Best Care Health and Rehabilitation

In the surveyor’s words

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

• Actual harm, isolatedF689Feb 17, 2026

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on closed record review, staff interviews, policy review, and review of hospital documentation, the facility failed to ensure a resident received adequate assistance during a transfer to prevent an avoidable fall. This resulted in Actual Harm to Resident #95 when on 12/21/25 she fell on to the floor in the bathroom while being assisted with toileting by one staff member. Resident #95 sustained a fracture of the right femoral head and the left distal femur. This affected one (Resident #95) of three residents reviewed for falls. The facility census was 90.Findings include:Record review for Resident #95 revealed an admission date of 05/02/25. […]

• No harm, potential for more than minimal, widespreadF761Feb 1, 2024

  Based on observations, staff interview, and policy review, the facility failed to ensure only authorized personnel had access to the medication storage room. This had the potential to affect 80 of 80 residents residing in the facility. Findings include: Interview with Licensed Practical Nurse (LPN) #124 on 01/31/24 at 7:40 A.M. revealed the business office was supposed to place a petty cash box in the medication room each day when they left so that residents had access to petty cash in the evening or on weekends. Observations on 01/31/24 at 7:40 A.M. revealed there was a key pad lock on the medication room door on Station 1. Interview with the Director of Nursing on 01/31/24 at 7:45 A.M. […]

• No harm, potential for more than minimal, widespreadF804Dec 21, 2021

  Based on interviews, observations, review of Resident Council meeting minutes and test tray the facility failed to ensure safe and appetizing food temperatures. This had the potential to affect 68 of 69 residents residing at the facility and specifically affected Residents #2, #24, #34, #37, . The facility census was 69. Findings include: Interviews on 12/19/21 at 1:11 P.M. and 1:38 P.M. with Residents #34 #24, and on 12/20/21 from 9:05 A.M. and 12:15 P.M. with Residents #37 and #2 revealed the food was served cold and not tasty. Observation on 12/20/21 at 11:55 A.M. the lunch meal served to rooms 24-33. The trays arrived to the hallway at 12:03 P.M. on an open cart (not enclosed and insulated). The plates were covered with plastic cover. […]

• No harm, potential for more than minimal, patternF644Jul 30, 2026

  Based on medical record review and staff interview, the facility failed to ensure Pre-admission Screening and Resident Reviews (PASARR) were completed and updated to accurately reflect all resident information. This affected four (#1, #4, #35 and #68) of eight residents reviewed for PASARR accuracy. The facility census was 89. 1. Record review for Resident #1 revealed the resident was admitted to the facility on [DATE]. Diagnoses included chronic obstructive pulmonary disorder, schizoaffective disorder, diabetes mellitis type II, anxiety, depression, mood disorder(03/30/26), and insomnia. Review of an updated diagnosis list revealed a new diagnosis of mood disorder was added on 03/30/26. […]

• No harm, potential for more than minimal, patternF565Oct 4, 2024

  Based on review of the Resident Council meeting minutes, staff interview, and resident interview, the facility failed to ensure concerns discussed during the meetings were adequately addressed. This had the potential to affect five facility-identified residents ( #10, #27, #44, #47, #65) who consistently attended the Resident Council meetings. The facility census was 66 residents. Findings include: Review of the Resident Council meeting minutes dated 04/15/24 revealed the social worker had looked into free phones but had been unable to secure any. […]