Centennial Post Acute

In the surveyor’s words

From the most serious findings on record at Centennial Post Acute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jun 16, 2025

  Based on record review and interview, the facility failed to ensure provision of necessary care and services for one resident (#1) out of 20 sampled residents.Specifically, the facility failed to:1) monitor and evaluate the resident's response to the IV fluid bolus ordered on [DATE];2) educate and inform the resident of the risks and benefits after he/she declined vital sign measurements while in a life threatening condition;3) notify the attending provider of the resident's refusal of care, sustained hypotension and continued altered mental status; and4) ensure the resident was transferred to the emergency room for a higher level of care. […]

• Actual harm, isolatedF627Dec 24, 2025

  .Based on interview and record review, the facility failed to ensure that residents were discharged in a manner that protected health, safety, and psychosocial well-being, as required. The facility failed to develop and implement an effective discharge planning process for 2 residents (#'s 112 and 113) out of 2 residents reviewed for discharge, resulting in an unsafe and inappropriate discharges.Specifically, the facility failed to:1. Identify and address each resident's post-discharge care needs;2. Ensure required services, referrals, and equipment were arranged prior to discharge;3. Assess and confirm caregiver availability, capacity, and training;4. Involve resident representatives in discharge planning and decision-making;5. […]

• Actual harm, isolatedF644Dec 24, 2025

  .Based on record review and interview, the facility failed to comply with PASRR Pre-admission Screening and Resident Review - requirements by not incorporating the PASRR Level II determination into the resident's assessment, care planning, and discharge planning for 1 Resident (#113), out of one resident reviewed for PASRR documentation. The PASRR Level II evaluation identified the need for continued nursing facility services and required specialized mental health services. The facility did not ensure the Level II report was available at admission, did not initiate specialized services during the stay, did not revise the care plan to reflect PASRR findings, and discharged the resident without addressing PASRR-identified needs or following recommended discharge options. […]

• Actual harm, isolatedF686Dec 24, 2025

  .Based on record review and interview, the facility failed to ensure necessary treatment and services, consistent with professional standards of practice, were provided for the treatment of pressure ulcers. Specifically, the facility failed to ensure a resident with a facility acquired pressure ulcer received appropriate treatment interventions, to include timely higher level of care, for 1 Resident (#110), out of 3 residents with pressure ulcers reviewed. These failed practices contributed to Resident #110 being hospitalized with sepsis and passed away from this complication Findings:Resident #110Record review on 12/14-24/25 revealed Resident #110 was admitted to the facility on [DATE] with diagnoses that included end stage renal disease and type 2 diabetes. […]

• Actual harm, isolatedF600Jan 23, 2025

  Based on record review, interview and observation, the facility failed to protect the resident's right to be free from deprivation of goods and services by facility staff. Specifically, the facility failed to ensure an anticonvulsant medication was available and administered per physician's order for one resident (#1) out of three sampled residents. This failed practice of deprivation of goods and services resulted in Resident #1 not receiving medication causing the resident to endure multiple seizure episodes, decorticate posturing [a reflex pose that's a symptom of damage to or disruptions in brain activity. […]