Livingston Health & Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF600Aug 20, 2026

  Based on interview and record review, the facility staff neglected to provide the necessary services to ensure residents were free from emotional or verbal abuse or neglect of care for 2 (#7 and 50) of 7 residents. Both residents had ongoing emotional distress from the care the facility staff provided/did not provide. Findings include:1. During an interview on 8/18/26 at 5:30 p.m., resident #7 stated the following concerns to the surveyor related to neglect of care and emotional abuse:a. She had been at the facility for three long days. Resident #7 said she begged her family and the facility to send her to the hospital because she felt like she was neglected at the facility. […]

• Actual harm, isolatedF686Aug 20, 2026

  Based on observation, interview and record review, the facility staff failed to assess, measure, document, and implement necessary interventions for the treatment of pressure ulcers for 1 (#11) of 7 sampled residents. The resident had one Stage ll pressure ulcer on his midline gluteal fold and one deep tissue injury on his left buttocks. The deep tissue injury was purple in color with intact skin. The facility failed to initiate treatment for the pressure ulcers upon admission, which placed resident #11 at risk of deterioration of both pressure ulcers or more developing. […]

• Actual harm, isolatedF692Aug 20, 2026

  Based on observation, interview, and record review, the facility failed to routinely monitor and document a resident's weight in the resident's record, failed to ensure comprehensive nutritional assessments were completed timely to analyze and evaluate related factors for a severe weight loss, and failed to revise a resident's care plan to prevent an avoidable weight loss for 1 (#11) of 7 sampled residents. Resident #11 had a severe 13.5% weight loss in the last two months, and 12.6% in the last month. Findings include: During an observation, interview, and record review on 8/17/26 at 2:18 p.m., resident #11 was lying in bed with his lunch tray on his overbed table. […]

• Actual harm, isolatedF880Jun 29, 2026

  Based on interview and record review, the facility failed to implement and maintain a water management program for the prevention of waterborne pathogens in accordance with CDC guidance for 1 (#6) of 20 sampled and supplemental residents. Environmental testing identified Legionella bacteria within the facility's water system after resident #6 was diagnosed with Legionnaires' disease. The facility's failure to implement and maintain its water management program placed all residents at increased risk for exposure to waterborne pathogens. During the survey, it was found that the facility had previously identified, investigated, and corrected the non-compliance for the water management system, resulting in findings of Past Non-Compliance. […]

• Actual harm, isolatedF692Dec 31, 2024

  Based on observation, interview, and record review, the facility failed to identify resident's with weight loss, implement weight loss interventions timely, and failed to monitor the effectiveness of weight loss interventions, for 2 (#s 47 & 71) of 11 sampled residents. Resident #47 had a severe 17% weight loss in 42 days, and #71 had a severe weight loss of 12.1% of her body weight in 63 days. Findings include: 1. Review of resident #47's Weights and Vitals summary form showed resident #47 was admitted on [DATE] and his weight was 150 pounds. The resident was not weighed again until 8/20/24. Resident #47 lost 21.4 pounds or 14.1% of his body weight during the first 28 days after admission. This was a severe weight loss. […]