Four County Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Four County Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 9, 2026

  Based on observations, staff interviews, and review of the facility's policy titled, Food Safety for External Sources, the facility failed to properly store, label, date, and discard food items in the kitchen. The deficient practice created a potential risk of foodborne illnesses for 64 of 67 residents who received an oral diet from the kitchen.Findings Include: Review of facility provided document titled, Receiving dated 08/2025 documented, All items: LABEL PRESENTReceive dateExpiration date or utilize the package dateIf removed from the original box or package, label must state the common name and mfg {manufacturer} date; along with receive and expiration dateWe follow FIFO {First in first out}If expiration date is not located on the item, the expiration date should be from the mfg date,… […]

• No harm, potential for more than minimal, patternF689Sep 22, 2022

  Based on observation and staff interviews the facility failed to ensure that trash was not placed in the self-extinguishing can that cigarette butts were disposed of on three of three days of smoking observations. Findings include: During an observation of smoke breaks on 9/20/2022 at 10 a.m., 9/21/2022 at 10:20 a.m., and 9/22/2022 at 10:05 a.m. It was noted that there was trash (soda cans, empty cigarette packs, paper cups, and paper) observed in the red can which specifically stated, for ashes only in addition to cigarette butts. An interview conducted on 9/21/2022 at 10:15 a.m. with Licensed Practical Nurse (LPN) AA revealed that no one really checks the red can daily, but he is responsible for it. […]

• No harm, potential for more than minimal, isolatedF554Aug 9, 2026

  Based on observations, staff interviews, record review, and review of the facility's policy titled, Self-Administration of Drugs, the facility failed to ensure one of 32 sampled residents (R) (R30) did not have unauthorized, unsecured medications at the bedside. This deficient practice had the potential for unauthorized access to medications by other residents and visitors in the facility.Findings include:Record review of the facility policy titled, Self-Administration of Drugs dated 2020 documented, Intent: It is the intent to promote safe medication administration practices for patients that choose to self-administer medications. Documented in Procedure: Should the patient wish to self -administer his or her own drugs or medications, the patient should be permitted to do so. […]

• No harm, potential for more than minimal, isolatedF644Aug 9, 2026

  Based on record review, staff interviews, and review of the facility policy titled, Best Practices for PASRR, the facility failed to ensure that one resident (R) (R61) was evaluated for level two PASRR (Preadmission Screening and Resident Review) specialized services by the appropriate state-designated authority. The deficient practice increased the potential that R61 would not meet the highest practicable psychosocial well-being.Findings include:Review of the undated facility's document titled, Best Practices for PASRR, documented including, but not limited to the following: There are two areas a person can be a PASRR patient: SMI (Significant Mental Illness or ID/DD Intellectual Disability/Developmental Disability). […]

• No harm, potential for more than minimal, isolatedF677Aug 9, 2026

  Based on observations, staff and resident interviews, record review, and review of the facility policy titled ADL Plan of Care, the facility failed to provide Activities of Daily Living (ADLs) care pertaining to showers and/or bed baths for two of 17 sampled residents (R) (R35 and R54). The deficient practice increased the risk to compromise the dignity and psychosocial well-being for R35.Findings include: A review of the facility policy titled, ADL Plan of Care review dated 12/27/2025, documented under Intent: Develop and communicate patient needs for assistance with ADLs. 1. […]