North Campus Rehabilitation and Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Nov 6, 2024

  Based on observation, interview, and record review, the facility failed to ensure food was stored properly and kitchen equipment were kept in a safe and sanitary manner in the main kitchen and 3 of 3 nourishment rooms. Findings include: During an observation on 11/3/2024 beginning at 9:24 AM while conducting the initial tour of the kitchen, there were white substance buildup on the exterior of the ice machine, one package of pork that was wrapped in foil that was gapped open, shredded cheese wrapped in plastic wrap that was not sealed, one undated and unlabeled plastic container of red sauce, one undated container of pancakes in the reach-in refrigerator. The exterior surface of the oven was discolored and splattered with black and brown substances. […]

• No harm, potential for more than minimal, widespreadF761Aug 3, 2023

  Based on observation, interview, and record review, the facility failed to ensure the drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional principles in 3 of 3 reviewed medication carts, and failed to ensure the medications were not unattended (Photographic evidence obtained). Findings include: During an observation on 7/31/2023 at 9:00 AM, there was a bag on the floor in the conference room, which contained four unopened normal saline syringes. During an interview on 7/31/2023 at 9:15 AM, the Director of Nursing (DON) stated, We had an IV [intravenous] class for nurses that is why it was there. […]

• No harm, potential for more than minimal, widespreadF801Mar 10, 2022

  Based on interview and policy review, the facility failed to ensure dietary staff met required qualifications. Finding: An initial tour of the kitchen was conducted on 03/07/2022 at 09:19 AM with the Assistant Manager (AM). An interview was conducted with the AM on 3/07/22 at 9:30 AM. The AM stated the facility does not have a Certified Dietary Manager (CDM) or full time Dietician that oversees the day-to-day operations of the dietary department. She is the full-time day cook and tries to see to some of the needs of the department but has no training as a Dietary Manager. She currently orders the food and makes the schedule for the dietary staff. The department is supposed to have a CDM and has been without a CDM for four months. […]

• No harm, potential for more than minimal, patternF761Apr 22, 2026

  Based on observation, interview, and record review the facility failed to ensure medications were secure when unattended, failed to label medications, and failed to discard expired medications. Findings include: 1. During an observation on 4/19/2026 at 9:10 AM of Resident #44's room there were unsecured medications at bedside. The medications consisted of four cups of crushed pills, one cup of clear liquid, and one clear vial of medication. During an interview on 4/22/2026 at 8:45 AM Staff A, Registered Nurse (RN) stated, The medication at bed side are the morning meds. I couldn't tell you each medication. […]

• No harm, potential for more than minimal, patternF812Apr 22, 2026

  Based on observation, interview, and record review, the facility failed to ensure food was properly stored in 1 of 3 nourishment rooms (West Unit nourishment room) and failed to ensure food was prepared and/or served in a sanitary manner. Findings include: During an observation on 04/19/2026 at 11:37 AM, the Director of Food and Nutritional Services was wearing gloves and plating meal trays from the steam table for lunch. The Director of Food and Nutritional Services walked to the microwave, removed the glove from her right hand, pushed a button on the microwave with her right hand, and removed a container from the microwave. […]