Landmark Nursing and Rehab Center

In the surveyor’s words

From the most serious findings on record at Landmark Nursing and Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF600Mar 18, 2025

  Based on observation, staff, resident, and resident representative (RR) interviews, record review, and facility policy review, the facility failed to ensure a resident's right to be free from abuse for one (1) of seven (7) residents sampled. Resident #1 Findings include: Record review of facility policy titled, Abuse, Neglect, and Exploitation, with revision date of 10/10/22, revealed, This facility's policy is to protect each resident's health, welfare, and rights by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation, and misappropriation of resident property . […]

• Actual harm, isolatedF656Aug 30, 2022

  Based on observation, policy and procedure reviews, record review and interviews, the facility failed to follow the care plan for fall prevention for Resident (Res) #1. Resident #1 was care planned to use a hoyer lift with a two (2) person assist for all transfers in order to prevent falls. Res #1 was injured when she fell from a hoyer lift that a facility Certified Nursing Assistant (CNA) used independently. Res #1 received injury of a laceration to her right ear with bleeding and was transported to the emergency room (ER) for evaluation. […]

• Actual harm, isolatedF689Aug 30, 2022

  Based on record review, observation, facility policy review and interviews, the facility failed to prevent an avoidable accident when a Certified Nursing Assistant (CNA) used a hoyer lift without the required two (2) person assistance to operate the lift. Resident #1 fell from the hoyer lift and received a laceration to her right ear and required transfer to the emergency department for evaluation. Resident #1 was one (1) of eight (8) residents reviewed for incidents and accidents. […]

• No harm, potential for more than minimal, patternF880Sep 4, 2025

  Based on observation, staff interview, record review, and facility policy review, the facility failed to ensure staff used appropriate personal protective equipment (PPE) during care for a resident on Enhanced Barrier Precautions (EBP) for one (1) of four (4) residents direct care observations. Resident #50. This represents a pattern of deficiency due to F880 being cited during the last annual recertification survey.Findings include: Record review of the facility policy titled, Enhanced Barrier Precautions dated 3/27/24, revealed, It is the policy of this facility to implement enhanced barrier precautions to prevent transmission of multidrug-resistant organisms. […]

• No harm, potential for more than minimal, isolatedF583Aug 6, 2026

  Based on observation, interview, record review and facility policy review, the facility failed to ensure a resident's right to personal privacy during a blood glucose check and insulin administration for one (1) of four (4) care opportunities observed. (Resident #24).Findings Include:Record review of facility policy titled Resident Rights and Responsibilities with a revision date of 10/10/2022 revealed .7. Privacy and confidentiality.a. Personal privacy includes accommodations, medical treatment, written and telephone communications, personal care, visits, and meetings of family and resident groups, but this does not require the facility to provide a private room for each resident .Observation on 8/5/2026 at 11:17 AM revealed Licensed Practical Nurse (LPN) #2 assisted Resident #24 from the… […]