Baptist Health & Rehab

In the surveyor’s words

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

• Immediate jeopardy, isolatedF695Jul 22, 2025

  Based on review of a facility reported incident (FRI) investigation, record review, policy review, and staff interview, the facility failed to provide appropriate respiratory care for 1 of 1 closed resident record (Resident #1) who required respiratory support from a ventilator. Failure to provide care consistent with professional standards of practice and the physician's orders may have resulted in or contributed to Resident #1's death and placed all other ventilator-dependent residents at risk of injury or death. […]

• Actual harm, isolatedF689Jan 23, 2025

  Based on observation, record review, review of the facility reported incident, review of the facility policy, and staff interview, the facility failed to ensure a resident received adequate supervision and assistive devices to prevent accidents for 1 of 1 sampled resident (Resident #1) investigated for a fall. Failure to ensure staff used a mechanical lift properly and verified proper installation of attachments to the Broda chair (specialized wheelchair) resulted in a fall from the mechanical lift. Finding include: Review of the facility policy titled Floor based, Full Body Sling Lift use occurred on 01/23/25. This policy, dated 10/27/21, stated, . Transfer resident from chair to bed . Push the UP button on the hand control for the lift until there is slight tension on the sling loops. […]

• Actual harm, isolatedF689Jan 2, 2025

  Based on record review, review of the facility reported incident, investigation documents, and review of the facility policy, the facility failed to ensure a resident received adequate supervision and assistive devices to prevent accidents for 1 of 1 sampled resident (Resident #1) investigated for falls. Failure to ensure staff use a gait belt during transfers resulted in a fracture and hospitalization . This citation is considered past non-compliance based on review of the corrective actions the facility implemented immediately following the incident. Findings include: The surveyor determined a deficient practice existed on 12/18/24. The facility implemented and completed corrective action on 12/20/24. […]

• Actual harm, isolatedF689Jan 31, 2024

  Based on record review, review of the facility reported incident investigation, review of facility policy, and staff interview, the facility failed to ensure an environment free of hazards for 1 of 2 sampled residents (Resident #1) injured while consuming a hot beverage. Failure to provide the appropriate adaptive drinking aids with a mug for hot beverages contributed to Resident #1's injuries This citation is considered past non-compliance based on review of the corrective action the facility implemented immediately following the incident. Findings include: The surveyors determined a deficient practice existed on 09/30/23. The facility implemented corrective action and completed all staff education on 10/06/23. Review of the facility policy titled Hot Liquid Screen occurred on 01/31/24. […]

• Actual harm, isolatedF689Jul 6, 2021

  Based on record review, review of facility policy, and staff interview, the facility failed to provide appropriate and sufficient supervision to prevent accidents for 1 of 1 closed resident record reviewed (Resident #1). Failure to safely utilize an mechanical lift with a sling resulted in a fall with serious injury for Resident #1, and placed all residents requiring this type of transfer at risk for accidents and/or injury. Findings include: Review of the facility procedure titled Ez Lift (Full Body Lift or FBL) occurred on [DATE]. This procedure, revised [DATE], stated, . The EZ Lift (Full Body lift/FBL) was designed primarily to lift residents from the bed, chair toilet and floor. Transferring a resident from bed to chair . position sling under resident . Position EZ Lift . […]