Denison Nursing and Rehab

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689May 16, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents received adequate supervision and assistance devices to prevent accidents for one of two (Resident #1) residents reviewed for elopement: The facility failed to prevent Resident #1's elopement through a window in an unoccupied room on [DATE] which resulted in resident being found two houses from the facility and facility staff being unaware that he had eloped. These failures resulted in an Immediate Jeopardy (IJ) on [DATE]. […]

• No harm, potential for more than minimal, widespreadF725Jul 2, 2025

  Based on observation, interview, and record review, the facility failed to have sufficient nursing staff to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, for three of four quarters for 2025 (Quarters 1, 2, and 3) reviewed for sufficient nursing staff.Based on observation, interview, and record review, the facility failed to have sufficient nursing staff to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, for three of four quarters for 2025 (Quarters 1, 2, and 3) reviewed for sufficient nursing staff. […]

• No harm, potential for more than minimal, widespreadF727Jul 2, 2025

  Based on interviews and record reviews, the facility failed to utilize the services of an RN for 8 consecutive hours 7 days a week for 28 days out of 365 days reviewed.Based on interviews and record reviews, the facility failed to utilize the services of an RN for 8 consecutive hours 7 days a week for 28 days out of 365 days reviewed. The facility failed to have an RN for 8 consecutive hours 7 days a week for 28 days out of 365 days reviewed from April 1, 2024 through March 31, 2025. These failures could place all residents at risk for their clinical needs not being met. […]

• No harm, potential for more than minimal, widespreadF838Jul 2, 2025

  Based on record review and interviews, the facility failed to conduct and document a comprehensive facility-wide assessment for the past year to determine what resources were necessary to care for its residents competently during day-to-day operations and review and update the assessment at least annually for 1 of 1 facility reviewed annual assessment. Based on record review and interviews, the facility failed to conduct and document a comprehensive facility-wide assessment for the past year to determine what resources were necessary to care for its residents competently during day-to-day operations and review and update the assessment at least annually for 1 of 1 facility reviewed annual assessment. The facility did not have a completed Facility Assessment. […]

• No harm, potential for more than minimal, widespreadF812May 16, 2024

  Based on observations, interviews and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the facility's only kitchen in that: 1. The facility failed to ensure food items in the facility refrigerator, freezer and dry storage were dated or labeled. 2. The facility failed to ensure Cook B used sterile technique during lunch meal service on 5/14/24. These failures could affect residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness if consumed, and food contamination. […]