Fouraker Hills Rehab and Nursing Center

In the surveyor’s words

From the most serious findings on record at Fouraker Hills Rehab and Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF607Jul 16, 2021

  Based on observations, interviews, and record reviews, the facility failed to implement abuse policies and procedures for an independently ambulatory resident with known aggressive behaviors, and a history of abusing another resident (Resident #28). On 7/12/21, the facility's census was 89 residents. All 89 residents were at risk for serious injury, serious harm, impairment, or death as a result of the deficient practice. Immediate Jeopardy (IJ) at a scope and severity of J (isolated) began on January 13, 2021, and was identified on July 15, 2021 at 1:30 PM, which was on-going. On July 15, 2021 at 8:45 PM, the Administrator was notified of the IJ determination. […]

• Immediate jeopardy, isolatedF689Jul 16, 2021

  Assigned to [NAME] Based on observations, interviews, and record review, the facility failed to ensure the resident environment remained free of accident hazards as is possible, and each resident received adequate supervision and assistance devices to prevent accidents for 4 of 43 residents sampled, Residents #22, #28, #67 and #192. The findings include: Record review revealed that Resident #28 was admitted into the facility on [DATE], with the last re-admission on 7/8/2020. […]

• No harm, potential for more than minimal, widespreadF812Feb 16, 2023

  Based on kitchen food service observations, staff interviews, facility document review, and facility policy and procedure review, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness, with the potential to affect all residents who consumed foods from the facility's kitchen, by failing to date mark numerous open food packages in the dry storage room, the refrigerator, and the freezer. Food handling and sanitation is important in health care settings serving nursing home residents. Unsafe food handling practices represent a potential source of pathogen exposure. The findings include: A tour of the kitchen was conducted on 2/13/23 10:43 a.m. […]

• No harm, potential for more than minimal, patternF584Jan 16, 2025

  Based on observations, interviews, and record review, the facility failed to ensure residents' right to a safe, clean, comfortable and homelike environment, including but not limited to, receiving treatment and supports for daily living safely for five (Residents #64, #75, #14, #65, and #10) residents in five (rooms 204, 205, 208, 510, and 512) of 66 resident rooms, and in three (Halls 100, 500, and 200) of four hallways in the facility. The findings include: This is a single-story facility where the residents are housed on two units, MSU and Palms. A tour of the facility was conducted on 1/13/2025 at 10:30 a.m. During a tour of the MSU unit several of the baseboards were pulled away from the walls on the 100 and 500 hallways. […]

• No harm, potential for more than minimal, patternF925Jan 16, 2025

  Based on observations, interviews, and record review, the facility failed to maintain an effective pest control program so that the facility was free of pests and rodents in five (rooms 204, 205, 208, 510, and 512) of 66 resident rooms. Failure to correct this concern in a timely manner could negatively impact the the entire census of 105 residents. The findings include: This is a single-story facility where the residents are housed on two units, MSU and Palms. A tour of the facility was conducted on 1/13/2025 at 10:30 a.m. During a tour of the MSU unit, Live roaches were observed in room [ROOM NUMBER]. (Photographic Evidence Obtained) The tour continued on the Palms Unit. On this unit live roaches were observed resident room numbers 204, 205, and 208. […]