Huntersville Health & Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF600Apr 23, 2026

  Based on record review and interviews with staff, the facility failed to protect a resident's right to be free from staff to resident physical abuse when Nurse Aide #2 hit a severely cognitive impaired resident with an open hand three times during care. Resident #1 did not have the cognitive capacity to express an adverse psychosocial outcome. A reasonable person would have experienced feelings such as fear, anxiety, helplessness, and dehumanization from being abused by their caregiver. This deficient practice affected 1 of 3 residents reviewed for abuse (Resident #1).Findings included: Resident #1 was admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease. […]

• Actual harm, isolatedF604Apr 23, 2026

  Based on record review and interviews with staff, the facility failed to protect the resident's right to be free from physical restraints when Nurse Aide #2 was witnessed by another staff member (Nurse Aide #1) to hold Resident #1's hands down against her chest to restrict her arm movements during care when the resident became combative. Resident #1 did not have the cognitive capacity to express an adverse psychosocial outcome. A reasonable person would have experienced feelings such as panic, distress, anger, and fear from being physically restrained by their caregiver. This deficient practice affected 1 of 1 resident reviewed for physical restraints (Resident #1). […]

• Actual harm, isolatedF607Apr 23, 2026

  Based on record review and interviews with staff, the facility failed to implement their policy and procedure in the areas of protection, prevention and reporting abuse for 1 of 3 residents reviewed for abuse (Resident #1). NA # 2 witnessed NA # 1 strike a cognitively impaired resident (Resident #1) and did not effectively intervene or immediately report to nursing or administration; this resulted in NA # 2 striking the resident two more times. A reasonable person would expect a witness to remove a cognitively impaired, vulnerable resident from an abusive situation and protect them from further abuse. A reasonable person would feel very dehumanized and helpless from repeated physical abuse. Findings included:The facility's abuse policy dated 10/17/23 was reviewed. […]

• Actual harm, isolatedF689Apr 10, 2023

  Based on observations, record review, resident, staff, and family interviews the facility failed to ensure a resident was seated in a safe position on the bed after a transfer which resulted in a fall with femur fracture for 1 of 3 residents reviewed for accidents (Resident #19). The findings included: Resident #19 was admitted to the facility on [DATE] with diagnoses that included stroke with hemiplegia and hemiparesis affecting the left side, vertigo, presence of left artificial knee joint and muscle weakness. A quarterly Minimum Data Set, dated dated dated [DATE] for Resident #19 revealed she was cognitively intact with no refusals or rejection of care. […]

• Actual harm, isolatedF600Aug 4, 2021

  Based on observation, record review and staff interviews the facility neglected to provide incontinence care to a resident who was soiled with dried fecal matter and urine for 1 of 3 (Resident #2) residents reviewed for activities of daily living. The resident stated that her bottom was burning and stinging so badly and all she could think about was sitting in hot water and soaking her rear end. The findings included: Resident #2 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] A care plan updated on [DATE] read in part, potential for skin impairment related to bowel incontinence. The goal read; resident will have no evidence of skin impairment through the next review. […]