Eastland Subacute and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Eastland Subacute and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Feb 20, 2024

  Based on interview and record review, the facility failed to follow the facility's policy and procedure (P&P) titled, Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating and protect one of three sampled residents (Resident 1) from physical abuse by failing to: 1. Ensure Registered Nurse (RN) 1, who was the alleged perpetrator (the person identified in the initial report or during the investigation as the person suspected of committing an act of abuse), was placed on leave of absence (authorized absence from work for a certain period of time) and did not have contact with Resident 1 and other residents in the facility from 1/20/2024 to 2/17/2024. 2. […]

• Immediate jeopardy, isolatedF678Dec 7, 2023

  Based on observation, interview, and record review, the facility failed to provide immediate and continuous cardiopulmonary resuscitation (CPR, emergency lifesaving procedure, consisting of a combination of chest compressions, mouth-to-mouth, or mechanical breathing [using a device to help someone breaths], performed when the heart stops beating or beats ineffectively and/or to restore breathing) to one of three sampled residents (Resident 1) who had a full code status (resident ' s heart stopped beating and/or the resident stopped breathing, the resident or their representative wishes for all lifesaving procedures to be provided to keep them alive) by failing to ensure: 1. […]

• No harm, potential for more than minimal, patternF880Aug 28, 2026

  Based on observation, interview, and record review, the facility failed to implement infection prevention and control practices by failing to: a. Ensure one of three sampled residents' foley catheter (a flexible plastic tube inserted into the bladder to drain urine outside of the body) bag and tubing were not touching the floor (Resident 111). b. Label and properly stored personal care items consisting of a toothbrush and a bottle of mouthwash that were found inside Rooms A and B's shared bathroom. These failures had the potential to result in cross contamination (the process by which germs are unintentionally transferred from one area/object to another with a harmful effect) and/or the development of infection to Resident 111 and other residents in the facility. Findings: a. […]

• No harm, potential for more than minimal, patternF912Aug 28, 2026

  Based on observation, interview, and record review, the facility failed to ensure seven of 63 resident rooms (Rooms 114, 115, 116, 117, 119, 121, and 123) met the square footage requirement of 80 square feet (sq. ft. - unit of measurement) per resident in multiple resident rooms. In addition, the residents who occupied Rooms 114, 115, 116, 117, 119, 121, and 123 from the last recertification survey with exit date of 7/25/2025 were not the same residents who occupied Rooms 114, 115, 116, 117, 119, 121, and 123 during this current recertification survey from 8/25/2026 to 8/28/2026. […]

• No harm, potential for more than minimal, patternF550Apr 8, 2026

  Based on observation, interview and record review, the facility failed to treat residents with dignity and respect for three out of three sampled residents (Resident 1, 2, and 3) when: 1. Resident 1 was not notified about not attending adult day care center (a community-based facility providing supervised, structured, and non-residential care for adults with physical or cognitive impairments) and was not given a reason why she did not attend. 2. Resident 2 and Resident 3's bed were temporarily relocated to the hallway and were not provided any privacy. These deficient practices had the potential to cause psychosocial harm, loss of dignity and respect, and feelings of frustration for Resident 1, 2, and 3. Findings:1. […]