Coastal Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Coastal Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF849May 18, 2023

  Based on interviews, facility policy review, the facility's hospice contract review, and medical record review, the facility failed to 1) Ensure residents receiving hospice services had evidence of medical record communication with the hospice provider for seven (Residents #13, #81, #1, #38, #4, #100, and #89) of eight residents receiving hospice services, 2) Ensure evidence of signed contracts for services in the Electronic Medical Record (EMR) for six (Residents #13, #81, #1, #38, #101, and #89) of eight residents receiving hospice services, and 3) Designate a facility hospice coordinator for eight (Residents #13, #81, #1, #38, #4, #101, #100, and #89) of eight residents receiving hospice services. […]

• No harm, potential for more than minimal, widespreadF812Sep 10, 2021

  Based on observations and staff interviews, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety, that included labeling and dating food food items, and thawing food in a safe and sanitary manner, placing the residents at risk of exposure to food-bourne illnesses. The findings include: An initial tour of the kitchen was conducted on 9/7/21 at 9:20 AM with the Certified Dietary Manager (CDM). During the tour, an opened package of what the CDM identified as chicken patties was observed in the freezer wrapped in cellophane but not labeled or dated. The CDM stated, I will take care of that and removed the package. […]

• No harm, potential for more than minimal, patternF812Oct 5, 2022

  Based on observations, interviews, record reviews, and facility policy and procedure review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards by failing to keep nourishment room refrigerators clean; document refrigerator temperatures daily in the nourishment rooms; date food items in nourishment room refrigerators; and discard expired food items. This deficient practice could potentially affect all residents receiving food or drinks from the facility's nourishment rooms. The findings include: During a tour of the nourishment room on the north hall on [DATE] at 8:11 am, the following concerns were observed: - Refrigerator had yellow dried stain on bottom of refrigerator. - Open container of thickened lemon water with no date. […]

• No harm, potential for more than minimal, isolatedF628Sep 11, 2025

  Based on record review, interviews, and review of the facility's Transfer and Discharges policy, the facility failed to notify resident/responsible parties in writing of discharges and transfers, and omitted required information including the date of and the reason for the transfer, the location to which the resident was being transferred, a statement of appeal rights, information about the appeal process, and the State Long-Term Care Ombudsman contact information for one (Resident #1) of four residents reviewed for discharge. The facility also failed to provide a copy to the local Ombudsman office.The findings include:A closed record review for Resident #1 revealed an admission date of 6/21/25 and a discharge from the facility on 7/20/25. […]

• No harm, potential for more than minimal, isolatedF609Jun 14, 2024

  Based on record review, observations, interviews, and review of facility standards and guidelines for elopement and wandering, the facility failed to immediately report, or within 24 hours of the event, an alleged violation of neglect for one (Resident #2) of two residents sampled for elopement, to the State Survey Agency. The findings include: Review of the facility's 2024 Federal Reports revealed no reports had been filed electronically as required for Resident #2. A review of Resident #2's medical record revealed he was a [AGE] year-old male who was admitted to the facility on [DATE] and left the faciity on [DATE]. […]