Continental Care and Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, widespreadF600Sep 16, 2022

  Based on observation, interview, and record review, facility staff neglected to ensure system processes were in place to comprehensively assess all residents in the facility; neglected to complete Admission, Annual, and Significant Change MDS assessments which would identify medical and health concerns and care needs, and assist with the development of individualized care plans; neglected to develop and implement comprehensive care plans to address all residents' care concerns for 14 (#s 1, 3, 5, 20, 23, 34, 42, 47, 48, 73, 77, 78, 79, and 80) of 14 sampled residents; neglected to delegate or employ a staff member to complete facility residents' MDS assessments; and neglected to revise resident care plans in a timely manner with residents' care concerns the facility had identified;… […]

• Actual harm, isolatedF690Jun 4, 2026

  Based on interview and record review, the facility failed to ensure residents with indwelling urinary catheters received care to prevent urinary tract infections; failed to identify a root cause of repeated urinary tract infections for 2 (#s 6 & 9); and failed to follow up timely with urology referrals and appointments for 1 (# 9) of 19 sampled residents. Findings include1. Review of resident #9's medical record showed three hospitalizations occurring in 2026. Review of resident #9's hospital Discharge summary, dated [DATE] - 1/22/26 showed:- Diagnoses: Sepsis due to catheter associated Morganella morganii UTI with bilateral hydronephrosis .- Follow up Recommendations for PCP: Close follow-up with urology .Review of resident #9's hospital Discharge summary, dated [DATE] - 4/17/26… […]

• Actual harm, isolatedF686Jul 20, 2023

  Based on interview and record review, the facility failed provide consistent care, monitoring, and treatment of pressure ulcers, for 1 (#3) of 1 sampled resident. This deficient practice had the potential to cause worsening of wounds and infections for the resident. Findings include: Review of resident #3's skin assessments, dated 3/22/23 - 7/18/23 showed inconsistencies in the wound classifications, and missed weekly nursing skin assessments, which were: - 3/22/23 - The weekly nursing skin assessment showed one wound: Right buttock other skin condition consisting of partial thickness skin loss and size in cm of 1.1 x 1.8 x 0.1. The wound was documented as being first observed on 3/21/23. […]

• Actual harm, isolatedF699Jul 20, 2023

  Based on observation, interview, and record review, facility staff failed to identify and provide the necessary trauma services to maintain the highest well-being, for 1 (#65) of 1 sampled resident who was experiencing post-traumatic stress disorder. Findings include: During an observation and interview on 7/17/23 at 3:22 p.m., resident #65 was lying in bed. An interview was attempted with resident #65. His speech was garbled and not understandable. His appearance was disheveled, his hair was matted, and his beard was long and untrimmed. He was wearing a nasal cannula, and a CPAP (continuous positive airway pressure) device was on a table next to his bed. During an interview on 7/19/23 at 8:37 a.m., NF4 said resident #65 did have PTSD. […]

• Actual harm, isolatedF641Sep 16, 2022

  Based on interview, and record review, the facility failed to complete accurate Admission and Quarterly assessments for 3 (#'s 48, 49, and 73) of 6 sampled residents. This deficient practice had the potential to affect resident care and safety. Findings include: During an interview on 9/14/22 at 12:33 p.m., staff member J stated it was the admitting nurse's responsibility for completing the initial nursing assessment on new admissions. Staff member J said the admitting nurse refused to do the admission assessment for resident #49, and left it for day shift to complete. Staff member J said she was the day shift nurse and was unable to complete the assessment back in the secured unit because she was too busy out on the floor with other residents. 1. […]