Bryan Health and Rehab

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF656Dec 8, 2022

  Based on record review and staff interviews, the facility failed to develop care plans to address anticoagulant use for 4 of 4 residents reviewed for anticoagulant medication (Resident #3, Resident #26, Resident #45, and Resident #39), and the use of a splint for contracture management for 1 of 1 resident reviewed for range of motion (Resident #19). The findings included: 1. Resident #3 was admitted to the facility on [DATE] with diagnoses that included heart failure, acute embolism (Blockage of a lung artery), and thrombosis (occur when blood clots block blood vessels) of superficial veins of right upper extremity. Resident #3's most recent Annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #3 was cognitively intact and coded for anticoagulant medication. […]

• No harm, potential for more than minimal, patternF812Dec 8, 2022

  Based on observation and staff interviews, the facility failed to label and date food items stored for resident use in 1 of 1 nourishment rooms observed. Findings included: An observation of the nourishment room was conducted on 12/07/22 at 2:48 pm with Medication Aide (MA) #1 and the refrigerator/freezer were inspected. The following items were found inside the refrigerator: an opened, half empty, plastic bottle of orange soda without a name or date, and two plates with a slice of pie covered with plastic wrap on each plate without a name or date. Also, a disposable container of food was observed on the counter near the refrigerator without a date. […]

• No harm, potential for more than minimal, patternF727Jun 3, 2021

  Based on record review and staff interviews, the facility failed to have a Registered Nurse (RN) in the building for 8 hours a day, 7 days a week for 4 of 30 days reviewed for staffing (4/4/21, 4/11/21, 4/17/21, 4/25/21). The findings included: The nurse staffing sheets were reviewed for April 2021. On Sunday 4/4/21, 4/11/21, & 4/25/21 and Saturday 4/17/21, there was not a RN scheduled to work. During an interview with the Director of Nursing (DON) on 6/3/21 at 11:07 AM, she revealed there were times there was not a RN in the facility for 8 hours a day, 7 days per week. The DON stated she was not aware a RN had to be physically in the building. The DON stated she was available by telephone at these times. […]

• No harm, potential for more than minimal, isolatedF558Jun 17, 2026

  Based on observation, record review and interviews with the resident and staff, the facility failed to ensure a dependent resident could access a call bell that was out of reach for 1 of 21 residents reviewed for accommodation of needs (Resident #16). Findings included:Resident #16 was admitted to the facility on [DATE].Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #16 was severely cognitively impaired and needed assistance with activities of daily living. During an observation on 6/15/2026 at 11:26 a.m., and at 11:31 a.m. Resident #16 was observed sleeping and the call bell button was clipped to the call cord and hanging from the outlet on the wall, away from Resident #16's reach. In an interview with Resident #16 on 6/15/2026 at 11:32 a.m. […]

• No harm, potential for more than minimal, isolatedF919Jun 17, 2026

  Based on observation, resident and staff interviews, the facility failed to ensure the resident call light system was functioning properly for 1of 21 residents observed for resident call system (Resident #16). Findings included:Resident #16 was admitted to the facility on [DATE] with diagnoses that included depression, dementia and facial weakness.Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #16 was severely cognitively impaired and needed assistance with activities of daily living. An observation of Resident #16's call light was conducted on 6/15/2026 at 11:26 a.m. and at 11:31 a.m. When the call light was pressed, it did not illuminate on the outside of her door in the hallway. […]