Amistad Nursing and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jun 26, 2026

  Based on observations, interviews, and record reviews, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety, for 1 of 1 kitchen reviewed for food safety. Raisin bread and hamburger buns were stored in the facility's' kitchen pantry without labeled dates to indicate when the food was received and opened.Hamburger buns were stored in the facility's' kitchen pantry unsealed and open to air.The facility's' nutrition room refrigerator had resident foods which were not labeled to indicate when the food was received or when the food should be discarded.Food delivered by the food vendor was stored in cardboard cases upon the floor. […]

• No harm, potential for more than minimal, patternF584Jun 26, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents were provided a sanitary and comfortable environment for 1 of 3 shower areas (400-hall shower) reviewed for physical environment. The facility failed to ensure the 400-hall shower area was free from dirt and debris. This failure could result in decreased quality of life. Findings included: In an interview with a confidential resident on an undisclosed date/time, the resident said the shower room in the 400-hall was dirty, and the lack of cleanliness made the resident feel uncomfortable when bathing. In an observation on 6/23/2026 at 2:26 PM, the 400-hall shower was observed to have a wet, black substance between the tiles on the floor. […]

• No harm, potential for more than minimal, patternF585Jun 26, 2026

  Based on observations, interviews, and record reviews, the facility failed to ensure residents had the right to voice grievances to the facility or other agency or entity that hears grievances without discrimination or reprisal and without fear of discrimination or reprisal. These grievances included those with respect to care and treatment which had been furnished as well as those which had not been furnished, the behavior of staff and of other residents, and other concerns regarding their long term care (LTC) facility stay, for 3 of 8 residents (Residents #11, #12, and #30) reviewed for grievances. […]

• No harm, potential for more than minimal, patternF609Jun 26, 2026

  Based on observations, interviews, and record reviews, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through… […]

• No harm, potential for more than minimal, patternF610Jun 26, 2026

  Based on observations, interviews, and record reviews, the facility failed to report the results of all investigations to the administrator or his or her designated representative and to other officials in accordance with State law, including to the State Survey Agency, within 5 working days of the incident, and if the alleged violation were verified appropriate corrective actions must have been taken, for 3 of 8 residents (Residents #11, #12, and #30) reviewed for reporting suspicions of abuse, neglect, exploitation or mistreatment. […]