Marquis Centennial Post Acute Rehab

In the surveyor’s words

From the most serious findings on record at Marquis Centennial Post Acute Rehab, in the surveyor’s own words.

• Actual harm, isolatedF689May 3, 2024

  Based on observation, interview and record review it was determined the facility failed to ensure staff followed the care plan related to fall safety and provide sufficient supervision to prevent a fall for 2 of 2 sampled residents (#s 306 and 47) reviewed for accidents. This failure resulted in resident 306 having a fall with serious injury including a left shoulder fracture, a rib fracture and periprosthetic fracture involving the left greater trochanter (fracture of a previously-repaired hip) which required emergency medical services and treatment at the hospital. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF727Mar 1, 2023

  Based on interview and record review it was determined the facility failed to ensure RN coverage for 8 consecutive hours per day 7 days per week for 54 out of 151 days reviewed for staffing. This placed residents at risk for lack of timely assessments and care. Findings include: Review of the Direct Care Staff Daily Reports from 7/2/22 through 9/25/22 and 1/1/23 through 2/19/23 revealed there was no RN coverage for eight consecutive hours on: - 7/2, 7/3, 7/4, 7/9, 7/10, 7/23, 7/24, 7/31, 8/6, 8/13, 8/14, 8/20, 8/21, 8/27, 8/28, 9/3, 9/4, 9/5, 9/10, 9/11, 9/17, 9/18, 9/24, 9/25; - 1/1 to 1/21, 1/23, 1/25, 1/28, 1/29, 1/30, 2/12, 2/13 and 2/19. […]

• No harm, potential for more than minimal, widespreadF812Mar 1, 2023

  Based on observation, interview and record review it was determined the facility failed to ensure food was labeled and stored in a manner to minimize spoilage and cross contamination. The facility also failed to ensure the ice machine was plumbed correctly to prevent backflow of contaminated matter into the ice machine for 1 of 1 kitchen reviewed for sanitary conditions. This placed residents at risk for foodborne illness. Findings include: 1. On 2/21/23 at 9:45 AM during the initial tour of the facility's kitchen, the following unlabeled and undated items were observed in the walk-in refrigerator: - Sliced deli meat wrapped in cling film; - Diced onions in a plastic bin covered with cling film; - Cooked ground beef and onions in a metal bin covered with cling film; - Eight glasses of… […]

• No harm, potential for more than minimal, widespreadF880Mar 1, 2023

  Based on interview and record review, it was determined the facility failed to develop and implement a water management program and conduct a risk analysis assessment for potential areas of growth and spread of water borne pathogens. This placed residents at risk for exposure to water borne pathogens. Findings include: The facility's 6/2018 Water Management Program - Legionella (a potentially harmful water borne pathogen) Policy and Procedure indicated the facility must establish procedures to reduce risk of Legionella and other opportunistic pathogens in the facility's water system. […]

• No harm, potential for more than minimal, patternF584Aug 22, 2025

  Based on observation and interview it was determined the facility failed to provide maintenance to maintain a safe, comfortable and homelike environment for 1 of 1 facility reviewed for physical environment. This placed residents at risk for an unsafe and unkempt interior building. Findings include: 1. Observations of the facility's general environment from 8/18/25 through 8/22/25 identified the following issues: -Eight of eight hanging light fixtures in the dining room contained multiple dead insects visibly trapped inside the covers. -Two visibly dusty portable oscillating fans, positioned on each side of the dining room tables and approximately six feet away from the seated residents, were actively blowing air toward them. […]