Lourdes Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Lourdes Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF685Jun 29, 2026

  This citation pertains to Complaint 3052364Based on observation, interview and record review, the facility failed to ensure vision services were provided for one (R801) of two residents reviewed for vision services resulting in emergency laser surgery to reduce eye pressure and lost vision in the left eye. Findings include:A complaint was filed with the State Agency [SA] that alleged in part, .[R801] complained of eye pain and asked about seeing an eye doctor, was told. that she is on the eye doctor list. she was diagnosed with glaucoma in 2015. [R801] again requested Tylenol for her eye pain and asked to see an eye doctor 6/15/25. is on the list for their next visit. continued to express eye pain and discomfort, so the family coordinated an off-site eye appointment. […]

• Actual harm, isolatedF689Aug 24, 2023

  Based on observation, interview and record review the facility failed to implement adequate, effective resident specific interventions for a resident with a diagnosis of dementia and a history of a fall, failed to communicate effectively from the therapy staff to the nursing staff and document/implement the safest mode of transferring and ambulation for one (R15) of three residents reviewed for falls, resulting in the resident to have been transferred and admitted to the hospital for a higher level of care, identified to have a right parietal scalp hematoma and laceration that required five staples and an acute right-sided subdural hematoma measuring 0.9 cm (centimeters) in thickness and causing mild mass effect on the subjacent right frontal lobe. […]

• Actual harm, isolatedF689Aug 10, 2022

  This citation pertains to intakes: MI 000, MI 149 and MI 248. Based on interview and record review the facility failed to implement interventions as documented by the Interdisciplinary team, review the effectiveness of fall interventions (R24), and provide adequate bathing assistance for (R34) two of four residents reviewed for falls, resulting in R34 being transferred to the hospital and receiving multiple stitches from a large laceration over the forehead and scalp. Findings include: R34 Review of the medical record revealed R34 was admitted to the facility on [DATE] with a readmitted [DATE] and diagnoses that included: [CONDITION(S)] and collapse, [CONDITION(S)] and [CONDITION(S)] following a cerebral infarction affecting left non-dominant side, muscle weakness, [CONDITION(S)] stage 3… […]

• Actual harm, isolatedF686Aug 19, 2021

  This citation pertains to intake: MI 723 Based on observation, interview, and record review the facility failed to timely notify the physician of skin changes, obtain a physician order for [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: A complaint submitted to the State Agency reported concerns of the facility failing to prevent the development of facility acquired wounds for R702. R702 was admitted into the facility on [DATE] with a readmitted [DATE] and diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A Minimum Data Set (MDS) dated [DATE] documented a Brief Interview for Mental Status (BIMS) of 14, indicating intact cognition and requiring staff assistance for all Activity of Daily Living (ADLs). On 8/17/21 at 1:32 PM, an observation was made of R702 lying in bed. […]

• Actual harm, isolatedF686Apr 8, 2021

  This citation pertains to intake #MI 6. Based on observation, interview and record review, the facility failed to: (1) implement and consistently utilize preventative measures to prevent the development of pressure ulcers, (2) ensure consistent, accurate, on-going wound assessments, and (3) ensure treatments were completed per physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This caused actual harm to R801 who developed a deep tissue injury (Intact or non-intact skin with localized area of persistent non-blanchable deep red, maroon, purple discoloration, or [MEDICATION(S)] separation revealing a dark wound bed or blood filled blister. […]