Mt. Olympus Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Mt. Olympus Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF689Feb 14, 2023

  Based on observation, interview, and record review it was determined, for 9 out of 41 sampled residents, that the facility failed to ensure that the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents. Specifically, a resident received second degree burns to the face, scapula area, and thigh when his oxygen cannula ignited while smoking a cigarette unsupervised. Additionally, multiple residents who were identified as requiring staff supervision while smoking were observed smoking without staff present, and residents were not assessed for their smoking assistance/supervision needs. […]

• Immediate jeopardy, isolatedF689Oct 24, 2025

  Based on observation, interview, and record review, it was determined for 1 out of 10 sampled residents, the facility failed to ensure that the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents. Specifically, a resident was dropped from a hoyer lift and died; the facility used a transfer sheet and not an approved Hoyer sling while transferring the resident. Resident identifier: 3. NOTICE:Notice of Immediate Jeopardy (IJ) was given verbally to the Administrator on [DATE] at 11:00 AM. The Administrator was asked to develop an immediate plan to ensure resident safety related to Hoyer lifts and Hoyer slings. […]

• Immediate jeopardy, isolatedF726Oct 24, 2025

  Based on observation, interview, and record review, the facility did not ensure that nursing staff had the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care. Specifically, Certified Nursing Assistants (CNA)'s had not been educated on the correct way to use a Hoyer lift, approved Hoyer slings, and how to identify a transfer sheet. Additionally, a resident was dropped from the Hoyer lift while on a transfer sheet and died. Resident identifier: 3. NOTICE:Notice of Immediate Jeopardy (IJ) was given verbally to the Administrator on [DATE] at 11:00 AM. […]

• Actual harm, patternF867Feb 14, 2023

  Based on observation, interview, and record review the facility failed to develop and implement appropriate plans of action to correct identified quality deficiencies; and regularly review and analyze data, including data collected under the QAPI (Quality Assurance and Performance Improvement) program, and act on available data to make improvements. Specifically, deficient practices identified during the survey included repeat deficiencies in the areas of prevention of accident hazards, physician notification in changes of condition, quality of care related to hospice services, resident's free from unnecessary medications, and maintaining laboratory reports in the resident records. Resident identifiers: 4, 11, 17, 18, 20, 31, 32, 47, 56, 68, 77, 134, 181, and 231. Findings included: 1. […]

• Actual harm, isolatedF740Feb 14, 2023

  Based on record review and interview, it was determined, the facility failed to provide the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care. Specifically, for 1 out of 41 sampled residents, a resident who attempted suicide in the facility was not receiving behavioral health services when there were multiple recommendations for behavioral health services prior to the incident. Resident identifier: 134. […]