Boyd Nursing and Rehabilitation

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Nov 21, 2025

  Based on interview, document review, and facility policy review, the facility failed to ensure health department recommendations were followed to test the facility water two times weekly for legionella. This deficient practice had the potential to affect all 57 residents who currently resided in the facility.The findings include:Review of the facility's policy titled, Water Management Policy, dated 05/01/2025, revealed, H. We will notify the local health department upon knowledge of any new presumptive or confirmed Legionella within 24 hours. […]

• No harm, potential for more than minimal, patternF759Nov 21, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure their medication error rate was not greater than 5 percent (%). There were seven errors out of 28 opportunities, which resulted in a mediation error rate of 25% for 2 of 3 residents observed for medication administration, Resident (R) 18 and R19.The findings include:Review of the facility's policy titled, Medication Administration, dated 01/02/2024, revealed, Medications are administered by licensed nurses, or other staff who are legally authorized to do so in this state, as ordered by the physician and in accordance with professional standards of practice, in a manner to prevent contamination or infection.1. […]

• No harm, potential for more than minimal, patternF725Oct 25, 2024

  Based on interview, review of the facility staffing sheets, review of the facility assessment, review of the payroll-based journal staffing information, and review of resident grievances, the facility failed to have adequate nursing staff to maintain the highest practicable physical, mental, and psychosocial well-being of each resident, considering the number, acuity, and diagnoses of the facility's resident population in accordance with the facility assessment. The findings include: Review of the payroll-based journal (PBJ) data, dated April-June 2024, revealed the facility had an overall staffing rating of one star. […]

• No harm, potential for more than minimal, isolatedF580Nov 21, 2025

  Based on interview, record review, and facility policy review, the facility failed to notify the physician when medications were not administered for 2 of 5 sampled residents reviewed for unnecessary medications, Resident (R) 4 and R20. The findings include: Review of the facility's policy titled, Medication Administration, dated 01/02/2024, revealed, 22. Physicians will be notified timely of medication omissions. 1. Review of R4's admission Record revealed the facility admitted R4 on 07/22/2024 with diagnoses to include hypertension, diabetes mellitus, major depressive disorder, psychotic disorder with hallucinations, and gastroesophageal reflux disease. […]

• No harm, potential for more than minimal, isolatedF842Nov 21, 2025

  Based on interview, record review, and facility policy review, the facility failed to ensure the route of medication administration was accurate for 1 of 14 sampled residents, Resident (R) 7. The findings include:Review of the facility's policy titled, Documentation in the Medical Record, dated 01/02/2024, revealed, Each resident's medical record shall contain an accurate representation of the actual experiences of the resident and include enough information to provide a picture of the resident's progress through complete, accurate, and timely documentation.Review of R7's admission Record revealed the facility admitted the resident on 01/29/2024 with diagnoses to include dysphagia (difficulty swallowing) and gastrostomy status. […]