Centre Care Rehabilitation and Wellness Services

In the surveyor’s words

From the most serious findings on record at Centre Care Rehabilitation and Wellness Services, in the surveyor’s own words.

• Actual harm, isolatedF678Jan 3, 2022

  Based on closed clinical record review, review of select facility policies, and staff interview, it was determined that the facility failed to initiate Cardiac Pulmonary Resuscitation (CPR) for one of one resident reviewed who had requested that CPR be administered if they became unresponsive with no pulse resulting in harm and the resident's death (Resident CR1). Findings include: Review of the facility's current policy entitled, Code Status Policy and Procedure, revealed it is the policy of the facility to offer all residents and their family a choice of whether they wish to have CPR initiated while at the facility. The resident's wishes will be followed to support the resident's/family's rights. […]

• No harm, potential for more than minimal, widespreadF812Jul 31, 2026

  Based on review of select facility policies and procedures, observation, and staff interview, it was determined that the facility failed to store and prepare food items in a safe and sanitary manner and maintain equipment in a sanitary condition, in the main kitchen of the facility and one of five nursing units (Mills Nursing Unit Kitchenette).Findings include: Initial tour of the facility's main kitchen with Employee 10, Director of Dining Services, on July 28, 2026, at 9:32 AM revealed the following: The dry goods storage area contained two boxes of mustard. An opened box of mustard that contained several containers of mustard noted a best if used by date of March 4, 2026, and another unopened box had a best if used by date of May 9, 2026. […]

• No harm, potential for more than minimal, widespreadF812Oct 8, 2024

  Based on observation and staff interview, it was determined that the facility failed to store food items and maintain equipment in a safe and sanitary manner in the facility's main kitchen. Findings included: Initial tour of the facility's main kitchen on [DATE], between 9:35 AM and 10:40 AM revealed the following: The walk-in freezer had multiple discarded items on the floor including under the storage shelves. These discarded items included the following: pieces of food (including broccoli and a piece of carrot), various paper products, and a balled-up hair net. Further observation of the walk-in freezer revealed four packages containing gluten free rolls with an expired use by date of ,d+[DATE]. One of the packages was open to air exposing the rolls to the ambient air. […]

• No harm, potential for more than minimal, patternF677Jul 31, 2026

  Based on clinical record review, observation, and resident, staff, and family interview, it was determined that the facility failed to provide dependent residents timely assistance with activities of daily living for four of five residents reviewed for activities of daily living concerns (Residents 11, 52, 157 and 177). Findings include: Clinical record review for Resident 52 revealed quarterly MDS (Minimum Data Set, an assessment tool completed at specific intervals to determine resident care needs) assessments dated March 11, 2026, and June 9, 2026, that assessed her as dependent for eating, toileting, bed mobility, showers/bathing, personal hygiene, and transfers. […]

• No harm, potential for more than minimal, patternF684Jul 31, 2026

  Based on clinical record review, resident observation, and staff interview, it was determined that the facility failed to provide the highest practicable care regarding physician-ordered assistive devices and failed to meet professional standards of practice for an abdominal binder for three of 35 residents reviewed (Residents 10, 13 and 17). Findings include: Clinical record review for Resident 17 revealed a physician order for a heels up device initiated on February 8, 2025, and an order for nonskid socks at all times except for care-initiated January 24, 2024. Observation of Resident 17 on July 28, 2026, at 12:03 PM, July 29, 2026, at 10:14 AM, and July 30, 2026, at 1:13 PM revealed Resident 17 did not have gripper socks on, or the heels up device in place. […]