Blossom Nursing and Rehab Center

In the surveyor’s words

From the most serious findings on record at Blossom Nursing and Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF686Dec 9, 2022

  Based on observation, record review and interview the facility failed to implement an individualized and effective pressure ulcer prevention program to prevent the in house development and/or worsening of pressure ulcers to Resident #11's bilateral heels. Actual harm occurred on 09/22/22 when Resident #11, who was severely cognitively impaired, required extensive assistance from two staff for bed mobility and was at risk for developing pressure ulcers was identified to have a blister to the left heel without evidence of adequate care/interventions to promote healing. On 09/30/22 Resident #11 was assessed to have a blister measuring 5.0 centimeters (cm) in length by 6.0 cm width with no depth to her right heel with no evidence adequate care/interventions to promote heating. […]

• No harm, potential for more than minimal, patternF695Dec 9, 2022

  Based on observation, record review and interview the facility failed ensure oxygen tubing/nasal cannulas and aerosol equipment (tubing/mouthpieces) for respiratory treatments were changed and dated weekly and properly stored to prevent infection/contamination when not in use for Residents #8, #36, #37 and #49. This affected four of 13 residents reviewed for oxygen therapy/breathing treatments. Findings included: 1. Review of the medical record revealed Resident #36 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF760May 8, 2026

  Based on review of the medical record, review of the facility investigation, interview with staff and review of facility policy, the facility failed to ensure Resident #1 was free from significant medication errors. This affected one resident (Resident #1) of three residents reviewed for medication administration. The facility census was 86. Findings include:Review of the medical record revealed Resident #1 was admitted to the facility on [DATE]. Diagnoses included hydronephrosis, urinary tract infection, acute kidney disease, atrial fibrillation, congestive heart failure, acute metabolic acidosis, diabetes, cerebral ischemia, obstructive sleep apnea, anxiety disorder, and major depressive disorder. Resident #1 was discharged to the hospital on [DATE]. […]

• No harm, potential for more than minimal, isolatedF644Dec 11, 2025

  Based on medical record review and staff interview the facility failed to ensure resident pre-admission screening and resident review (PASARR) was resubmitted after a new psychiatric diagnosis. This affected one (Resident #9) of one residents reviewed for PASARR. The facility census was 91. Review of Resident #9's medical record revealed an admission date of 02/08/23 with admission diagnosis that included mood disorder. Further review of the medical record revealed that on 04/05/23 a new diagnosis of bipolar disorder was added and on 12/13/23 a new diagnosis of schizoaffective disorder was also added. Review of Resident #9's PASARR revealed it was completed on 02/13/23 and identified the diagnosis of mood disorder. […]

• No harm, potential for more than minimal, isolatedF690Dec 11, 2025

  Based on observation, medical record review and staff interview the facility failed to ensure indwelling urinary catheter care was documented and assessed appropriately. This affected one (Resident #78) of two residents reviewed for indwelling urinary catheter use. The facility identified eight residents (#2, #3, #6, #7, #56, #67, #78 and #100) currently utilizing an indwelling urinary catheter. The facility census was 91.Observation of Resident #78 on 12/08/25 at 10:08 A.M. identified the current use of an indwelling urinary catheter. Review of Resident #78's medical record revealed an admission date of 11/30/25 with admission diagnoses that included urinary retention, osteonecrosis of the right knee and convulsions. […]