Crowley Nursing and Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Sep 24, 2021

  Based on observation, interview, and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 1 (Resident #1) of 2 residents reviewed for quality of care. On 09/17/21, Resident #1 was sent to the emergency room after the family noted drainage, redness, and a mass on the back of the resident's head. The resident admitted to the hospital with an infected surgical wound infection that required surgical incision and drainage. Facility nursing staff failed to assess, monitor and document the condition of Resident #1's surgical site to ensure there were no complications. An Immediate Jeopardy (IJ) was identified on 09/23/21 at 4:30 p.m. […]

• Immediate jeopardy, isolatedF692Aug 13, 2021

  Based on observation, interview, and record review, the facility failed to ensure that residents maintained acceptable parameters of nutritional status, such as usual body weight or desirable body weight range, for one (Resident #2) of five residents reviewed for nutrition. The facility failed to ensure Resident #2, who received all of his nutrition via g-tube, had physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident did not receive regular enteral feedings, or have physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This resulted in the resident losing a total of 13 pounds. An Immediate Jeopardy (IJ) situation was identified on 08/12/21 at 5:12 PM. […]

• Actual harm, isolatedF689Jan 24, 2024

  Based on interview and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 (Resident #1) of 3 residents reviewed for accidents. The PT failed to ensure Resident #1's body, to include her lower extremities, were positioned properly during a transfer using a sliding board, which is a rigid board used to bridge the gap between two surfaces to assist with transferring from one surface to another. During set-up of the transfer, the PT lowered the bed on or against the resident's foot causing a laceration that required 13 sutures. […]

• No harm, potential for more than minimal, patternF812Aug 20, 2026

  Based on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for kitchen services.The Dietary Manager and Dietary Aides failed to follow hygienic practices and performed hand hygiene.The Dietary Manager wore an effective hair restraint.Dietary Aide B failed to wear an effective hair restraint on 08/20/26.The facility failed to ensure staff did not touch their hair or face while handling food.The facility failed to ensure five cases of food were not stacked on the floor and dated in the refrigerator and freezer. […]

• No harm, potential for more than minimal, patternF656Jun 5, 2025

  Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment and services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being as required for 1 of 9 residents (Resident #1) reviewed for care plans. […]