial exploitation for one resident (Resident #2) in a survey sample of fourteen residents. The findings included:On 5/14/26 at approximately 2:45 PM, an interview was conducted with Resident #2 (R2) in his room. When asked about an incident involving money being taken from him, R2 did reported that a staff member had taken money using his debit card, but she no longer worked there. R2 asked the surveyor to talk with the activities director and was reluctant to discuss the incident in detail. […]

• Immediate jeopardy, isolatedF678May 15, 2026

  Based on staff interviews and clinical record review, the facility staff failed to ensure that basic life support, including cardio-pulmonary resuscitation (CPR), was initiated to a resident. This resulted in a failure to adhere to the resident's specific advance directive and code status for one of 14 residents in the survey sample, Resident #1 (R1).Findings included:On the morning of [DATE], R1 was observed not breathing and without a heartbeat. The facility nurse failed to initiate cardiopulmonary resuscitation despite R1 having a Full Code status.Resident #1 was originally admitted [DATE] and re-admitted [DATE] after a hospitalization for evaluation and treatment of sepsis secondary to a urinary tract infection. […]

• No harm, potential for more than minimal, widespreadF941May 15, 2026

  Based on staff interview and facility documentation review, the facility staff failed to ensure all staff received mandatory training on effective communication for six of six employees reviewed for training (RN #1, LPN #6, CNA #5, 6, 7, and 8). The findings included:On 5/14/26, as part of the extended survey review a sample of six employees were selected for review of training. The facility administrator was given the list of six employees and asked to provide their training records. On 5/15/26, the training records revealed that none of the six sampled employees (registered nurse #1, licensed practical nurse #6, and certified nursing assistants #5, 6, 7, and 8) had received training on effective communication. […]

• No harm, potential for more than minimal, widespreadF944May 15, 2026

  Based on staff interview and facility documentation review, the facility staff failed to ensure part of the facility's Quality Assurance and Performance Improvement (QAPI) program included training to facility staff on the program elements and goals for six of six employees reviewed (licensed practical nurse #6- LPN 6, registered nurse #1-RN 1, and certified nursing assistants #5, 6, 7, and 8). The findings included:On 5/14/26 during an extended survey review of staff training a sample of six employees was selected for review. The facility administrator was asked to provide evidence of each employees training. […]

• No harm, potential for more than minimal, widespreadF756Nov 15, 2023

  Based on staff interview and facility document review, it was determined the facility staff failed to develop a policy for monthly medication regimen reviews with times frames for the different steps in the process, including identifying the time frame in which the physician/nurse practitioner should respond to the recommendations from the consulting pharmacist for five of five residents included in the unnecessary medication reviews, Residents #71, #17, #22, #32, and #5. The findings include: Resident #71, #17, #22, #32, and #5's clinical records were reviewed for unnecessary medications. A review of the facility policy, Medication Regimen Reviews documented in part, 11. […]