Durand Senior Care and Rehab Center

In the surveyor’s words

From the most serious findings on record at Durand Senior Care and Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF686Apr 30, 2025

  Based on observation, interview, and record review the facility failed to provide one out of one residents (Resident #32) care and services to prevent and promote healing of pressure ulcers resulting in worsening wounds, facility acquired stage 3 pressure wound (full thickness skin loss ), osteomyelitis, and hospitalization . Findings Include: Resident #32(R32) Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R32 was a [AGE] year-old female admitted to the facility on [DATE], with most recent re-admission 3/10/25 related to osteomyelitis (wound infection) with other diagnoses that included stage 4 pressure ulcer(full thickness skin and tissue loss, exposing muscle, tendon or bone), diabetes Mellitus, irregular heart rhythm, anxiety and depression. […]

• Actual harm, isolatedF580Mar 13, 2025

  This deficiency pertains to Intake MI00150515 Based on interview and record review, the facility failed to provide timely notification to the physician for one Resident (#106) of three residents reviewed for a change in condition. This deficient practice resulted in a delay in medical treatment for a significant change in condition with diabetic ketoacidosis. Findings include: Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R106 was a [AGE] year old female admitted to the facility on [DATE], with diagnoses that included multiple pelvic fracture post fall 2/4/25, hypertension(high blood pressure), insulin dependant diabetes mellitus (elevated blood sugar), and mild dementia. R106 was readmitted to the hospital 2/17/25 for diabetic ketoacidosis. […]

• Actual harm, isolatedF689Mar 13, 2025

  This citation refers to intake MI00150353, MI00149992 Based on observation, interview, and record review, the facility failed to provide adequate supervision, conduct timely root cause analysis of fall incidents, implement appropriate interventions to prevent future falls and re-evaluate the effectiveness of interventions for 3 residents (R103, R104, and R105) out of 3 residents reviewed for falls, resulting in R105 falling and re-fracturing recently repaired hip and R103 fall with laceration requiring emergency room treatment and R104 fall with fracture and subdural hematoma and overall decline. […]

• Actual harm, isolatedF686May 3, 2024

  Based on observation, interview and record review facility failed to: 1) accurately assess, monitor, treat and prevent the development of pressure ulcers consistent with professional standards of practice to prevent avoidable pressure ulcers; and 2) implement care-planned and non-care-planned interventions for three Residents (R103, R107 and R109) of four reviewed for pressure ulcers, resulting in R109 facility acquired stage 2 pressure ulcer, and the increased likelihood for delayed wound healing and or worsening of wounds and overall deterioration in health status, and worsening of pressure ulcer wounds with sepsis. […]

• Actual harm, isolatedF689Mar 16, 2022

  This Citation has two deficient practices: Deficient Practice #1 Based on observation, interview and record review the facility failed to ensure fall prevention safety for one (R57) out of six residents reviewed for accidents resulting in R57 falling, sustaining a fracture of the right femoral neck (hip) that required surgery and a hospital stay. Finding include: On 3/14/22 at approximately 8:34AM, R57 was observed sleeping in bed. A second observation was made on 3/15/22 at 12:34 PM, again the resident was sleeping and not able to answer questions asked. […]