Careage Hills Rehabilitation and Healthcare

In the surveyor’s words

From the most serious findings on record at Careage Hills Rehabilitation and Healthcare, in the surveyor’s own words.

• Immediate jeopardy, patternF689Sep 30, 2021

  Based on record review and interviews, the facility failed to utilize a safety belt in the whirlpool tub chair resulting in a fall causing a fractured neck for 1 out of 1 residents reviewed, (Resident #135). The resident later passed away the same day of the incident. The facility reported a census of 30 residents. A determination was made that the facility's noncompliance with one or more requirements of participation placed all residents in the facility in immediate jeopardy, beginning 2/20/21. […]

• Actual harm, isolatedF689Dec 9, 2025

  Based on observations, clinical record review, staff interviews, and facility policy review, the facility failed to provide adequate nursing supervision to prevent injuries with transfers using a mechanical lift for 1 of 3 residents reviewed (Residents #1). The facility reported a total census of 33 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] for Resident #1 documented diagnoses of Alzheimer's Disease, seizures, cognitive communication deficit and need for assistance with personal care. The MDS showed the Brief Interview for Mental Status (BIMS) was not assessed. […]

• Actual harm, isolatedF689Mar 28, 2024

  Based on clinical record review, staff interview, and policy review the facility failed to provide proper transfer techniques while transferring a resident to prevent accidents for 1 of 3 residents (Resident #21) reviewed. The facility reported a census of 30 residents. Findings include: Review of the Minimum Data Set (MDS) dated [DATE] revealed Resident #21 to have a Brief Interview for Mental Status (BIMS) score of 6 indicating severe cognitive impairment. The MDS further revealed diagnosis of aphasia (loss of ability to understand or express speech), stroke, hemiplegia (paralysis of one side of the body), difficulty in walking, and need for assistance with personal care. […]

• No harm, potential for more than minimal, widespreadF801Sep 30, 2021

  Based on record review and staff interviews, the facility failed to employ a qualified person to serve as the Director of Food and Nutrition Services in the absence of a full-time dietitian since 6/22/2021. The following would be qualified persons; certified dietary manager, certified food service manager; or has similar national certification for food service management and safety from a national certifying body, an associates or higher degree in food service management, hospitality, or restaurant management from an accredited institution or higher learning. […]

• No harm, potential for more than minimal, widespreadF812Sep 30, 2021

  Based on observation, policy review and staff interviews the facility failed to maintain a clean and sanitary kitchen to prevent food borne illness. The facility reported a census of 30 residents. Findings include: Observation of the kitchen on 9/20/2021 from 10:10 AM to 10:25 AM revealed the following: a. The facilities upright storage freezer contained spilled Orange Juice Concentrate and several brown crumb like debris. b. An undated, uncovered yellow cake observed sitting next to a [MEDICATION(S)] approximately 12 inches off of the floor on a plastic container. c. The toaster had brown discoloration across the top. d. The flooring throughout the kitchen had white and black build up and in poor repair. e. The outlets throughout the kitchen had brown buildup hard substance on them. f. […]