Augustana Care Hastings Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Augustana Care Hastings Health and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Mar 19, 2026

  Based on interview and document review, the facility failed to ensure a safe transfer with a mechanical lift was performed to reduce the risk of serious harm, injury, impairment, or death for 1 of 3 residents (R1) reviewed for mechanical lifts. This resulted in immediate jeopardy for R1. The immediate jeopardy (IJ) began on 3/16/26 when nursing assistant (NA)-A and NA-B did not check to ensure all four straps of the sling were attached to the lift, resulting in a fall, fractured ribs and hospitalization for R1 and was identified on 3/19/26. The regional nursing consultant, the assistant director of nursing, the administrator, medical records, the director of nursing, and the nurse manager were notified of the IJ on 3/19/26 at 3:45 p.m. […]

• Actual harm, isolatedF580Apr 20, 2022

  Based on interview and record review the facility failed to notify the medical provider for guidance with ten abnormal laboratory results for 1 of 3 residents reviewed for significant change. The medical provider was notified of the abnormal lab results 24 hours after the facility received the lab report. The day following the lab results, during a family visit R1 had a change in condition, family notified the Nurse Practitioner (NP), who was onsite. The NP reviewed R1's chart and found the abnormal lab results. R1 was sent to a hospital and admitted to the ICU. […]

• No harm, potential for more than minimal, widespreadF812May 23, 2025

  Based on observation, interview, and document review, the facility failed to ensure food temperatures were checked or obtained in a manner to reduce the risk for cross-contamination between food items prepared in the main production kitchen. In addition, the facility failed to ensure 1 of 1 can opener was kept in a clean and sanitary manner. These findings had the potential to affect 66 of 67 residents who consumed food from the main production kitchen. Findings include: Can opener During a visit to the kitchen on 5/19/25 at 6:08 p.m., an [NAME] commercial can opener blade's tip had a dark tan dry shinny debris on the tip of the blade up to, black debris caked along most of the blade, reds spots in the upper part of the blade. […]

• No harm, potential for more than minimal, patternF880May 23, 2025

  Based on observation, interview, and document review, the facility failed to ensure personal protective equipment (PPE) was removed and hand hygiene completed prior to room exit for 2 of 2 residents (R6 and R28) observed for enhanced barrier precautions (EBP). In addition, the facility failed to ensure housekeeping staff changed their gloves and performed hand hygiene between cleaning of two resident (R2 and R27) rooms. As well, the facility failed to follow infection control practices while assisting with resident eating to reduce the risk for the spread of infection for 3 of 8 residents (R3, R28, R32) reviewed who required staff assistance with dining. […]

• No harm, potential for more than minimal, patternF880Apr 11, 2024

  Based on observation, and interview, the facility failed to ensure appropriate infection control measures were followed related to ensuring clean personal was transported intrafacility in a method that ensured cleanliness and protected the clean laundry . This had the potential to affect all 41 residents on the long-term care floor (LTC) along with an unspecified number of residents whose laundry is done by the facility in the transitional care unit (TCU). Findings include: On 4/8/24 at 2:06 p.m., a four-tiered metal open and uncovered laundry cart with personal clothing items was observed to be on 2nd floor uncovered. […]