Apple Rehab Mystic

In the surveyor’s words

From the most serious findings on record at Apple Rehab Mystic, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Dec 19, 2023

  Based on clinical record review, facility documentation, facility policy and interviews for one sampled resident (Resident #1) who was a recent admission and had acknowledged full Cardio-Pulmonary Resuscitation (CPR) in the advance directive and physician's order, the facility failed to continue cardiopulmonary resuscitation after CPR was initiated, failed to call Emergency Medical Services and the licensed staff did not have knowledge of the procedure when the resident was noted to be unresponsive and pulseless which resulted in a finding of Immediate Jeopardy. […]

• Immediate jeopardy, isolatedF678Jan 4, 2023

  Based on a review of clinical records, facility documentation, facility policy, and interviews, for one 1 of two (2) residents reviewed for Cardio-Pulmonary Resuscitation, (Resident #1), the facility failed to initiate Cardio-Pulmonary Resuscitation when it was identified that the resident was without respirations and a pulse, failed to ensure a physician's order was written in the clinical record that directed the resident to have Cardio-Pulmonary Resuscitation, and further failed to ensure physician orders were written for two (2) additional residents, (Resident #2, and Resident #3) for a full code status when the residents or their responsible party were undecided on advanced directives which resulted in a finding of Immediate Jeopardy. The findings include: 1. […]

• No harm, potential for more than minimal, widespreadF880May 22, 2025

  Based on observations, review of the clinical record, review of facility policy/procedures and interviews for nine (9) of nine (9) residents (Residents #2, 4, 5, 6, 7, 8, 9, 10 and 11) reviewed for Enhanced Barrier Precautions (EBP), the facility failed to ensure trash cans were positioned inside the residents rooms and near the exit for discarding Personal Protective Equipment (PPE) after removal and failed to ensure periodic monitoring of resident rooms with EBP supplies and staff adherence to EBP. […]

• No harm, potential for more than minimal, patternF658May 8, 2026

  Based on observations, review of clinical records, review of facility policy/procedures and interviews for two sampled residents (Resident #24, #26) who were observed with medications at the bedside, the facility failed to ensure medication was administered according to professional standards and for two sampled residents (Resident #13 and Resident #31) on methadone maintenance, the facility failed to ensure the medication orders were accurately transcribed into the electronic health record. The findings include: Resident #13's diagnoses included opioid dependence, and chronic osteomyelitis. Observation of medication administration on 5/7/26 at 8:14 AM identified RN #5 administered Methadone liquid 80 mg to Resident #13. […]

• No harm, potential for more than minimal, patternF689May 8, 2026

  Based on observations, review of clinical records, review of facility policies/procedures and interviews for three sampled residents (Residents #5, #31, #57) reviewed for accidents and/or smoking, the facility failed to ensure appropriate supervision and monitoring to prevent smoking in the facility, failed to ensure the wheelchair leg rests were in place to prevent a fall and failed to ensure equipment was maintained to prevent a fall from a shower chair. The findings include: Resident #5's diagnoses included hemiplegia and hemiparesis following cerebral infarction, occlusion and stenosis of the left carotid artery, and anxiety disorder. […]