New Mark Rehab and Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF658Sep 26, 2025

  Based on observation, interview and record review the facility failed to ensure appropriate wound dressing orders were obtained and in place for one resident (Resident #2), when a negative pressure wound dressing (Wound Vac) was left in place from September 9, 2025 until September 19, 2025, causing the wound to open and bleed excessively when the dressing was removed. This effected one of four sampled residents. Facility census was 152.Review of the facility provided policy titled, Wound Management, dated October 24, 2022 showed:-Purpose is to provide a system for treatment and management of residents with wounds including pressure and non-pressure ulcers; -A resident who has a wound will receive necessary treatment and services to promote healing, prevent infection and prevent new… […]

• Actual harm, isolatedF689Sep 26, 2025

  Based on interview and record review, the facility failed to protect Resident #1's safety when he/she eloped from the facility and was later found in the facility parking lot with a laceration to the forehead. The facility census was 152.On November 17, 2025 , the Administrator was notified of the past noncompliance incident which occurred on September 7, 2025. On September 7, 2025 facility administration was notified of the incident, an investigation immediately began and corrective actions were implemented to include:-All staff education on wandering/elopement, falls, door alarms, door checks, behaviors/dementia and abuse/neglect, verification that all door alarms were functioning, verification all residents were accounted for on the memory care unit, care plan meeting with family, audit… […]

• Actual harm, isolatedF600Mar 26, 2025

  Based on interviews and record review, the facility failed to protect the resident's right to be free from physical abuse when Resident #1 hit and restrained Resident #2 resulting in a scratch to Resident #2's left cheek, redness to his/her right eye, abrasion to right eyebrow, and redness and bruises to the right forearm and bicep. The facility census was 153. Review of the facility's Abuse Prevention and Prohibition Program, revised 10/24/22, showed: - Each resident has the right to be free from abuse. The facility has zero-tolerance for abuse. […]

• Actual harm, isolatedF689Feb 13, 2024

  Based on observation, interview and record review, the facility failed to provide supervision and protective oversight for one sampled resident (Resident #1) when he/she was found with an acute oblique (break is at an angle) fracture to the right femur. The facility census was 105. Review of the facility's Positioning Policy/Procedure, dated March 2021, showed: -Any resident is an appropriate candidate for the Positioning Program if he/she: -Is unable to turn and get into position independently -Needs assistance in turning or positioning due to any mental or physical limitation. […]

• No harm, potential for more than minimal, widespreadF658Jan 6, 2026

  Based on interview and record review the facility failed to ensure that licensed staff's responsibilities were completed according to acceptable standards of professional clinical practice when two licensed nurses RN-A, LPN-A and the Social Worker (SSD) failed to document a change or update of one resident's condition in the clinical medical record (the clinical medical record is accessible to all facility nursing staff and providers) that would have allowed other clinical staff to know what changes or updates had been done for one Resident (Resident #1), when Resident #1 had a critical potassium lab level and refused to be taken to the hospital for potassium to be replaced, and then unexpectedly died three days later. […]