Mobile Nursing and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jun 27, 2025

  Based on observation, interview, record review, and document review, the facility failed to ensure staff transferred a resident, who was at risk for falls, with the use of a mechanical lift and two-person staff assistance. Specifically, on 06/11/2024, failed to follow the resident's care plan and daily care guide when she assisted the resident with a transfer from their wheelchair to the bed. During the transfer, Resident #6 fell to the floor and sustained a right femur fracture. This deficient practice affected 1 (Resident #6) of 4 sampled residents reviewed for accidents. Findings included: An admission Record revealed the facility admitted Resident #6 on 04/10/2024. […]

• No harm, potential for more than minimal, isolatedF565Jun 27, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to provide a private meeting space for the monthly Resident Council meeting that was attended to by 8 of 95 residents who resided in the facility. Findings included: A facility policy titled, Resident Council, dated 02/2017, revealed, 2. Monthly meetings be scheduled in an area that promotes privacy or per Resident request. During an observation on 06/02/2025 at 2:32 PM, the surveyor noted residents participated in their monthly Resident Council meeting in the dining area. It was noted there was no signage posted on the door to inform staff that a meeting was in progress and staff entered the dining area to access the employees' break room. […]

• No harm, potential for more than minimal, isolatedF605Jun 27, 2025

  Based on interview, record review, and facility policy review, the facility failed to monitor the side effects and efficacy of psychotropic medications for 1 (Resident #33) of 5 sampled residents reviewed for unnecessary medications. Findings included: A facility policy titled, Behavior Management and Psychopharmacological Medication Monitoring Protocol, dated 02/2025, specified, Residents who receive antipsychotic, anti-depressant, sedative/hypnotic, or anti-anxiety medications are to be maintained at the safest, lowest dosage necessary to manage the resident's condition. The policy specified, Residents will be reviewed routinely for effectiveness and monitored for side effects of these medications and will receive gradual dose reductions, unless clinically contraindicated. […]

• No harm, potential for more than minimal, isolatedF609Jun 27, 2025

  Based on interview, record review, document review, and facility policy review, the facility failed to ensure staff reported an allegation of abuse to the administrator that involved 1 (Resident #54) of 8 sampled residents reviewed for abuse. Findings included: The facility policy titled, Abuse Prevention, dated 01/2025, indicated, Alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours fi the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to… […]

• No harm, potential for more than minimal, isolatedF610Jun 27, 2025

  Based on interview, record review, document review, and facility policy review, the facility failed to complete a thorough investigation for an allegation of sexual abuse that involved 1 (Resident #207) of 8 sampled residents reviewed for abuse. Findings included: A facility policy titled Abuse Prevention, dated 01/2025, revealed, Investigation: The facility will initiate at the time of any findings of potential abuse or neglect an investigation to determine cause and effect, and provide protections to any alleged victim to prevent harm during the continuance of the investigation. An admission Record revealed the facility admitted Resident #207 on 03/13/2025. […]