King Health and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF580Sep 2, 2022

  Based on observation, record review, staff, Dentist, Nurse Practitioner (NP), and Physician interviews the facility failed to immediately inform the physician when a resident (Resident #51) reported to the facility staff that he had oral pain and the facility staff observed a new onset of oral redness, during oral care. This was identified in 1 of 1 resident reviewed for dental care. Resident #51 was seen by a dentist on 10/28/2021 and received a recommendation for follow up dental care in 2 - 6 months. The facility failed to schedule the recommended appointment. […]

• Immediate jeopardy, isolatedF684Sep 2, 2022

  Based on observation, record review, staff, Dentist, Nurse Practitioner (NP), and Physician interviews the facility failed to ensure a resident's well-being by not providing care and services to prevent oral abscesses and unresolved dental pain for 1 of 1 resident (Resident #51) reviewed for dental care. Resident #51 was seen by the dentist on 10/28/2021 and received a recommendation for follow up dental care in 2 - 6 months. The facility failed to schedule the recommended appointment. Resident #51 reported oral pain and inflammation (redness and swelling) present for one week on 8/15/2022 (8/8/2022 through 8/15/2022) that Resident #51 and two Nursing Assistants (NA) (NA #4 and NA #5) stated was reported to the clinical staff. […]

• Immediate jeopardy, isolatedF791Sep 2, 2022

  Based on observation, record review, staff, Dentist and Medical Director interviews, the facility failed to schedule a dental cleaning and examination for Resident #51 after he had a recommendation from Dentist #1 on 10/28/2021 for a routine follow up in 2-6 months. Ten months after the recommendation, an 8/17/22 dental assessment identified two gingival abscesses, infection, and pain. A week later, a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Immediate Jeopardy began on 8/15/22 when dental pain and swollen areas were noted in Resident #51's mouth and it was discovered the follow-up dental appointment had not been schedule in the timeframe recommended. Immediate Jeopardy was removed on 8/28/22 when the facility implemented a credible allegation of immediate jeopardy removal. […]

• No harm, potential for more than minimal, patternF812Apr 16, 2025

  Based on observations, policy review and staff interviews, the facility failed to maintain kitchen equipment clean and in a sanitary condition to prevent cross contamination by failing to clean under the shelf of 1 of 1 steam tables observed. This practice had the potential to affect residents. The findings included: A review of the Live Well Healthcare Solutions Food Service Closing Checklist read as: All plate warmers, pellet warmers, tray racks and steam tables cleaned and turned off. During the kitchen observation on 04/15/25 at 3:09 PM the steam table was observed. The 5-foot steamtable shelf was observed with dark brown dried food debris. […]

• No harm, potential for more than minimal, isolatedF880Jun 24, 2026

  Based on observations, record review and staff interviews, the facility failed to implement their policies and procedures for hand hygiene when NA #1 failed to perform hand hygiene after handling dirty linens and NA #2 failed to perform hand hygiene while handling residents water cups and passing fresh ice and water. This was for 2 of 5 staff members observed for infection control practices (NA #1 and NA #2).Findings included:A review of the facility policy titled Hand Washing Requirements with effective date of 2/6/20 stated in part: Hand hygiene should be performed after handling soiled equipment or utensils, after removing gloves or aprons, and after any contact with potentially contaminated objects. There was no mention of how to handle soiled linens in the policy.a. […]