Austinwoods Rehab Health Care

In the surveyor’s words

From the most serious findings on record at Austinwoods Rehab Health Care, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 9, 2024

  Based on medical record review, hospital record review, facility policy review and interview, the facility failed to provide adequate two-person assistance with bed mobility for Resident #36 as assessed/planned resulting in an injury. Actual harm occurred on 10/05/24 when Resident #36 sustained a fractured hip when one staff member (State tested Nursing Assistant, (STNA) #110) was providing personal care for Resident #36. The resident had been assessed/planned to require two staff members for bed mobility prior to the incident. During care, the resident complained of extreme pain when the STNA lifted the left side of her body. On 10/07/24, the resident was transferred to the hospital for follow-up care. […]

• Actual harm, isolatedF686May 6, 2024

  Based on observation, medical record review, facility policy review and interview, the facility failed to develop and implement an effective and individualized pressure ulcer prevention program to prevent the worsening of a pressure ulcer to the coccyx for Resident #37. Actual harm occurred on 05/01/24 when the facility Wound Nurse (WN) #318 identified Resident #37, who was at risk for pressure ulcer development and dependent on staff for turning and repositioning, had an unstageable (full thickness loss of tissue completely covered by dead tissue) pressure ulcer to the coccyx. The resident had been admitted to the facility on [DATE] with a Stage I (skin intact and redness to skin over a bony prominence) pressure ulcer to the coccyx. […]

• No harm, potential for more than minimal, isolatedF697Nov 17, 2025

  Based on record review, observation, interview and review of the facility policy, the facility failed to ensure Resident #85's pain was timely and appropriately addressed. This affected one resident (Resident #85) of four residents observed for timely and appropriate medication administration. The facility census was 83.Findings include:Review of the medical record for Resident #85 revealed an admission date of 11/13/25 with diagnoses including unspecified dislocation of the right hip, unspecified complication of internal orthopedic prosthetic device, implant, and graft, gastroesophageal reflux disease (GERD), hyperlipidemia, primary hypertension, and unspecified glaucoma.Review of the orders revealed a medication order dated 11/13/25 for Resident #85 to have Tylenol 650 milligrams (mg)… […]

• No harm, potential for more than minimal, isolatedF759Nov 17, 2025

  Based on record reviews, observations, interviews and review of the facility policy, the facility failed to ensure a medication error rate of less than five percent (%) during medication administration on 11/17/25 with four errors of 25 medication administration opportunities resulted in a 16% medication error rate. This affected two residents (Residents #85 and #86) of four residents observed during medication administration. The facility census was 83.Findings include:1. Review of the medical record for Resident #85 revealed an admission date of 11/13/25 with diagnoses including unspecified dislocation of the right hip, unspecified complication of internal orthopedic prosthetic device, implant, and graft, gastroesophageal reflux disease (GERD), hyperlipidemia, primary hypertension, and… […]

• No harm, potential for more than minimal, isolatedF880Nov 17, 2025

  Based on record reviews, observations, interviews, review of facility policies, and review of manufacturer instructions for the facility's blood glucose meter, the facility failed to ensure the blood glucose meter was properly cleaned after use with Resident #86. This affected one (Resident#86) and had the potential to affect three additional (Residents #70 #73, and #81) identified by the facility as having blood sugar level checked with a glucometer. In addition, the facility did not ensure enhanced barrier precautions (EBP) were maintained during medication administration through an enteral feeding tube, affecting Resident #67. The facility identified nine residents who had enteral feeding tubes (Residents #6, #26, #45, #64, #66, #67, #69, #77, and #83). […]