Copper Knoll Health & Rehab LLC

In the surveyor’s words

From the most serious findings on record at Copper Knoll Health & Rehab LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727May 13, 2026

  Based on record review and staff interview, the facility failed to ensure there was a Registered Nurse (RN) on duty for at least eight consecutive hours a day, seven days a week. This had the potential to affect all 65 residents residing in the facility. The census was 65. Findings include:Review of facility staffing schedules and posted staffing information revealed there was no RN coverage for 04/25/2026.Interview on 05/13/2026 at 1:27 P.M. with Administrator verified the facility did not have a RN on duty in the facility on 04/25/2026, as the staff who usually worked the weekend was not available that day and the gap of RN coverage was missed. This deficiency represents non-compliance investigated under Complaint Number 2983365.

• No harm, potential for more than minimal, widespreadF880Dec 31, 2025

  Based on observation, interview and policy review, the facility failed to ensure laundry was stored to prevent the spread of infection. This had the potential to affect all 64 residents who reside in the facility. The facility census was 64.Findings Included:Based on observation, interview and policy review, the facility failed to ensure laundry was stored to prevent the spread of infection. This had the potential to affect all 64 residents who reside in the facility. The facility census was 64.Findings Included:Observation on 12/31/25 at 8:35 A.M. […]

• No harm, potential for more than minimal, widespreadF812Jun 8, 2023

  Based on observation, staff interview, review of signage on the resident unit refrigerators, and policy review, the facility failed to ensure foods were safely stored. This had the potential to affect all 52 residents who received food from the kitchen. The facility census was 52. Findings include: Observation on [DATE] at 9:00 A.M. revealed the following kitchen sanitation issues: - In the milk cooler, twenty five eight ounce individual serving cartons of chocolate milk with an expiration date of [DATE]. - In the walk in refrigerator, there was no internal thermometer. There were eight glasses of orange fluid undated and unlabeled, two pitchers of fluid unlabeled and undated and four containers, labeled as pudding, undated. […]

• No harm, potential for more than minimal, widespreadF812Apr 29, 2021

  Based on observation, staff interview, record review, and review of the facility's policy, the facility failed to ensure resident foods in the unit refrigerators were dated and/or labeled and thickened water was not expired. This had the potential to affect 39 of 40 residents who receive food from the kitchen (Resident #26 received nothing by mouth). Findings include: 1. Observation of the 200 hall unit refrigerator on [DATE] at 2:21 P.M. revealed two eggs in a bag in the refrigerator with no name or date. Interview with Minimum Data Set (MDS) Nurse #3 on [DATE] at 2:21 P.M. verified the two eggs had no name or date. 2. Observation of the Fall hall unit refrigerator on [DATE] at 2:25 P.M. […]

• No harm, potential for more than minimal, patternF689Dec 31, 2025

  Based on observation, interview, review of the safety data sheets, and policy review, the facility failed to ensure the resident environment was free of accident hazards. This affected four (#01, #16, #26 and #54) out of four residents reviewed and had the potential to affect all seven (#01, #16, #26, #33, #51, #54 and #64) independently mobile residents who reside in the memory care unit. The facility census was 64.Findings include-Based on observation, interview, review of the safety data sheets, and policy review, the facility failed to ensure the resident environment was free of accident hazards. […]