Family Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Family Health & Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jul 19, 2021

  The facility census totaled 61 residents. Based on observation, interview, and record review the facility failed to prevent the neglect of a Resident (R) 1 who had bilateral [CONDITION(S)] (a disease or dysfunction of one or more peripheral nerves, typically causing numbness or weakness) to his lower limbs when the facility staff failed to ensure he had appropriate foot coverings to prevent partial thickness [CONDITION(S)] (a burn that involves the top two layers of skin) to the left foot when his bare foot sat on hot asphalt, while facility staff operated the wheelchair lift on the transportation van. This failure placed R1 in immediate jeopardy. […]

• No harm, potential for more than minimal, widespreadF812Mar 4, 2026

  The facility identified a census of 66 residents and four kitchens. Based on observation, record review, and interviews the facility failed to maintain a sanitary environment and store food adequately to prevent contamination. Findings included:- During the initial kitchen inspection on 03/02/26 at 07:35 AM, observation in the food storage room on main hall revealed several cases of water stored directly on the floor. Dietary BB reported the emergency water had been on the floor for a few months.On 03/02/26 at 07:40 AM, observation in [NAME] House revealed the oven had a large amount of burnt dark residue on the bottom. The refrigerator had a staff member's lunch bag at the bottom. […]

• No harm, potential for more than minimal, widespreadF880Aug 31, 2022

  The facility census totaled 69 residents. Based on observation, interview, and record review, the facility failed to ensure infection control practices when direct care staff did not change gloves when going from dirty to clean areas while providing care to Residents (R) 41 and R25. The facility also failed to ensure all staff members and visitors appropriately completed all COVID-19 (respiratory virus) screening, including temperature and signs/symptoms questionnaire. These failures had the ability to affect all 69 residents in the facility. Findings included: - The 08/29/22 through 08/31/22 COVID Screening Sheets were reviewed in each house for thorough completion. […]

• No harm, potential for more than minimal, patternF610Apr 24, 2024

  The facility identified a census of 64 residents. The sample included 16 residents with one resident reviewed for abuse and neglect. Based on observation, record review, and interviews, the facility failed to protect Resident (R)25 and other vulnerable residents during the facility investigation after an abuse allegation. This placed R25 and the other residents under the care of Certified Nurse Aide (CNA) TT at risk for unidentified and ongoing abuse and /or neglect. Findings included: - The Medical Diagnosis section within R25's Electronic Medical Records (EMR) included diagnoses of acute kidney failure, lower extremity deep vein thrombosis (potentially life-threatening blood clot, usually in the legs), congestive heart failure (CHF-a condition with low heart output and the body becomes… […]

• No harm, potential for more than minimal, patternF755Apr 24, 2024

  The facility identified a census of 64 residents. The facility had four medication carts. Based on observation, record review, and interview, the facility failed to ensure accurate reconciliation of controlled substances (substances that have an accepted medical use, and have a potential for abuse, ranging from low to high, and may also lead to physical or psychological dependence) was completed consistently. This placed residents at risk of medication misappropriation and diversion. […]