Continental Nursing & Rehab Center

In the surveyor’s words

From the most serious findings on record at Continental Nursing & Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jan 31, 2024

  Based on interview and record review the facility failed to follow their change of condition policy and assess one resident [R2] with an acute change in condition and failed to call 911 when the resident's condition worsened. This failure resulted in R2 experiencing an acute change in condition, and a delay in receiving a higher level of care. This was identified as an Immediate Jeopardy which began on [DATE]. On [DATE] at 10:09 AM, the administrator was notified of the immediate jeopardy. The immediate jeopardy was removed on [DATE]. […]

• Immediate jeopardy, isolatedF689Jun 23, 2023

  Based on observations, interviews and records review, the facility failed to (a) ensure resident safety by allowing a medically compromised resident (R1) out on a community pass without a medical provider authorization/order, (b) notify the police of missing resident (R1), and (c) thoroughly investigate the location of R1 after R1 did not return to the facility. Resident (R1) of 3 residents reviewed for community pass supervision. This failure resulted in R1 being hospitalized in the intensive care unit (ICU). According to medical records dated [DATE], R1 remained in a coma for 14 days. R1's family made the decision to discontinue life support for R1 and R1 expired 2 days later. […]

• Actual harm, isolatedF600Jun 5, 2026

  Based on interview and record review, the facility failed to ensure one resident (R3) was free from abuse from another resident (R8). This failure resulted R3 being evaluated at the hospital and diagnosed with a closed head injury, sprain of right wrist and sprain of left shoulder. Findings include:According to R3's face sheet, R3 is a [AGE] year-old resident with diagnoses that include but are not limited to polyneuropathy; type 2 diabetes mellitus; heart failure; pulmonary hypertension.According to R3's Minimum Data Set (MDS), 3/20/26, R3 has a BIMS (Brief Interview for Mental Status) score of 15 indicating intact cognition. […]

• Actual harm, isolatedF600Jul 7, 2025

  Based on observation, interview and record review the facility failed to ensure the resident the right to free of abuse for one (R2) of three residents included in a sample of 8 who was physically assaulted by R1, resulting in R2 sustaining a laceration to the top of head requiring 8 staples. Findings include: R1 is a [AGE] year old male with a diagnosis including Pulmonary Disease , Diabetes 2 , Heart Failure and Low Back Pain. R1 was first admitted to the facility on [DATE] and was discharged from the facility on 7/1/25. R1 has a BIMS ( Brief Interview Of Mental Status ) Score of 15/15 . […]

• Actual harm, isolatedF790May 30, 2025

  Based on observation, interview, and record review the facility failed to follow their dental policy to meet the need for dental services and to address negative dental findings immediately for one [R61] resident out of a sample of 28 reviewed for dental services. This failure resulted in a delay of a recommended dental procedure resulting in ongoing dental pain. Findings include: R61 medical diagnosis not limited to; paraplegia, type II diabetic, absence of right leg below the knee, need for assistance with personal care, and open left foot wound. R61 's Dental Consults [Facility Dentist] Recommendations documented in part: 10/18/23: R61 root tips in all four quadrants to be extracted referral made. 11/8/23: R61 still waiting for extractions. […]