Centerville Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Jun 16, 2022

  Based on observation, staff and resident interview, and policy review, the facility failed to ensure staff wore Personal Protective Equipment (PPE) appropriately. This had the potential to affect all 88 residents who reside in the facility. The facility census was 88. Findings Included: 1. Observation on 06/13/22 at 12:24 P.M. with Registered Nurse (RN) #31 who worked on the skilled hall, came out of Resident #326 room wearing a yellow procedure gown, and gloves. RN #31 had an N95 mask and a face shield on. RN #31 walked from room [ROOM NUMBER] to room [ROOM NUMBER] to retrieve a straw for Resident #326. RN #31 walked back to Resident #326's room after retrieving a straw from medication cart located in the hall. At no time was RN #31 observed removing her yellow protective gown or gloves. […]

• No harm, potential for more than minimal, patternF644Mar 27, 2025

  Based on medical record review, staff interview, and policy review, the facility failed to assess residents with new diagnoses and medications to treat serious mental illness for eligibility for Level II pre-admission screening and resident review (PASARR) services. The affected four (#19, #34, #55, And #63) of five residents sampled for PASARR. The facility census was 96. Findings include: 1. Review of the medical record revealed Resident #34 was admitted to the facility on [DATE]. Diagnoses included chronic obstructive pulmonary disease, type II diabetes, stage II chronic kidney failure, unspecified bipolar disorder, and paranoid schizophrenia. […]

• No harm, potential for more than minimal, isolatedF627May 21, 2026

  Based on record review, staff interview, and transportation interview, the facility failed to properly discharge a resident. This affected one (Resident #117) out of three reviewed for discharge. The facility census was 111.Findings include:Review of Resident #117's medical record revealed an admission date of 11/18/25 and a discharge date of 04/25/26 with diagnoses of paraplegia, complete, other acute osteomyelitis, right ankle and foot, neuromuscular dysfunction of bladder, and chronic pulmonary embolism. Further review revealed Resident #117's wounds to the bilateral heels were healed. Review of the Quarterly Minimum Data Set (MDS) dated [DATE] revealed resident had moderate cognitive impairment with no behaviors documented. […]

• No harm, potential for more than minimal, isolatedF550Mar 27, 2025

  Based on observation, staff interview, record review, and policy review, the facility failed to ensure a resident was being transported in a wheelchair in a dignified manner. This affected one (#34) of four residents sampled for dignity. The facility census was 96. Findings include: Review of the medical record revealed Resident #34 was admitted to the facility on [DATE]. Diagnoses included chronic obstructive pulmonary disease, type II diabetes, stage II chronic kidney failure, unspecified bipolar disorder, and paranoid schizophrenia. […]

• No harm, potential for more than minimal, isolatedF657Mar 27, 2025

  Based on record review, staff interviews; resident interviews, and policy review, the facility failed to ensure quarterly care conferences were conducted with residents and resident representatives. This affected three (#16, #41, and #73) of three residents sampled for care planning. The facility census was 96. Findings include: 1. Review of the medical record revealed Resident # 41 was admitted to the facility on [DATE]. Diagnoses included hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, major depressive disorder, morbid obesity, unspecified gout, and chronic pain syndrome. […]