Intercommunity Healthcare & Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF686Jul 30, 2026

  Based on observation, interview and record review, the facility failed to ensure one of one sampled residents (Resident 2), did not develop an avoidable unstageable (an injury where the true depth cannot be determined due to the injury being partially or fully covered with eschar (dead tissue brown, black or tan) and or slough (yellowish, soft, moist tissue indicating deeper tissue damage and advancement of the pressure injury) pressure injury (PI - injury to skin and underlying tissue resulting from prolonged, unrelieved pressure on bony areas of the skin) by failing to:1. Follow the physicians' orders dated 4/21/2026 and 4/28/2026 to change Resident 2's dressing once daily, and as needed when the dressing became soiled or dislodged. 2. […]

• Actual harm, isolatedF688Aug 23, 2024

  Based on observation, interview, and record review, the facility failed to ensure one of eight sampled residents (Resident 60) received appropriate services, did not acquire a decline (reduction) in range of motion (ROM, full movement potential of a joint) and did not develop a contracture (chronic loss of joint motion associated with deformity and joint stiffness) to both hands and both wrists. The facility failed to: 1. Provide appropriate monitoring of Resident 60's ROM on a quarterly basis to determine any changes in ROM in accordance with the facility's policy titled Joint Mobility Assessment, ([JMS] a brief assessment of a resident's ROM in both arms and both legs) which indicated, all residents shall be assessed for joint mobility limitations upon admission and reviewed every three… […]

• Actual harm, isolatedF689Nov 30, 2022

  Based on interview and record review, the facility failed to ensure a resident, who had a diagnosis of dementia (progressive loss of memory), did not go missing from the facility unnoticed for almost 24 hours for one of two sampled residents (Resident A). The facility failed to: Ensure the facility had a system to alert staff when the door to the entrance of the facility was opened after 5 p.m., to ensure no resident left the facility unnoticed. Resident A, who was diagnosed with dementia (a brain disease marked by memory disorders, personality changes and impaired reasoning), other medical conditions, and a heart pacemaker (a device that generates electrical impulses to the heart to contract), eloped from the facility ' s front entrance on 3/14/2022 at 8:29 p.m. […]

• No harm, potential for more than minimal, widespreadF812Jul 25, 2025

  Based on observation, interview and record review, the facility failed to ensure safe and sanitary food storage and food preparation practices in the kitchen when:1. five boxes of tea bags were stored in the dry storage area with no date and label.2. An opened Clorox disinfecting wipes stored in the dry storage area.3. Three gallons of rainbow sherbet were stored in freezer #2 with no date and label.4. Dietary Aide 1 (DA 1) did not wear hair covering in the food preparation area.These deficient practices had the potential to result in harmful bacteria growth and cross contamination (transfer of harmful bacteria from one place to another) that could lead to foodborne illness in 45 out of 80 residents who received food from the kitchen. Findings: 1. […]

• No harm, potential for more than minimal, widespreadF880Jul 25, 2025

  Based on observation, interview and record review, the facility failed to implement infection control measures by failing to follow its policy regarding monitoring and documenting the temperature of laundry equipment (water temperature for washers and temperature for dryers) and logs daily.This failure had the potential to result in compromised infection control measures of the facility laundry and the spread of infection from bacteria (microorganisms that can cause infectious disease) throughout the facility.Findings:During a concurrent interview and record review on 7/25/2025, at 10:55 a.m., with Laundry Aid (LA) 1, the facility's Water Temperature Log (WTL), dated 7/2025 was reviewed. […]