Lee County Care & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Lee County Care & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF921Dec 19, 2025

  Based on observations, interviews, and record review conducted from 12/16/2025 - 12/18/2025, the facility failed to maintain a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. Multiple ongoing environmental concerns were identified that had the potential to negatively impact the health, safety, and quality of life of residents, staff, and the public. These issues were noted throughout resident rooms and common areas. These findings demonstrated a failure to routinely monitor, identify, and address environmental concerns to maintain the facility in safe and good repair. […]

• No harm, potential for more than minimal, isolatedF583Dec 19, 2025

  Based on observation, interview, and review of facility's policy, the facility failed to protect resident rights to privacy related to electronic medical records (EMRs). The computer located on top of the medication cart, contained confidential resident information and was observed to be left open and viewable to visitors, residents, and staff in the hallway on 12/16/2025 at 10:34AM,10:40AM and at 11:05AM. The findings include: Review of the facility admission packet under title Resident Records, Duties of facilities effective June 20, 2005, section 7 revealed all residents' shall be provided with confidential treatment of their medical and personal records. […]

• No harm, potential for more than minimal, isolatedF657Dec 19, 2025

  Based on observation, interview, and record review, the facility failed to ensure the comprehensive care plan was accurate, person-centered, and reflective of the resident's assessed needs and preferences for one of 27 sampled residents (R21). Review of R21's behavioral care plan revealed it was updated to include the statement I have a history of refusing showers and medications at times; however, the care plan did not include any corresponding interventions to address the identified behaviors. Interview with R21 revealed he did not refuse showers. Additionally, interview with the Medical Records Nurse revealed R21 did not have a history of refusing medications and stated this information should not have been included in the care plan. […]

• No harm, potential for more than minimal, isolatedF684Dec 19, 2025

  Based on observation, record review, and interview, the facility failed to ensure one out of 27 sampled resident's (R21) basic hygiene needs were met by not providing routine nail care as needed. The failure to provide routine nail care resulted in long unclean nails, placing the resident at risk for discomfort, skin integrity issues, and infection.Review of the facility's policy titled Resident Rights, last revised 01/31/2025, revealed all residents would be treated in a manner and in an environment that promotes maintenance or enhancement of quality of life. […]

• No harm, potential for more than minimal, isolatedF880Dec 19, 2025

  Based on observation, interview, and review of facility policy, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 27 sampled residents, (Resident (R)59). The findings include:Review of the policy titled Infection Control Infection Prevention Measure, undated, section 3.2 Needleless Connectors, revealed Needless connectors were to be vigorously scrubbed with an antiseptic wipe before accessing. Needless connectors must be swabbed between each entry into the connector, including attaching syringes of flush solution or attaching the administration set. […]