Kaplan Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, patternF658Nov 6, 2024

  Based on interviews, observations and record review, the facility failed to ensure the resident was provided nursing services and care that adhered to accepted standards of quality. Nursing staff failed to reconcile and administer the resident's prescribed anticoagulant medication for 39 days which jeopardized the resident's health and safety for 1 (#37) of 1 residents investigated for nursing services in a final sample of 31 residents. This deficient practice resulted in an Immediate Jeopardy for Resident #37 on 07/29/2024 when S3LPN (Licensed Practical Nurse) failed to resume the resident's anticoagulant Eliquis 5 mg (milligrams) twice daily after undergoing a same-day scheduled procedure at HC1 (Hospital Center) to remove an inferior vena cava (IVC) filter. […]

• Immediate jeopardy, patternF684Nov 6, 2024

  Based on interviews, observation and record review, the facility failed to ensure care and services were provided according to professional standards of practice resulting in harm for 1 (Resident #37) resident out of 31 final sampled residents. This deficient practice resulted in an Immediate Jeopardy for Resident #37 on 07/29/2024 when the facility's process for medication reconciliation failed as evidenced by: 1.S3LPN (Licensed Practical Nurse) failed to reconcile Resident #37's medications when the resident was readmitted to the facility following discharge from HC1 (Hospital Center) to remove an inferior vena cava (IVC) filter on 07/29/2024. […]

• Actual harm, isolatedF600Apr 11, 2023

  Based on record review, observation and interviews, the facility failed to protect the residents' rights to be free from physical abuse by other residents for 2 (#1 and #6) of 6 (#1, #2, #3, #4, #5, #6) sampled residents. This deficient practice resulted in 1. Physical harm for Resident #1 on 04/08/2023 at 12:30 a.m. when Resident #6 punched Resident #1 in the left eye. This resulted in Resident #1 having a swollen, black eye, and a 2.0 cm (centimeter) x 0.1 cm x 0.1 cm brow laceration. Resident #1 stated he was afraid Resident #6 would hit him again. 2. Physical harm for Resident #6 on 04/08/2023 at 12:30 a.m., when Resident #1 began hitting Resident #6 on his arms and legs. […]

• No harm, potential for more than minimal, widespreadF577Dec 3, 2025

  Based on observation and interview, the facility failed to ensure the most recent survey results of the facility were posted in a place readily accessible to residents, family members, and legal representatives of residents. The facility's census was 71.Findings:On 12/02/2025 at 9:05 a.m., an observation and interview was conducted with S2DON (Director of Nursing). S2DON stated the survey results were pinned on the bulletin board in a packet outside of social service's office door only. S2DON confirmed the last survey results from 10/01/2025 were not in the packet and should have been posted in a place readily accessible to residents, family members, or legal representatives.

• No harm, potential for more than minimal, widespreadF732Dec 3, 2025

  Based on observation and interview, the facility failed to ensure staffing information posted daily was accurate and current. The facility's census was 71.Findings:On 12/02/2025 at 9:00 a.m., an observation and interview was conducted with S2DON (Director of Nursing). S2DON confirmed that the nurse staffing data was posted on a whiteboard upon entry into the facility at the nurse's station. S2DON stated the nurse staffing data was from 12/01/2025. S2DON confirmed the nurse staffing data should have been updated daily and was not.