Kerens Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Nov 21, 2025

  Based on interview, and record review, the facility failed to ensure personnel provided basic life support, which included CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to relative physician orders and the Resident's advanced directives for 1 (Resident #1) of 6 residents reviewed for cardio-pulmonary resuscitation. RN A failed to initiate life-saving measures (CPR) when Resident #1, who had a code status of full code was found unresponsive and expired. This failure could place residents at risk of death from not receiving life-saving measures if required. The immediacy began on [DATE] and ended on [DATE]: The noncompliance was identified as PNC. The JT began on [DATE] and ended on [DATE]. […]

• Actual harm, isolatedF689May 24, 2024

  Based on observations, interviews and record reviews, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for one (Resident #7) of seven residents reviewed for quality of care. The facility failed to ensure Resident #7 was transferred using a gait belt on [DATE] that resulted in a 10th rib fracture and pneumothorax This failure could place residents at risk of accidents and injuries. The findings included: Record Review of progress notes dated [DATE] revealed, Resident #7 was transferred with one staff assistance without a gait belt from her bed to her wheelchair by CNA A. Student nurse aide reported resident had no complaints of discomfort during transfer. […]

• No harm, potential for more than minimal, widespreadF812Oct 8, 2021

  Based on observation, interviews, and record review the facility failed to store, distribute, and serve food in accordance with professional standards for one of one kitchen, in that: The facility failed to: A.) Label, date, and store food properly in Refrigerator A, Refrigerator B, Refrigerator C and Refrigerator D. B.) Monitor the temperature of and PH of the dish washer regularly. These failures could place residents who were served from the kitchen at risk for foodborne illnesses and health complications. Findings included: A.) Observation on 09/19/2021 at 9:42 AM of Refrigerator A revealed a large plastic zipped bag containing four cut blocks of cheese without a label or date. […]

• No harm, potential for more than minimal, widespreadF812Oct 7, 2021

  Based on observation, interviews, and record review the facility failed to store, distribute, and serve food in accordance with professional standards for one of one kitchen, in that: The facility failed to: A.) Label, date, and store food properly in Refrigerator A, Refrigerator B, Refrigerator C and Refrigerator D. B.) Monitor the temperature of and PH of the dish washer regularly. These failures could place residents who were served from the kitchen at risk for foodborne illnesses and health complications. Findings included: A.) Observation on 09/19/2021 at 9:42 AM of Refrigerator A revealed a large plastic zipped bag containing four cut blocks of cheese without a label or date. […]

• No harm, potential for more than minimal, widespreadF885Sep 1, 2021

  Based on record reviews and interviews, it was determined the facility failed to inform all residents, their representatives, and families by 5:00 PM the next calendar day following the occurrence of a single confirmed COVID-19 infection. This affected 1 out of 2 residents (Resident #7) reviewed for infection control. This failure could affect all residents by placing them at risk of COVID-19 transmission. Findings included: 1. Resident #7 was originally admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The quarterly Minimum Data Set (MDS) dated [DATE], indicated a Brief Interview for Mental Status (BIMS) was not completed due to Resident #7 not able to verbally communicate. […]