Cross City Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Cross City Nursing and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Sep 11, 2025

  Based on observation, interview, and record review the facility failed to ensure food was served in a sanitary manner during the 9/10/2025 midday meal, of two meals observed. Findings include:During an observation on 9/10/2025 beginning at 11:20 AM of the food services midday Staff A, [NAME] was observed using gloved hands to retrieve scoops, metal containers and other items from various areas in the kitchen. At 11:30 AM Staff A, did not remove the gloves or perform hand hygiene and lifted two pieces of cornbread from a metal tray with her gloved hands and placed the cornbread on individual residents' plates for service to the residents.During an interview on 9/10/2025 at 11:32 AM, the Certified Dietary Manager stated, She [Staff A] should use tongs to lift the cornbread from the tray and… […]

• No harm, potential for more than minimal, patternF921Feb 9, 2023

  Based on observation and interview, the facility failed to provide a safe, functional, and sanitary environment in the food preparation, storage, and sanitation area of the kitchen. Findings include: On 2/6/2023 at 9:20 AM, during a tour of the kitchen, the surveyor observed multiple areas of the ceiling with flaking and cracking appearance in the food prep area. The wall by the dishwashing machine had an area where the wall board was pulling away, creating a break in the moisture barrier. The walk-in freezer had a large buildup of ice on the floor under the condenser unit, creating a slipping or tripping safety hazard. […]

• No harm, potential for more than minimal, isolatedF641Sep 11, 2025

  Based on interview and record review, the facility failed to ensure the Minimum Data Set (MDS) was accurately coded for 1 of 3 residents, Resident #51. Findings Include:Review of the Discharge/Return Anticipated/End of PPS [prospective payment system] Part A Stay MDS for Resident #51 dated 8/12/2025, read, Section A: Discharge Status: Home/CommunityReview of the census documented Resident #51 currently resides in the facility.During an interview on 09/09/2025 at 11:32 AM, Staff C, RN/MDS Coordinator (Registered Nurse) stated, He [Resident #51] was discharged , and we thought he was coming back. He went to an appointment on that day, was admitted to the hospital and we didn't have clear information on what was going on. We thought he was discharging home from the hospital. […]

• No harm, potential for more than minimal, isolatedF684Sep 11, 2025

  Based on interview and record review, the facility failed to ensure the administration of insulin and to notify the physician of elevated blood glucose values for 2 of 5 residents, Residents #25 and #22) reviewed for unnecessary medications.Findings include: 1) Review of Resident #25's admission record documented diagnosis to include myocardial infarction type 2 (a heart attack), cognitive communication deficit, type 2 diabetes mellitus without complications, chronic atrial fibrillation (an irregular heartbeat), unspecified, essential (primary) hypertension (high blood pressure), hyperlipidemia, unspecified (high cholesterol), and atherosclerotic heart disease of native coronary artery (heart disease) without angina pectoris (chest pain).Review of Resident #25's physician orders dated… […]

• No harm, potential for more than minimal, isolatedF695Sep 11, 2025

  Based on observation, interview and record review the facility failed to administer oxygen at physician ordered flow rates according to professional standards of practice for 2 (Resident #1 and #26) of 3 residents reviewed for oxygen administration. Findings include: 1) During an observation on 9/8/2025 at 10:00 AM Resident #1 was observed in bed. Oxygen was being administered via concentrator by nasal cannula at 4 liters per minute.Review of Resident #1's admission record documented diagnosis that include acute and chronic respiratory failure with hypoxia (a condition where the lungs are unable to exchange oxygen and carbon dioxide leading to low oxygen levels-hypoxia), chronic obstructive pulmonary disease (lung disease that cause breathing problems) with acute exacerbation (a sudden… […]