Foothills Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF600Mar 28, 2026

  Based on clinical record reviews, interviews, facility documentation and policy review, the facility failed to ensure the rights of four residents (#19, #144, #146 and #167) to be free from abuse and neglect by other residents and staff. The universe was 25. The deficient practice resulted in actual harm and placed other residents at risk for further abuse, ongoing harm, and serious adverse outcomes. Findings include:Regarding Resident #167 -Resident #167 was admitted to the facility on [DATE] with diagnoses that included persistent vegetative state, chronic respiratory failure with hypoxia, traumatic subarachnoid hemorrhage without loss of consciousness, and Crohn's disease. Review of the admission Minimum Data Set (MDS), dated [DATE], did not assess Resident #167's cognitive status. […]

• Actual harm, isolatedF689Nov 25, 2024

  Based on clinical record review, staff and resident interviews, facility records and facility policy the facility failed to ensure that one resident (#1) out of 3 sampled is free from preventable falls. This deficient practice could result in resident injury and mortality. Findings include: Resident #1 was admitted on [DATE] with diagnosis including MS (multiple sclerosis) chronic respiratory failure, tracheostomy, hemiplegia and hemiparesis affecting the right dominant side, chronic pain, muscle weakness, wedge compression fractures, fracture of right tibia, and fracture right fibula. […]

• Actual harm, isolatedF689Feb 16, 2023

  Based on clinical record review, staff interviews, and review of policy, the facility failed to ensure one resident (#62) did not sustain a preventable accident. The sample size was 24. The deficient practice increased the risk for pain, injury and/or hospitalization . Findings include: Resident #62 admitted to the facility on [DATE] with diagnoses including cerebellar stroke syndrome, diverticulosis of the large intestine and a persistent vegetative state. The activities of daily living (ADL) care plan dated 03/11/21 related to bathing, grooming, hygiene, toileting and bed mobility had a goal for the resident not to decline in ADL function. […]

• Actual harm, isolatedF689Dec 19, 2022

  Based on an observation, clinical record review, interviews, and review of facility documentation and policy, the facility failed to ensure that one of three sampled residents (#9) was provided supervision to prevent accidents that lead to death. The deficient practice could lead to death. Findings include: Resident #9 was admitted on [DATE] with diagnoses that included schizoaffective disorder, delusional disorders and cerebral infarction. A Quarterly Minimum Data Set (MDS) dated [DATE] included a Brief Interview for Mental Status (BIMS) score was not conducted as the resident is rarely or never understood and a staff assessment for mental status included that the resident had a memory problem and was severely impaired for making decisions regarding the tasks of daily life. […]

• No harm, potential for more than minimal, patternF607Mar 28, 2026

  Based on clinical record review, observations, interviews, and review of the facility's policy and procedures the facility failed to ensure their policy was implemented and followed related to abuse/neglect and abuse investigation for Residents #19, #56, #139, #144, #149, #167 and #174. The universe was 25. The deficient practice could result in failure to recognize, respond and take appropriate action to prevent residents from continued abuse and neglect and risk for ongoing harm, exploitation and serious adverse outcomes.Findings include:Regarding Resident #167 -Resident #167 was admitted to the facility on [DATE] with diagnoses that included persistent vegetative state, chronic respiratory failure with hypoxia, traumatic subarachnoid hemorrhage without loss of consciousness, and Crohn's… […]