Hermitage Nursing & Rehab

In the surveyor’s words

From the most serious findings on record at Hermitage Nursing & Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Mar 5, 2026

  Based on observation, interview, and record review, the facility failed to protect the resident's right to be free from physical abuse when one staff member (Certified Nurse Assistant (CNA) A) yelled at and physically forced one resident (Resident #1), with a diagnosis of dementia, back into his/her room twice while the resident was resisting and trying to exit his/her room. The resident received multiple bruises on their hands and forearms and exited their room visibly upset after the altercation and stating he/she wanted the staff member arrested. The CNA was later arrested and charged with assault. The facility census was 65. The Administrator was notified on 02/26/26, at 12:30 P.M., of an Immediate Jeopardy (IJ) which began on 02/20/26. […]

• Actual harm, isolatedF684May 11, 2026

  This citation is uncorrected. For prior example, please see 1F1B06-H1, exit date 03/05/26. Please refer to event ID 1F1B06-H2, exit date 05/11/26, for details.Complaint #2984406

• Actual harm, isolatedF684Mar 5, 2026

  Based on observation, interview, and record review, the facility failed to monitor, obtain and document treatment orders, and care plan wounds for three residents. Resident #4 had a head laceration and right wrist splint, Resident #8 had open leg ulcers, and Resident #5 a skin tear and multiple scabbed areas to left arm. The facility census was 65. Review of an undated facility policy titled 'Wound Care and Treatment' showed the following:-It is purpose of the facility to prevent and treat all wounds;-Prevention strategies include ongoing skin assessments with weekly documentation of status;-Dietician consultation to obtain suggestions on dietary modifications and protein supplementation and to assess the need for a house vitamin supplement if a wound is present;-Obtain a consultation with… […]

• Actual harm, isolatedF688May 24, 2023

  Based on observation, interview, and record review, the facility failed to ensure all residents who entered the facility received appropriate treatment to increase or maintain range of motion when two residents (Resident #1 and Resident #5) had a decline in activities of daily living (ADL - dressing, grooming, bathing, eating, and toileting) and mobility and one resident (Resident #2) failed to maintain/improve in ADLs, when the facility did not document and care plan specific restorative therapy plans, did not notify the physician for possible therapy orders, and did not provide regular restorative therapy to the residents. The facility census was 71. […]

• No harm, potential for more than minimal, widespreadF880Dec 12, 2025

  Based on observation, record review and interview, the facility failed to implement a complaint infection prevention and control program when the facility failed to review and update their infection prevention and control program policies and procedures manual annually as required. The facility also failed to ensure all staff were trained regarding the use of Enhanced Barrier Precautions (EBP - refers to an infection control method using gowns and gloves for high-contact care of residents with or at risk for MDROs) and failed to follow EBP guidelines as indicate for three residents (Resident #5, #69, #40). […]