Kearsley Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at Kearsley Rehabilitation and Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF689May 16, 2025

  Based on review of clinical documentation and staff interviews, it was determined the facility failed to ensure adequate supervision during care by ensuring two staff were available for one of two residents reviewed (Resident R56). This failure resulted in actual harm to Resident R56 who fell out of bed and sustained a compound fracture of the right femur (hip). This deficiency was identified as past non-compliance. Findings include: Review of Resident R56's clinical record revealed the resident was admitted to the facility on [DATE], with diagnoses of cerebral infarction (area of brain tissue that has died ), psychomotor deficit (slowing down of both thoughts and physical movements) following cerebral infarction, Hemiplegia and Hemiparesis (paralysis affecting only one side of the body)… […]

• Actual harm, isolatedF600Oct 2, 2024

  Based on review of facility policies, clinical record review, and staff interview, it was determined that the facility failed to ensure that Resident R1 was free of neglect during a transfer via mechanical lift which resulted in actual harm to Resident R1 who was transfered with the assistance of one staff member, the tightening of the sling pad and sustaining a fracture of the fourth lumbar vertebra, compresion fracture of the second lumbar vertebra, multiple fracture of ribs to the left side, and compression fracture of the third vertebra for one of three residents reviewed. […]

• Actual harm, isolatedF689Oct 2, 2024

  Based on review of facility policies and documents, clinical record review, and staff interview, it was determined that the facility failed to ensure the proper transfer of Resident R1 via mechanical lift with the assistance of two staff, which resulted in actual harm to Resident R1 with the tightening of the sling pad, sustaining fracture of the fourth lumbar vertebra, compresion fracture of the second lumbar vertebra, multiple fracture of ribs to the left side, and a compression fracture of the third vertebra. […]

• Actual harm, isolatedF689Dec 8, 2022

  Based on clinical record review, interviews with staff and reviews of policies and procedures, it was determined that the facility failed to ensure that the proper assistive device was use during the transfer of Resident R1. This failure resulted in actual harm to Resident R1, who sustained a fall and reopening of the wound on the left below the knee amputation for one of three residents reviewed. (Resident R1) Findings include: A review of the facility's policy titled Care Planning undated indicated that the interdisciplinary care team was responsible for development and implementation of the resident care plan. […]

• No harm, potential for more than minimal, widespreadF812Jul 22, 2024

  Based on observations, interviews with staff, and a review of facility policies and documentation, it was determined that the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. Findings include: The November 2022, policy Food Receiving and Storage states, All food stored in the refrigerator and freezer are covered, dates and labeled. An initial tour of the Food Service Department was conducted on July 16, 2024, at 9:50 a.m. […]