Castro County Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Castro County Nursing & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, widespreadF600May 25, 2025

  I. Investigation Visit: Based on interview and record review, the facility failed to ensure that residents were free from physical or sexual abuse for 19 (Resident #53, #56, #58, #47, #46, #49, #44, #4, #73, #32, #15, #72, #70, #71, #50, #1, #3, #41, and #14) of 19 residents reviewed for abuse/neglect. 1. The facility failed to protect Resident #41 from abuse when Resident #58 groped her on 03/27/2025. 2. The facility failed to protect an unidentified resident from abuse by Resident #58 when Resident #58 slapped the unidentified resident on 03/29/2025. 3. The facility failed to protect Resident #44 from physical abuse when Resident #44 was pushed to the floor by Resident #46 on 10/27/2024. Resident #44 fractured a hip as a result of the fall. 4. […]

• Immediate jeopardy, widespreadF607May 25, 2025

  I. Investigation Visit Based on interview and record review, the facility failed to implement their policies and procedures that prohibited abuse for 19 (Resident #53, #56, #58, #47, #46, #49, #44, #4, #73, #32, #15, #72, #70, #71, #50, #1, #3, #41 and #14) of 19 residents reviewed for abuse/neglect. 1. The facility failed to protect Resident #41 from abuse when Resident #58 groped her on 03/27/2025. 2. The facility failed to protect an unidentified resident from abuse by Resident #58 when Resident #58 slapped the unidentified resident on 03/29/2025. 3. The facility failed to protect Resident #44 from physical abuse when Resident #44 was pushed to the floor by Resident #46 on 10/27/2024. Resident #44 fractured a hip as a result of the fall. 4. […]

• Immediate jeopardy, patternF656May 25, 2025

  Based on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental and psychosocial well-being for 11 (Resident #53, #56, #58, #47,#46, #4, #73, #32, #15, #72 and #70) of 14 residents reviewed for comprehensive care plans. - The facility failed to develop and implement Resident #53's care plans to reflect the resident's aggressive behaviors. - The facility failed to develop and implement Resident #56's care plans to reflect the resident's aggressive behaviors. - The facility failed to develop and implement Resident #58's care plans to reflect the resident's aggressive behaviors. […]

• Immediate jeopardy, patternF689May 25, 2025

  Based on observation, interview, and record review the facility failed to ensure the resident environment remained as free of accident hazards as possible and failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 4 of 9 residents (Resident #7, #10, #15 and #41) reviewed for accidents and hazards. The facility staff failed to store hand sanitizer properly on 04/20/25 at 7:00 AM resulting in Resident #7 observing Resident #10 drinking an unknown amount of hand sanitizer which ended in him going to the hospital. […]

• No harm, potential for more than minimal, widespreadF609May 25, 2025

  Based on interview and record review, the facility failed to report an alleged violation of abuse or neglect immediately, but not later than 2 hours after the allegation was made, if the events that cause the allegation involved abuse or result in serious bodily injury, to officials in accordance with State law, including to the State Survey Agency for 19 (Resident #53, #56, #58, #47, #46, #49, #44, #4, #73, #32, #15, #72, #70, #71, #50, #1, #3, #41 and #14) of 19 residents reviewed for abuse/neglect. 1. The facility failed to report Resident #58 groped a Resident #41 on 03/27/2025. 2. The facility failed to report Resident #58 slapped another resident on 03/29/2025. 3. […]