Apollo Healthcare & Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF656Mar 19, 2021

  Based on record review, observations, interviews, and photographic evidence, the facility failed to follow the comprehensive care plan intervention related to transfers as ordered by the physician for one resident (#2) of 5 residents sampled for Activities of Daily Living (ADLs), i.e. transfer services. During an attempt to transfer Resident #2 on 03/05/21 via a Sara 3000 mechanical lift from her bed to her wheelchair, Resident #2's legs gave out; she threw her arms in an upward motion and slid downward in the mechanical lift sling. On 03/07/21, Resident #2 was diagnosed with [REDACTED]. In addition, the facility failed to ensure that therapy assessed recommendations were followed for three residents (#3, #4, #5) of 5 sampled residents related to a mechanical lift. Findings included: 1. […]

• Actual harm, isolatedF689Mar 19, 2021

  Based on record review, observations, interviews, and photographic evidence, the facility failed to ensure adequate supervision and use of appropriate transfer equipment to safely transfer one resident (#2) of 5 residents sampled for Activities of Daily Living (ADLs), i.e. transfer services. During an attempt to transfer Resident #2 on 03/05/21 via a Sara 3000 mechanical lift rather than the lift the resident was care planned for Resident #2 became weak, slid downward in the mechanical lift sling was positioned around her back. On 03/07/21, Resident #2 was diagnosed with [REDACTED]. In addition, the facility failed to ensure that therapy recommendations were followed for three residents (#3, #4, #5) of 5 sampled residents related to a mechanical lift. Findings included: 1. […]

• No harm, potential for more than minimal, widespreadF804Jan 16, 2025

  Based on observations, interviews, and record review the facility failed to ensure proper temperatures and palatable meals were provided to two residents (#2, #6) out of three residents sampled. Findings included: 1. On 1/16/25 at 9:56 a.m., an observation of Resident #6 revealed he was lying in bed watching television. He stated every meal was cold. He stated meals are, Not even lukewarm. Resident #6 stated the food last night for dinner was cold. He described the meal he received as, A hamburger patty with a bun. Resident #6 stated, Happens all the time. A review of Resident #6's Admission Record revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, widespreadF657Jun 28, 2024

  Based on observation, interview, and record review, the facility failed to ensure the notification and invitation to participate in the comprehensive care plan for two residents (#43 and #44) of two sampled residents. The findings include: Review of the Admission Record for Resident #43 revealed an admitted [DATE] with diagnoses to include: dementia; major depressive disorder, moderate protein-calorie malnutrition, hypertension; and other co-morbidities. An interview was conducted with Resident #43's representative on 6/25/2024 at 2:11 p.m. Resident #43's representative stated, I did not know they had care plan meetings, I have not received any information about any meetings. […]

• No harm, potential for more than minimal, widespreadF812May 15, 2023

  Based on observations, facility record review, and staff interview, the facility failed to ensure kitchen spaces, kitchen equipment, and eating ware were maintained, clean and sanitary during two of two meal services observed. Observations included, 1. Ceiling tiles above food preparation tables were caked with dust and debris, 2. Dishes were not washed from the day before meal service, 3. Dish washing equipment rusted and eroding, 4. Meal trays served to residents soiled, cracked and chipped. Findings included: On 5/15/2023 at 5:50 a.m. the kitchen was toured and met with a Dietary Aide Staff A, who indicated she was recently transferred from another facility about two months ago. […]