Centerville Care and Rehab Center Inc

In the surveyor’s words

From the most serious findings on record at Centerville Care and Rehab Center Inc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600May 8, 2024

  Based on interview, record review, policy review, and South Dakota Department of Health (SD DOH) facility reported incident (FRI) the provider failed to ensure two of two sampled residents (1 and 2) had been assessed, care plans were updated, and education was provided to staff regarding having been fondled by a co-located resident (4). Findings include: Notice: Notice of immediate jeopardy was given verbally and in writing on 5/8/24 at 9:10 a.m. to administrator A and regional administrator D of the immediate jeopardy related to resident abuse by a colocated resident at F600 when the provider failed to ensure the following: *A resident assessment, care plan updating, and staff education regarding the fondling of vulnerable residents by a co-located resident. On 5/8/24 at 9:10 a.m. […]

• Actual harm, patternF684Oct 20, 2021

  Based on observation, interview, record review, and policy review, the provider failed to ensure residents received treatment and care in accordance with professional standards of practice and based on a comprehensive person-centered care plan. Findings include: 1. Noncompliance in the following areas demonstrated the provider's failure to provide residents with care and services necessary to obtain their highest practicable well-being: *Provide accessible contact information for filing a complaint with the state survey agency for all residents and their representatives. Refer to F574. *Document communication with and obtain a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, patternF686Oct 20, 2021

  Based on observation, interview, record review, and policy review, the facility failed to ensure: *Three of three sampled residents (7, 16, and 28) with facility acquired pressure ulcers *One of one sampled resident (9) with a history of pressure ulcers had ongoing skin assessments to prevent new ulcers from developing or recurring. Findings include: 1. Interview on 10/18/21 at 3:31 p.m. with resident 16 revealed he: *Informed surveyors he had a bleeding area on his buttocks. *Stated he had informed staff about this problem. *Had been provided DynaShield by staff for him to apply to the bleeding area. Interview on 10/18/21 at 3:45 p.m. […]

• Actual harm, patternF880Oct 20, 2021

  Based on observation, interview, record review, job description review, and policy review, the provider failed to: *Ensure infection control precautions had been initiated after an outbreak of vomiting and diarrhea in residents and staff. *Have comprehensive infection control program. *Ensure items that had been used on all residents had been properly cleaned and disinfected. Findings include: 1. Observation on 10/19/21 at 10:22 a.m. revealed resident 11 was lying in her bed. A large amount of vomit was on the blanket in front of her. She stated she felt fine. MDS coordinator E was notified and assisted the resident. Interview on 10/19/21 at 10:28 a.m. […]

• Actual harm, isolatedF686Sep 3, 2026

  Based on observation, interview, record review, and policy review, the provider failed to implement pressure ulcer (skin and/or underlying tissue injury from prolonged pressure) prevention interventions for one of one sampled resident (26) who developed a pressure ulcer to his left heel after he admitted to the facility on [DATE].Findings include: 1. Observation and Interview on 9/1/26 at 1:43 p.m. with resident 26 in his room revealed he had a boot on his left foot, and he stated he had his left foot amputated. 2. Observation and Interview on 9/2/26 at 3:30 p.m. with resident 26 in his room revealed he had a wound on the bottom of his left heel. The wound was black in color, and the skin was not open. Resident 26 denied pain in that area unless the area was pushed on. […]