Kings Healthcare & Wellness Center LP

In the surveyor’s words

From the most serious findings on record at Kings Healthcare & Wellness Center LP, in the surveyor’s own words.

• Actual harm, isolatedF697Jan 23, 2024

  Based on interview and record review, the facility failed to perform a resident comprehensive assessment and provide pain management services in accordance with professional standards of practice for one of three sampled residents (Resident 1) when Resident 1's left hip internally rotated (twisting movement of the thigh inward from your hip joint) and experienced severe pain with a pain scale level of eight out of 10 (is a tool that measures pain intensity to help assess a person's pain; 0- no pain, 1-3 mild pain, 4-7 moderate pain, 8-10 severe pain) and License Vocational Nurse (LVN) 3 did not perform a resident comprehensive assessment. […]

• Actual harm, isolatedF689Dec 19, 2022

  Based on observation, interview, and record review, the facility failed to ensure Resident 22 's fall care plan interventions were in place to prevent or minimize fall related injuries for one of three sampled residents (Resident 22) when Resident 22 was assessed as at risk for falls, had known behavior of leaning forward in her wheelchair and the care plan interventions to use tilt-back feature on the wheelchair was not implemented. This failure resulted in Resident 22 experiencing an unwitnessed fall from the wheelchair on 10/18/22 onto the floor at the facility's hallway, resulting in loss of consciousness, sustaining a laceration (skin tear) and the use of antibiotic. Resident 22 was sent to the general acute care hospital (GACH) for treatment of her fall related injuries on 10/18/22. […]

• No harm, potential for more than minimal, widespreadF851Jun 4, 2026

  Based on interview and record review, the facility failed to electronically submit to Centers for Medicare and Medicaid Services (CMS) complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data by the required deadline.This failure resulted in CMS not knowing how many direct care staff provided daily care and services for 61 residents to attain or maintain their highest practicable physical, mental, and psychosocial well-being.Findings:During an interview and record review on 6/1/2026 at 8:39 a.m. […]

• No harm, potential for more than minimal, patternF658Jun 4, 2026

  Based on observation, interview and record review, the facility failed to provide care and services in accordance with professional standards of practice for three of 11 sampled residents (Resident 34, Resident 76, and Resident 78) when:1. Resident 34's oxygen therapy (a colorless, odorless, tasteless gas essential to living organisms) was not administered according to the physician order (a set of instructions written by a doctor for clinicians to follow when caring for a resident).This failure resulted in Resident 34 not receiving her oxygen therapy as ordered by the physician, which had the potential to result in shortness of breath, and respiratory distress (difficulty breathing).2. […]

• No harm, potential for more than minimal, patternF912Jan 16, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents' room measured at least 80 square (sq) feet (ft) per resident in 16 (Rooms 101 - 104 and Rooms 110 - 121) of 29 resident rooms in the facility. Findings included: The Client Accommodations Analysis, dated 01/13/2025, revealed the following measurements: - In room [ROOM NUMBER], there was 76 sq ft for each resident. - In room [ROOM NUMBER], there was 76 sq ft for each resident. - In room [ROOM NUMBER], there was 77 sq ft for each resident. - In room [ROOM NUMBER], there was 75 sq ft for each resident. - In room [ROOM NUMBER], there was 71 sq ft for each resident. - In room [ROOM NUMBER], there was 73 sq ft for each resident. - In room [ROOM NUMBER], there was 75 sq ft for each resident. […]