Casey Rehab and Nursing

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Jan 21, 2021

  Identified failures required more than one deficient practice statement. A.) Based on interview and record review the facility failed to prevent the potential spread of COVID-19 (human coronavirus infection) by failing to follow their policy to restrict staff with symptoms of COVID-19 from working in the facility. The facility also failed to follow Centers for Disease Control and Prevention (CDC) guidance to confirm negative rapid ([MEDICATION NAME]) COVID-19 test results for an employee with a symptom of COVID-19, by using a molecular (Reverse Transcription Polymerase Chain Reaction/RT-PCR) COVID-19 test. […]

• Immediate jeopardy, isolatedF689Aug 13, 2024

  Based on observation, interview, and record review the facility failed to provide supervision of a severely cognitively impaired resident, with a history of elopement, to prevent the resident from leaving the facility unnoticed and unattended. Due to R1's frontal lobe dementia, V20 physician stated (R1) could have been hit by a car, fallen and obtained a fracture, or been injured in a multitude of ways. This failure affects one (R1) of three residents reviewed for supervision. The immediate jeopardy began on 7/28/24 when R1 was allowed to leave the alarmed Dementia unit unsupervised resulting in R1 eloping 0.9 miles away from the facility. V1 Administrator was notified of the Immediate Jeopardy on 8/8/24 at 9:26 AM. […]

• Actual harm, isolatedF689Jul 22, 2026

  Failures at this level required more than one deficient practice statement.A. Based on observation, interview and record review the facility failed to supervise a resident during a shower for one of three residents (R1) reviewed for falls in the sample of three residents. This failure resulted in R1 falling from the wheelchair during a shower when staff turned away from R1 and R1 suffering from a left pelvic fracture. This past noncompliance occurred from 5/29/26-6/1/26.B. Based on interview and record review the facility failed to supervise a resident during meal time for one of three residents (R2) reviewed for falls on the sample list of three residents. […]

• Actual harm, isolatedF684Jan 17, 2025

  Based on observation, interview and record review the facility failed to prevent cross contamination during wound care for one (R24) resident's left plantar heel open diabetic ulcer, failed to monitor R24's left heel diabetic ulcer and failed to follow physician orders for R24's left heel wound treatments for one of two residents (R24) reviewed for skin conditions in a sample list of 27 residents. R24 experienced the worsening of her left heel open wound due to dressing changes not being completed per physician order and not being provided timely incontinence care which led to R24's dressing to be fully saturated with wound drainage and urine which required antibiotics due to a Staphylococcus (Staph) infection. […]

• Actual harm, isolatedF689May 24, 2024

  Based on interview and record review, the facility failed to provide appropriate fall interventions and keep equipment out of the hallways for one of three residents (R1) reviewed for falls on the sample list of 12 residents. Failing to ensure R1 was wearing appropriate footwear resulted in R1 falling and sustaining a laceration that required sutures. Findings include: R1's undated Cumulative Diagnosis Log documents R1's diagnoses as: Agitation due to Dementia, Major Neuro Cognitive Disorder, and Alzheimer's Disease probable with Behavioral Disturbances. R1's Nursing Admission Assessment documents R1 admitted to the facility on [DATE]. R1's Fall Risk assessment dated [DATE], documents R1 as a high fall risk. […]