King Nursing & Rehabilitation Community

In the surveyor’s words

From the most serious findings on record at King Nursing & Rehabilitation Community, in the surveyor’s own words.

• Actual harm, isolatedF600Aug 17, 2026

  This deficient practice pertains to Intake #3110141.Based on observation, interview and record review, the facility failed to protect the resident's right to be free from neglect for one Resident (#1) of three reviewed for abuse and neglect. This deficient practice resulted in Resident #1 sustaining significant bruising to the pelvis and left lower extremity and suffered from uncontrolled severe pain which resulted in a transfer to the emergency room (ER).Findings include:Resident #1 (R1)Review of R1's Electronic Medical Record (EMR) revealed initial admission to the facility on 8/28/25 with diagnoses including hemiplegia and hemiparesis (weakness, partial, or total paralysis) affecting the left side of the body following a cerebral infarction (stroke), need for assistance with personal… […]

• Actual harm, isolatedF684Feb 1, 2021

  Based on observation, interview, and record review, the facility failed to ensure persistent nausea and vomiting was treated consistently and under the coordinated supervision of the physician, dietary, and nursing department for one Resident (#26) out of 5 Residents reviewed for quality of care based on comprehensive assessment. This deficient practice resulted in significant weight loss as well as functional and psychosocial decline. Findings include: On 1/26/21 at 10:49 a.m., Resident #26 was observed lying on her back in her bed tremoring and gripping on to an emesis (vomit) basin. A review of Resident #26's record revealed she admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. […]

• No harm, potential for more than minimal, widespreadF947Jun 10, 2026

  Based on interview and record review, the facility failed to ensure Certified Nurse Aide (CNA) training of no less than 12 hours per year was completed for three of five CNAs reviewed for nurse aide training hours.Findings include:During an interview on 6/10/26 at 7:37 a.m., the Business Office Manager (BOM) reported, The 12 hours of training in a year is based on the CNAs hire date. The BOM acknowledged the facility used online training.Review of facility documents provided by the Nursing Home Administrator (NHA) revealed the following:CNA H was hired on 1/18/22 with 3.87 hours of training from 1/18/25 - 1/18/26.CNA I was hired on 7/25/19 with 8.75 hours of training from 7/25/24 -7/25/25.CNA J was hired on 6/29/23 with 3.25 hours of training from 6/29/24-6/29/25.During an interview on… […]

• No harm, potential for more than minimal, widespreadF812Jun 15, 2023

  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 as evidenced by failing to ensure the low temperature sanitizing dish machine was functioning in accordance with the manufacturer's data plate. This deficient practice has the potential to result in food borne illness among any and all 41 residents of the facility. Findings include: On 6/13/23 at 1:27 PM, observations were made of the kitchen with Certified Dietary Manager (CDM) D. The mechanical dish machine was identified as a low temperature sanitizing unit and verified by CDM D as such. […]

• No harm, potential for more than minimal, widespreadF812May 19, 2022

  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 as evidenced by: 1. Failing to maintain an ice machine in a sanitary manner to ensure ice used as food was safe for consumption. 2. Failing to ensure a food cart was properly cleaned before entering the clean part of the kitchen. 3. Failing to secure a cooler stored in the corridor holding ice for residents' water. This deficient practice has the potential to result in food borne illness among any or all 39 residents in the facility. Findings include: 1. […]