Medina Center for Rehabilitation and Nursing

In the surveyor’s words

From the most serious findings on record at Medina Center for Rehabilitation and Nursing, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Apr 22, 2025

  Based on record review, review of an emergency squad run report, review of hospital records, facility policy and procedure review, review of the information contained on the Medscape website, resident and staff interviews, resident representative interview, and interview with pharmacy staff, the facility failed to ensure Resident #63 was free from significant medication errors, when Resident #63 who had a seizure diagnosis was not administered the anti-convulsant medication (Vimpat) as ordered by the physician. […]

• Actual harm, isolatedF689Feb 25, 2025

  Based on observation, record review, facility policy review and interview, the facility failed to ensure Resident #24, a resident dependent on staff, was safely secured in the wheelchair in the facility bus when transporting to outside appointments to prevent a fall with injury. Actual harm occurred on 12/12/24 when Bus Driver (BD) #118 failed to properly secure Resident #24 in her wheelchair during a facility bus transport resulting in the resident being propelled out of her chair approximately three feet, onto the bus floor when Bus Driver #118 stopped abruptly. The resident sustained a right humerus (arm) fracture as a result of the incident. This affected one resident (#24) of three residents reviewed for accidents. […]

• Actual harm, isolatedF690Oct 9, 2024

  Based on observation, medical record review, facility policy review and interviews with Resident #02, facility staff and the Physician Assistant (PA), the facility failed to provide adequate monitoring, appropriate treatment and follow-up for a non-functioning suprapubic catheter (a thin, flexible tube that drains urine from the bladder through a small incision in the lower abdomen) for Resident #02. Actual Harm occurred beginning on 03/05/24 when staff documented Resident #02 had no output from her suprapubic catheter. Documentation between 03/05/24 and 10/02/24 noted the suprapubic catheter continued to malfunction, resulting in decreased urinary output, urinary retention, and increased pain and discomfort during this time with no evidence of adequate follow-up or interventions. […]

• Actual harm, isolatedF690Dec 12, 2023

  Based on medical record review, observations, policy reviews, resident and staff interviews, the facility failed to ensure adequate supplies were provided to a resident with urinary retention that required straight catheterization; provide proper care and service to ensure self-catheterization was being completed as needed and implement physician orders to encourage fluid intake and straight catheterized as needed and implement measures to prevent urinary tract infections. This affected one (Resident #09) of one resident reviewed for straight catheterization supplies. […]

• Actual harm, isolatedF686Apr 14, 2022

  Based on observation, record review, facility policy and procedure review and interview the facility failed to develop and implement a comprehensive and individualized pressure ulcer management program to ensure the identification of pressure ulcers, to ensure physician's orders were obtained timely for treatments and to ensure physician ordered treatments were provided as ordered. This affected three residents (#23, #11 and #12) of four residents reviewed who were at risk for pressure ulcer development. Actual harm occurred on 04/14/22 when Resident #23, who was severely cognitively impaired was identified to have an unstageable pressure ulcer to the coccyx. […]