Baptist Health Nursing and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jun 15, 2026

  Based on observation, record review, and interview during survey, the facility failed to ensure that the residents' environment remained as free of accident hazards as possible for five (Resident #s 17, 80, 151, 161, and 162) of 18 residents reviewed for accidents. Specifically, (1) on 08/17/2025, Resident #17 was provided with an alternate meal (egg salad sandwich) upon request, which was not according to the resident's prescribed diet order of puree texture (a cohesive, smooth texture free of lumps and coarse particles that does not require chewing) diet, thin consistency fluids. As a result, Resident #17 sustained a choking occurrence, their skin turned blue, and they required the Heimlich maneuver. […]

• No harm, potential for more than minimal, widespreadF725Jun 15, 2026

  Based on record reviews, observations, and interviews conducted during the survey, the facility failed to provide services by sufficient numbers of staff on a 24-hour basis to provide nursing care to all residents in accordance with resident care plans. Specifically, one Certified Nurse Aid was alone on unit H1 during the day shift on 06/09/2026, and one Certified Nurse Aid was left alone on unit H2 during the day shift on 06/11/2026. Findings include: Observations: During an observation on 06/09/2026 of Unit H2, Resident #87 placed call bell at 11:04 AM, Licensed Practical Nurse #5 answered the call bell at 11:07 AM. They then looked for an available Certified Nurse Aide to assist the Resident. […]

• No harm, potential for more than minimal, widespreadF812Jun 15, 2026

  Based on observation, record review, and interviews during the survey, the facility failed to prepare and serve food in accordance with professional standards for food service safety in the main kitchen and 6 of 6 nourishment stations. Specifically, food was not stored properly; the automatic dishwashing machine was not operating within the manufacturer specifications; the concentration of the chemical sanitizing rinse was less than that required by the manufacturer; and food preparation area equipment, floors, walls, and ceilings required cleaning & repair. […]

• No harm, potential for more than minimal, widespreadF880Jun 15, 2026

  Based on observations, record reviews, and interviews during the survey, the facility failed to establish and maintain an infection prevention and control program in accordance with professional standards of practice. Specifically, a) hand hygiene between rooms was not performed; b) sanitary transport of dirty linens and garbage was not performed; c) dressing supplies that were to be used were placed on the floor; d) urinary catheter drainage bags were observed to be resting on the floor. Findings include: The policy and procedure titled Isolation Precautions System, dated 04/2025, stated a two-tiered system of isolation was used, including standard precautions and transmission-based precautions. […]

• No harm, potential for more than minimal, patternF550Jun 15, 2026

  Based on observation, record review, and interviews conducted during a survey, the facility failed to ensure each resident was treated with respect and dignity and care in a manner and in an environment that promotes maintenance or enhancement of their quality of life. Specifically, (a) during a dining observation on 06/08/2026, plastic utensils were provided to residents during the lunch meal. (b) Resident #65's urinary catheter drainage bag was observed to be not covered by a dignity bag. (c) Resident #201's urinary catheter drainage bag was observed to be not covered by a dignity bag. […]