King David Nursing and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Feb 26, 2026

  Based on observations and interview, it was determined that staff failed to provide dietary services in a safe and sanitary environment. This deficient practice was evident during observations in the kitchen and the Nourishment Room on Sudbrook unit during the complaint survey. The findings include: 1. On 02/18/26 at 8:32 am during observation rounds on the unit Sudbrook, while in the Nourishment Room the surveyor observed an opened container of Amish Style Potato Salad and [NAME] Honey Uncured Ham. Both were dated 01/26/26. […]

• No harm, potential for more than minimal, patternF814Feb 26, 2026

  Based on observations and interviews it was determined that the facility staff failed to ensure the waste refuse containers were closed and not overflowing with waste. This deficient practice was evidenced in 4 of 4 waste containers observed on the facility's property during the complaint survey.The findings include:On 02/24/26 at 1:28 pm while in the dining room located on Mount [NAME], the surveyor lifted the shade on the second window and observed 4 large waste containers. The top lid of waste container #8320 was opened and large bags of rubbish were exposed at the top. Also, a clear white bag was hanging off the left side of the waste container. The left sliding door of the waste container #8319 was opened and a clear waste bag was hanging out the side. […]

• No harm, potential for more than minimal, patternF921Feb 26, 2026

  Based on observations and interview it was determined that the facility staff failed to maintain the building in a safe, comfortable, homelike environment. This deficient practice was discovered during the complaint survey. The findings include: 1. On 02/18/26 at 8:30 am during observation rounds, the surveyor entered the Nourishment Room and observed damaged drywall on two walls. The surveyor opened the cabinet and the door flung open as the bottom hinge was broken. The cabinet under the sink was had water damage and there was a hole in the bottom of the cabinet. On 02/18/26 at 8:35 am the surveyor observed an electric outlet with two red wires and two black uncapped wires hanging out of an electrical box in the shower room on Sudbrook. […]

• No harm, potential for more than minimal, patternF584Apr 30, 2021

  Based on surveyor observation throughout the annual recertification survey it was determined that the facility staff failed to maintain a sanitary, orderly, and comfortable interior in four locations: Resident #211's room, the dining room, Resident #3's oxygen concentrator, and the facility's parking lot. The findings include: On 4/22/2021 at 9:22 AM a gap was observed between Room 211's air conditioning unit and the surrounding wall. On 4/22/2021 at 10:00 AM the dining room revealed the two right-most windows was had holes in the screens. On 4/23/2021 at 8:11 AM observation of Resident #3's oxygen concentrator revealed the presence of small, brown liquid stains. […]

• No harm, potential for more than minimal, patternF661Apr 30, 2021

  Based on the review of closed medical records [MEDICAL RECORD OR PHYSICIAN ORDER] . This was evident for 3 of 45 residents in the final sample (Resident #183, 184, and 185). The findings include: 1.A review of Resident #183's closed medical record on 4/23/2021 revealed that Resident #183 was discharged from the facility on 5/28/2020 against medical advice. Resident #183's electronic medical record and paper record failed to reveal a completed discharge summary from Resident #183's attending physician that included: a recapitulation of the resident's stay, a final summary of the resident's status, reconciliation of all pre-discharge medications with the post discharge medications, and a post discharge plan of care. […]