Northcrest Rehab and Nursing Center

In the surveyor’s words

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

• Actual harm, isolatedF689Apr 3, 2026

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENCE OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on record review, staff interview, review of the fall investigation, review of staff statements, and review of the facility policy, the facility failed to follow the care plan and the information on the Kardex (mechanism that provides Certified Nursing Assistants the care needs of the residents) when providing care to a dependent resident. This resulted in Actual Harm on 02/10/26 when Resident #11 fell out of bed and sustained a laceration to the back of her head. This affected one (Resident #11) of three residents reviewed for falls. […]

• Actual harm, isolatedF686Aug 17, 2022

  Based on medical record review, observation, staff interview, and review of facility policy, the facility failed to monitor Resident #19's skin underneath a heel protector boot. This resulted in actual harm when Resident #19 developed two Deep Tissue Injuries (DTI) on the right foot, consistent with the strap of the heel protector boot being too tight. Additionally, the facility failed to complete accurate skin assessments and failed to ensure recommended interventions were in place for Resident #60. This resulted in actual harm when Resident #60 was discovered with an in-house acquired DTI to the foot. This affected two (Residents #19 and #60) of three residents reviewed for skin breakdown. The facility's census was 64. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF880Mar 31, 2021

  Based on observation, staff interview, and review of facility policy, the facility failed to ensure staff wore personnel protection equipment (PPE) properly, followed infection control guidelines, and completed proper hand hygiene to help prevent the potential spread of COVID-19. This had potential to affect all 60 residents in the facility. The facility census was 60. Findings Include: 1. Interview on 03/30/21 at 8:15 A.M., the Administrator revealed the facility was in outbreak status due to two staff testing positive for COVID-19. The facility staff were to wear N95 respirators and goggles at all times. Observation on 03/30/21 at 8:41 A.M. of Licensed Practical Nurse (LPN) #134 found LPN #134 had an N95 respirator loosely applied to her face with gaps around her cheeks. […]

• No harm, potential for more than minimal, patternF880Jan 23, 2025

  Based on observation, staff interview, record review, and review of the facility policies, the facility failed to ensure proper infection control practices were implemented related to COVID-19 droplet isolation and contact isolation. This affected four (#37, #28, #56 and #12) residents and had the potential to affect all 29 residents on the 300 and 400 halls (#1, #2, #3, #4, #7, #9, #10, #13, #16, #18, #20, #22, #26, #27, #30, #34, #36, #40, #41, #42, #44, #45, #46, #47, #48, #49, #51, #58, and #163). The facility census was 62. Findings include: 1. […]

• No harm, potential for more than minimal, patternF584Sep 11, 2024

  Based on observation and staff interview the facility failed to maintain resident common showers in a sanitary manner. This affected all 27 residents (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #24, #24, #25, #26, #27) residing on the 100 and 200 halls. The facility census was 61. Findings include: Observation 09/10/24 at 9:48 A.M. with Environmental Services Director (ESD) #1 revealed the front 200-A common shower room had a black substance clinging to the ceiling and the corner of the wall above the shower stall. A black and orange colored substance and residue was observed on the shower stall baseboard. Continued observation on 09/10/24 at 9:50 A.M. […]