Kennedy Health & Rehab

In the surveyor’s words

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

• Immediate jeopardy, patternF600Oct 22, 2025

  Based on interview and record review the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 6 of 11 residents (Resident #1, Resident #2, Resident #3, Resident #4, Resident #5 and Resident #6) reviewed for abuse and neglect. The facility failed to protect Resident #1 from abuse when on 9/19/25 Resident # 3 hit Resident #1. The facility failed to protect Resident #5 from abuse when on 9/24/25 Resident # 4 grabbed, pulled, and scratched Resident #5's hand. The facility failed to protect Resident #2 from abuse when on 10/3/25 Resident #6 pushed Resident #2 to the ground, resulting in a lumbar vertebral fracture. […]

• Immediate jeopardy, patternF607Oct 22, 2025

  Based on interview and record review the facility failed to develop and implement written policies and procedures that prohibited and prevented abuse, neglect, and exploitation of residents and misappropriation of resident property for 6 of 11 residents (Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, and Resident #6) reviewed for abuse policies. 1. The facility failed to follow their policy by not reporting abuse within the 2-hour required time frame when on Resident # 3 hit Resident #1, on 9/19/25. The facility did not report the incident to the state agency until 9/22/25. 2. The facility failed to follow their policy by not reporting abuse within the 2-hour required time frame when on Resident # 4 scratched and held Resident #5's hand, on 9/24/25. […]

• Immediate jeopardy, patternF610Oct 22, 2025

  Based on interview and record review the facility failed to ensure, in response to allegations of abuse, neglect, exploitation, or mistreatment, the facility had evidence that all alleged violations were thoroughly investigated and prevented further potential abuse, neglect, exploitation, or mistreatment while the investigation was in progress for 6 of 11 residents (Residents #1, Resident #2, Resident #3, Resident #4, Resident #5 and Resident #6) reviewed for abuse/neglect. 1.The facility failed to investigate abuse when Resident # 3 hit Resident #1, on 9/19/25. 2. The facility failed to investigate abuse when Resident # 4 grabbed, pulled, and scratched Resident #5's hand, on 9/24/25. 3. The facility failed to investigate abuse when Resident #6 pushed Resident #2 to the ground, on 10/3/25. […]

• Immediate jeopardy, patternF689Dec 12, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents received adequate supervision to prevent accidents for 2 of 3 residents (Resident #1 and Resident #4) reviewed for accidents. The facility failed to keep Resident #1 in a safe environment to prevent an elopement on 4/26/2024 when he climbed out of a window in the secured unit. The facility failed to keep Resident #2 in a safe environment to prevent an elopement on 8/23/2024 when he walked out an unlocked door in the secured unit. An Immediate Jeopardy (IJ) situation was identified on 12/10/2024 at 1:32 PM. […]

• Immediate jeopardy, isolatedF689Jul 22, 2026

  Based on observation, interview and record review, the facility failed to ensure the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents for 1 of 7 (Resident #1) residents reviewed for supervision.The facility failed to ensure the secured unit, 900 hall, door alarm and door lock were functioning properly after a fire alarm was triggered on 7/7/2026 at approximately 4:00 p.m. On 7/7/2026 Resident #1 eloped from the facility and was found 0.5 miles from the facility.On 7/21/2026 at 3:45 p.m. an Immediate Jeopardy (IJ) was identified. […]