Danville Regional Rehabilitation

In the surveyor’s words

From the most serious findings on record at Danville Regional Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF641Feb 28, 2023

  Based on observation, interview, and record review, the facility failed to accurately code the Minimum Data Set (MDS) for 4 of 6 residents reviewed for MDS accuracy (Residents 34, 40, 69 and 102). Findings include: 1. A comprehensive record review was completed on 2/23/23 at 12:35 p.m. for Resident 34. He admitted to the facility on [DATE]. His diagnoses included but were not limited to, after care of joint replacement surgery, unspecified atrial fibrillation, encephalopathy, acute pyelonephritis, urinary retention, GERD (gastro-esophageal reflux disease), undifferentiated schizophrenia, and restlessness with agitation. Resident 34 had a notice of Pre-Admission Screening and Resident Review (PASSR) level II outcome in his medical record. […]

• No harm, potential for more than minimal, patternF689Feb 28, 2023

  Based on observation, interview, and record review, the facility failed to prevent the potential for accidents by maintaining safe hot water temperatures in the secured memory care unit. This deficient practice had the potential to effect 26 of 26 residents who resided on the memory care unit (Residents 24, 53, 54, 88, and 59). Findings include: On 2/22/23 at 9:45 a.m., Resident 24 was observed. She was seated in a recliner chair in the memory care TV lounge area. Her eyes were closed, her head was bowed, and she appeared to be asleep. […]

• No harm, potential for more than minimal, patternF690Feb 28, 2023

  Based on observation, interview, and record review, the facility failed to ensure urinary catheter bags were kept off the floor for 2 of 4 residents reviewed for urinary catheters (Resident 18 and 41). Findings include: 1. During an observation on 2/22/23 at 10:02 a.m., Resident 18 was lying in her bed. She indicated she had a supra-pubic catheter to drain her bladder. The catheter collection bag was lying on the floor. On 2/22/23 at 3:15 p.m., a comprehensive record review was completed for Resident 18. […]

• No harm, potential for more than minimal, patternF812Feb 28, 2023

  Based on observations, interview, and record review, the facility failed to ensure infection control procedures were followed by staff in the main dining room while assisting residents with eating for 5 of 5 randomly observed residents during a dining services observation, (Residents 9, 159, 163, 305, and one unidentified resident). Findings include: On 2/21/23 at 12:25 p.m., Licensed Practical Nurse (LPN) and Unit Manager (UM) 4 were observed in the Moving Forward dining room. LPN 4 moved Resident 159's walker with her bare hands and did not wash or gel her hands before she moved Resident 163's walker. Resident 163 was prepared to leave the dining room. LPN 4 walked with Resident 163 to her room. […]

• No harm, potential for more than minimal, isolatedF578Jun 23, 2025

  Based on interview and record review, the facility failed to ensure a resident, (Resident 94) had the right to formulate an advanced directive for 1 of 2 residents reviewed for advance directives. Findings include: On 06/19/25 at 11:44 a.m., Resident 94's medical record was reviewed. He was a long-term care resident with diagnoses which included, but was not limited to, peripheral vascular disease (PVD), a below the knee amputation of his left leg, surgical wound failure with necrosis, and dementia with unspecified severity. At the time of his admission, on 1/14/25, there was no Power of Attorney (POA) and/or guardianship documentation. […]