New Dawn Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at New Dawn Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF684Jun 17, 2026

  Based on medical record review, review of hospital records, review of the facility's investigation, facility policy review and interviews, the facility failed to provide necessary and timely treatment for Resident #10 following a reported injury by the resident. This affected one resident (#10) of three residents reviewed for accident hazards. Actual harm occurred on 04/18/26, when Resident #10 reported to staff that someone dropped her last night while getting changed and she had left knee pain. The resident's left knee was noted to be swollen, and she could only slightly lift her knee. Licensed Practical Nurse (LPN) #15 administered as needed Tylenol for pain. […]

• No harm, potential for more than minimal, widespreadF552Jun 17, 2026

  Based on record review, interview, and policy review, the facility failed to ensure residents receiving psychotropic medications were provided education on the risks/ benefits of those psychotropic medications for them or their resident representative to be able to give an informed consent for the use of those medications. This affected five residents (#3, #8, #9, #53, and #76) of five residents reviewed for unnecessary medications. Findings include:1.Review of Resident #3's medical record revealed the resident was admitted to the facility on [DATE]. His diagnoses included depression and anhedonia (inability to experience pleasure or a diminished interest in activities that were once enjoyable). […]

• No harm, potential for more than minimal, widespreadF725Jun 17, 2026

  Based on observation, interview, and policy review the facility failed to ensure sufficient nursing staff 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 and considering the number, acuity, and diagnoses of the facility's resident population. This affected 68 of 68 residents residing in the facility. The facility census was 68. Findings include: Interview on 06/08/26 at 9:39 A.M. with Resident #2 revealed there was not enough staff in the facility. It seemed like there were just less and less people to help.Interview on 06/08/26 at 9:41 A.M. with Resident #7 revealed there was not enough staff in the building. […]

• No harm, potential for more than minimal, widespreadF880Jun 17, 2026

  Review of review of the facility infection control log, interview, and policy review the facility failed to have a comprehensive infection control program and failed to ensure staff were knowledgeable on the laundry process for infectious linens. This affected all 68 residents residing in the facility. The facility census was 68. Findings include: 1.Review of the infection control log dated 06/2025 to 06/2026 revealed no evidence the log included trending of infections. In addition there was not an infection control log for 06/2026. Further review of the April 2026 infection control log revealed the log was not comprehensive to include infection types and microorganisms. On 04/09/26 the log indicated Resident #4's infection type was labs and microorganism was elevated white blood cells. […]

• No harm, potential for more than minimal, widespreadF881Jun 17, 2026

  Based on medical record review, interview, and policy review the facility failed to maintain an effective antibiotic stewardship program. This affected all 68 residents residing in the facility. The facility census was 68. Findings include: 1.Review of infection control program dated 06/2025 to 06/2026 revealed no evidence of an antibiotic stewardship program that included documentation of the indication, dose, and duration of the antibiotic, review of laboratory reports to determine if the antibiotic was indicated or needed to be adjusted. There was no evidence of an infection assessment tool or management algorithm being used when prescribing and a system to monitor antibiotic use. There was no system to monitor antibiotic use. […]