Emporia Rehabilitation and Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jun 8, 2022

  Based on staff interviews, clinical record review, and in the course of a complaint investigation, the facility staff failed to mitigate a known accident hazard for one Resident (Resident #1) in a survey sample size of 4 Residents. Specifically, Resident #1 needed assistance and guidance with dressing and had a known behavior of holding her [CONDITION(S)] catheter and picking at the [CONDITION(S)] catheter dressing. On the morning of 05/27/2022, Resident #1 was not assisted with dressing and found half-dressed, lying across the bed, no dressing on the [CONDITION(S)] catheter site, and one of the port caps removed resulting in Resident #1's death by exsanguination (severe loss of blood). This is harm. The findings included: On 06/08/2022, Resident #1's closed clinical record was reviewed. […]

• No harm, potential for more than minimal, patternF807Jun 3, 2026

  Based on observation, resident interviews, staff interviews, and facility documentation reviews the facility staff failed to ensure water was available to maintain resident hydration for four residents, Resident#3 (R3), Resident #4 (R4), Resident #43 (R43), and Resident #49 (R49)out of a survey sample of 28 residents. The findings included:The facility staff failed to provide ice water to the residents to have for hydration. On 6/1/26 at 1:00 pm, a tour of the unit one nursing unit was conducted. During the observation, there were several rooms observed without water available to the residents. On 6/1/26 at 2:50 pm, an observation was made of no fluids available in room for hydration for R43 or her roommate. On 6/1/26 at 2:52 pm, an interview was conducted with R43. […]

• No harm, potential for more than minimal, patternF580Oct 23, 2025

  Based on interviews and clinical record review, the facility staff failed to notify the Nurse Practitioner and resident's Responsible Party immediately of a significant change condition for 1 resident (Resident #1) in a survey sample of 6 residents. The findings included: The facility staff failed to notify the Nurse Practitioner and the Responsible Party of decrease in urinary output and fluid intake for Resident #1.Resident #1 was admitted to the facility on [DATE] after a hospitalization from 7/16/25 to 8/6/25 for nausea and vomiting coffee-ground emesis. He presented with a persistent ileus (a temporary condition where one's intestine cannot push food and waste out of the body) with abdominal pain and distention. […]

• No harm, potential for more than minimal, patternF760Oct 23, 2025

  Based on observation, interview, clinical record review and facility documentation, the facility staff failed to ensure residents are free from significant medication error for 1 resident (#2) in a survey sample of 6 residents.For Resident #2 the facility staff failed to follow the physician orders for parameters on administering the drug Midodrine (an alpha-Adrenergic Agonist used to raise blood pressure).Resident #2 was admitted to the facility on [DATE] with diagnoses that included but were not limited to Interstitial pulmonary disease, generalized anxiety disorder, major depressive disorder, unspecified dementia, dysphagia, Barretts esophagus, and generalized weakness. […]

• No harm, potential for more than minimal, patternF886Mar 31, 2023

  Based on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to conduct COVID-19 testing in accordance with CDC (Centers for Disease Control) and CMS (Centers for Medicare & Medicaid Services) guidance/requirements for 4 residents, Residents #9, #10, #11, and #14, out of 4 newly admitted residents reviewed for COVID testing. The findings included: For Residents #9, #10, #11, and #14, the facility staff failed to conduct COVID-19 testing upon their admission to the facility. A. For Resident #9, the facility staff failed to conduct COVID-19 testing upon his re-admission to the facility. […]