Memorial Medical Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Memorial Medical Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 8, 2024

  Based on observation, interview, and record review, the facility failed to ensure the resident environment remained free of accident hazards as possible, and each resident received adequate supervision to prevent elopement for one (1) of four (4) residents (Resident #1) reviewed for accident hazards and supervision. The facility failed to ensure a cognitively impaired resident (Resident #1) had adequate supervision on 09/01/2024 which allowed him to elope from the facility from an unknown door after lunch on 09/01/2024 and was not located until 02:40 a.m. on 09/02/2024 at a local hospital. This failure resulted in the identification of an Immediate Jeopardy (IJ) on 09/05/2024 at 04:24 p.m. The IJ template was provided to the facility on [DATE] at 05:17 p.m. […]

• Immediate jeopardy, isolatedF689Feb 16, 2024

  Based on interview and record review the facility failed to ensure the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents for 1 of 5 residents (Resident #1) reviewed for accidents and hazards. Resident #1 was moved rooms within the facility. Nursing staff failed to ensure the bed in the new room had side rails for bed mobility and positioning. Resident #1 rolled out of bed during care and fell to the floor hitting her head. Resident #1 was hospitalized for evaluation and treatment and diagnosed with thoracic spine compression fractures, multiple rib fractures, and subsequently expired. An Immediate Jeopardy (IJ) situation was identified on [DATE]. […]

• No harm, potential for more than minimal, widespreadF814Aug 5, 2026

  Based on observation, interview and record review, the facility failed to dispose of garbage and refuse properly for two of two refuse containers (dumpsters used for recyclable refuse) on the loading dock. The facility failed to ensure there were no soiled briefs on the loading dock and construction materials around both recycling dumpsters. This failure could place residents at risk of illness from exposure to germs and diseases carried by vermin and rodents. The findings include: Observation on 8/2/26 at 10:00 a.m. of the dumpster site (2 dumpsters) revealed near one of the dumpsters was a bag of briefs with one brief on the ground, construction debris, and a surgical glove. During an observation and interview on 8/2/26 at 10:05 a.m. […]

• No harm, potential for more than minimal, widespreadF812Apr 26, 2024

  Based on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen, in that: 1. There were 10 slices of bread in the refrigerator that were not labeled or dated. 2. There was a box of 400 coffee creamers in the refrigerator that were not labeled or dated. 3. An ice cream freezer had an internal temperature of 70 degrees with 20 4 -ounce packets of melted ice cream. 4. A bag of 12 waffles in an outside freezer was not labeled or dated. 5. Three boxes of 3-gallon containers of apple juice concentrates in the storeroom were not labeled or dated. 6. The ceiling vent across from the dish machine had dirt and grease on the vent slats. 7. […]

• No harm, potential for more than minimal, widespreadF925Apr 26, 2024

  Based on observation, interview, and record review, the facility failed to maintain an effective pest control program for 1 (Main Dining Room) of 2 dining rooms reviewed and 1 (Hall 100) of 5 hallways reviewed for pests, in that: 1. Numerous flies were observed in a resident room on Hall 100. 2. Numerous flies were observed near a trash can and on Resident #53's food and drink in the Main Dining Room. This deficient practice could place residents at risk of residing in an environment with pests. The findings were: 1. Observation on 04/23/2024 at 10:30 a.m. revealed the presence of numerous flies in Resident #46's room on Hall 100. […]