Current River Rehabilitation & Health Care Center

In the surveyor’s words

From the most serious findings on record at Current River Rehabilitation & Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Aug 26, 2026

  Based on interview and record review, the facility failed to ensure one resident (Resident #2) was free from sexual abuse. Resident #1 had a history of inappropriate sexual contact with Resident #2. On 08/17/26, Resident #1 moved Resident #2's sweater aside, lifted Resident #2's shirt, and touched the resident's breast. The facility subsequently initiated one-to-one supervision of Resident #1. According to staff interviews, on 08/18/26, Resident #1 again approached Resident #2 and touched and rubbed Resident #2's thigh area. After staff intervened, Resident #1 approached Resident #2 again and reached toward Resident #2's thigh while the Administrator was present. The facility's protective interventions did not prevent repeated sexual contact with Resident #2. […]

• Actual harm, isolatedF658Jul 15, 2024

  Based on observation, interview, and record review, the facility failed to follow physician's orders for three residents (Residents #5, #34, and #40) out of 12 sampled residents. The facility census was 40. Review of the facility's policy titled, Physician's Orders, undated, showed: - Current lists of orders must be maintained in the clinical record of each resident to avoid conflict and errors; - Orders must be written and maintained in chronological order; - Physician orders must be reviewed and renewed. Review of the facility's policy titled, Skin Assessments, undated, showed residents at risk will have preventative measures implemented to include: weekly documented skin audits by a licensed nurse and treatments as ordered by the physician if skin breakdown occurs. 1. […]

• Actual harm, isolatedF689Jul 15, 2024

  Based on interview and record review, the facility failed to provide a safe transfer for one resident (Resident #23) in a manner to prevent accidents, when staff did not utilize two staff for transfers as directed on the resident's care plan and the resident sustained a hip fracture. Also, the facility failed to safely transfer one additional resident (Resident #8) outside of the sample. The facility census was 40. Review of the facility's policy titled, Gait Belt (a device used for assistance with transfers and walking) Transfers, undated, showed: - Assist resident to a sitting position; - Apply belt to the resident's waist and tighten to fit snugly with the buckle at the side; - Face the resident; - Bend your knees and place your hands around the gait belt on each side of the… […]

• No harm, potential for more than minimal, widespreadF812Aug 29, 2025

  Based on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This had the potential to affect all residents. The facility census was 42.Review of the facility's policy titled, Cleaning Schedule, undated, showed: - Equipment and utensils will be cleaned according to the following guidelines, or manufacturer's instructions: Items cleaned after each use include can opener, small food preparation equipment (e.g. […]

• No harm, potential for more than minimal, widespreadF868Aug 29, 2025

  Based on interview and record review, the facility failed to maintain quarterly Quality Assessment and Assurance/Quality Assurance Performance Improvement (QAA/QAPI) committee meetings with the required members. The facility's census was 41.Review of the facility's policy titled, QAPI Policy, dated January 2024, showed:-The QAPI Program consists of monthly/quarterly meetings, daily quality assurance activities, QAPI tasks, and performance improvement plans;- Did not address the required members of the QAA Committee. Review of QAA Committee Minutes, dated 01/16/25, showed:- The Administrator, the Infection Preventionist, Human Resources, a Certified Nurse Assistant (CNA), and Registered Nurse (RN) attended the meeting;- No documentation the DON or the Medical Director attended the meeting. […]