Doctors Subacute Healthcare, LLC

In the surveyor’s words

From the most serious findings on record at Doctors Subacute Healthcare, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF558Dec 2, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to ensure the resident's call device was readily accessible. The deficient practice was identified for 1 (one) of the 13 residents (Resident #1) reviewed for reasonable accommodations of needs/preferences. This deficient practice was evidenced by the following: On 9/21/2025 10:55 AM, the surveyor observed Resident #1 in bed, awake, and able to answer the surveyor's inquiry. The surveyor observed that the call device was tied to the resident's arm rail and was dangling towards the floor. The surveyor asked the resident if the resident was able to use the call bell, and the resident stated, I am not sure where it is; I just yell out to the staff for help. […]

• No harm, potential for more than minimal, isolatedF640Dec 2, 2025

  Based on the interview and record review, it was determined that the facility failed to complete and transmit a Minimum Data Set (MDS, an assessment tool used to facilitate the management of care) in accordance with federal guidelines. This deficient practice was identified for 3 of 13 residents (Resident #3, 5, and #51) during the review of resident assessment. This deficient practice was evidenced by the following: The MDS is a comprehensive tool, a federally mandated process for clinical assessment of all residents that must be completed and transmitted to the Quality Measure System. The facility must electronically transmit the MDS within 14 days of completing the assessment. […]

• No harm, potential for more than minimal, isolatedF641Dec 2, 2025

  Based on interviews and record review, it was determined that the facility failed to accurately code the Minimum Data Set (MDS, an assessment tool used to facilitate the management of care), in accordance with federal guidelines, for 1 (one) of 13 residents (Resident #3), who were reviewed for accuracy for MDS coding. This deficient practice was evidenced by the following: On 9/21/2025 at 10:11 AM, the surveyor observed Resident #3 in bed watching television, alert and oriented x3, able to answer questions appropriately. […]

• No harm, potential for more than minimal, isolatedF711Dec 2, 2025

  Based on the interview and record review, it was determined that the facility failed to ensure that the residents' Primary Physician (PP) or an alternating advanced practice nurse (APN) signed the monthly Physician Orders (PO). The deficient practice was observed for 3 of 13 residents (Resident #3, 5, and #47) reviewed and occurred over the previous 6 months. This deficient practice was evidenced by the following: 1. A review of the electronic Medical Record (eMR) for Resident #3 revealed that PP #1 or an alternating APN has not electronically signed the monthly POs of April, May, July, and September 2025. 2. A review of the eMR for Resident #5 revealed that the PP #2 has not electronically signed the monthly PO from April to September 2025. 3. […]

• No harm, potential for more than minimal, isolatedF849Dec 2, 2025

  Based on observation, interview, review of the medical record and other facility documentation, it was determined that the facility failed to ensure the consistent hospice services were provided, in accordance with professional standards and principles to meet the resident's needs (Resident #6). This deficient practice was identified for one (1) of one (1) resident reviewed for hospice and end of life care. This deficient practice was evidenced by the following:On 9/21/25 at 10:19 AM, during the initial tour, the surveyor observed Resident #6 seated at the edge of the bed, eating from a plastic container and had a bruise on their upper lip. The surveyor reviewed the medical record for Resident #6. […]