Kenedy Health & Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Aug 8, 2024

  Based on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible and each resident received adequate supervision to prevent accidents for 1 of 3 residents (Resident #1) reviewed for accidents and supervision, in that: The facility failed to ensure Resident #1 did not elope from the facility without staff knowing on the evening of 4/8/2024. The noncompliance was identified as PNC. The IJ began on 4/8/2024 and ended on 4/9/2024. The facility had corrected the noncompliance before the survey began. This deficient practice could place residents at-risk of harm, serious injury, or death. […]

• Actual harm, isolatedF658Jun 28, 2026

  Based on interview and record review, the facility failed to ensure the services provided or arranged by the facility, as outlined by the comprehensive care plan, meet professional standards of quality for 1 of 5 residents (Residents #1) reviewed for following physician orders.The facility failed to obtain a specialty care follow up appointment to the urologist for Resident #1 ordered post hospitalization on 1/7/26 after the insertion of a supra pubic catheter. Resident #1 was transferred to the hospital on 6/23/26 related to a change in condition and was diagnosed with sepsis and a urinary tract infection while at the hospital.These failures could place the residents at risk of not having their individual needs met and of not receiving adequate care and medical interventions to maintain… […]

• No harm, potential for more than minimal, patternF812Dec 5, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen.The facility failed to ensure a bag of biscuits was properly sealed in the reach in freezer.This failure could place residents who received meals and/or snacks from the kitchen at risk for food borne illness. The findings included:Observation on 12/02/2025 at 11:35 AM in the reach-in freezer in the kitchen revealed a clear plastic bag of frozen biscuits. […]

• No harm, potential for more than minimal, patternF584Aug 30, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents have a right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely, for 1 of 2 shower rooms (Shower room [ROOM NUMBER]) and 2 of 26 resident rooms (Rooms #17 and #24) reviewed for safe, clean, and comfortable environment. The facility failed to repair missing and detached floor molding in a resident's room, replace a broken overhead light in a resident's shower room, and repair a scratched standing clothes closet in a resident's room. This deficient practice could place residents at risk of a diminished quality of life due to exposure to an environment that is unpleasant, unsanitary, and unsafe. […]

• No harm, potential for more than minimal, patternF689Aug 30, 2024

  Based on observation, interview, and record review, the facility failed to ensure the resident environment remains as free of accident hazards as is possible for 1 of 2 shower rooms (Shower room [ROOM NUMBER]) reviewed for accidents and hazards, in that The facility failed to keep hazardous items out of reach of residents in a shower room. This deficient practice could place residents at risk of a diminished quality of life due to exposure to an environment that is unpleasant, unsanitary, and unsafe. The findings included: Observation on 08/27/24 at 11:30 a.m., revealed the door of Shower room was left open. Inside the room was a wall cabinet also left unlocked. […]