Blue Circle Rehab and Nursing

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Sep 29, 2023

  Based on observation, interview and record review, the facility failed to ensure the safety of one of seven sampled residents (Resident #1) when staff allowed a resident with moderate cognitive impairment to leave the building unaccompanied. On 9/10/23 at approximately 8:00 A.M., Housekeeper G entered the front door keypad code to allow Resident #1 out of the building. The resident told Housekeeper G he/she was a staff member. Registered Nurse (RN) D witnessed the housekeeper open the door for the resident, but was not familiar enough with the resident to realize the housekeeper allowed a confused resident to leave the building. […]

• Actual harm, isolatedF692Nov 6, 2025

  Based on observation, interview and record review, the facility failed to ensure Certified Medication Technician (CMT) D provided nutritional supplements as ordered to Residents #6, #15, #14, and #10. In addition, the facility failed to ensure Resident #10 received whole milk at meals as ordered. The facility identified 23 residents as receiving nutritional supplements. Four of those residents were sampled and problems were identified with all four. The census was 70.Review of the facility Weight Protocol last reviewed on 10/2025, showed:-Purpose: To provide a permanent, accessible record of residents' weights;-Procedure:-Monthly weights will be completed by the 15th of the month. […]

• Actual harm, isolatedF697Mar 24, 2023

  Based on observation, interview and record review, the facility failed provide pain management when staff failed to give the correct dose of a scheduled narcotic pain medication. The resident received a lower dose for several days, which increased the resident's pain, for one resident (Resident #3). The sample size was 11. The census was 62. Review of the facility's Physician Orders policy, reviewed 1/5/21, showed: -Protocol: At the time each resident is admitted , the facility will have physician orders for their immediate care. Physician's orders will be verified by the attending physician at the facility. […]

• No harm, potential for more than minimal, widespreadF770Dec 11, 2024

  Based on observation, interview and record review, the facility failed to obtain laboratory services to meet the needs of the residents by failing to ensure the quality of the labs obtained when they used expired Covid tests to test employees and residents for Covid-19. The facility failed to check with the manufacturer to see if the expiration date waiver was extended. The waiver was not extended. The census was 72. Review of the facility's Response to Covid-19 protocol, last reviewed ,d+[DATE], showed Covid-19 testing: Covid-19 testing will be conducted in accordance with current Centers for Medicare and Medicaid Services (CMS) and Department of Health and Senior Services (DHSS) requirements, utilizing Point of Care and polymerase chain reaction (PCR) testing as appropriate. […]

• No harm, potential for more than minimal, widespreadF803Dec 11, 2024

  Based on observation, interview and record review, the facility failed to ensure recipes were followed while preparing meals, for one of two meal services observed. The sample was 19. The census was 72. Observation on 12/9/24 at 8:54 A.M., of the lunch meal service prep, showed [NAME] H removed steak patties from a box and place them on the skillet top. After the steaks were cooked, [NAME] H placed the steak patties into a tin and placed the tin on the steam cart for meal service. Review on 12/10/24 at 8:20 A.M., of the Swiss steak recipe, showed: -Ingredients: beef cutlets, salt, black pepper, vegetable oil, onions, celery, and diced tomatoes; -Method of preparation: season cutlets with salt and pepper. [NAME] in hot oil. Place on baking pans. Saute onions and celery in same fat. […]