Northeast Rehabilitation and Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Oct 17, 2025

  Based on interview and record review, the facility failed to ensure, based on the comprehensive assessment of a resident, residents received treatment and care and services in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 of 13 residents (Resident #7) reviewed for quality of care. The facility failed to ensure Resident #7 received care and services according to professional standards when Resident #7, who was on blood thinners, fell before noon on [DATE] and received orders for monitoring and neuro checks. The last neuro check was completed at 2:45 a.m. on [DATE]. Resident #7 was last seen at 4:30 a.m. on [DATE]. […]

• Immediate jeopardy, isolatedF689Jun 4, 2022

  Based on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible and each resident received adequate supervision to prevent accidents for 1 of 6 residents (Resident #1) reviewed for wandering, in that: Resident #1 eloped from the facility, traveled approximately 15 miles away from the facility, and obtained and ingested alcoholic beverages. This deficient practice could place residents at risk of harm, serious injury, or death. The noncompliance was identified as PNC. The IJ began on 5/22/2022 and ended on 5/22/2022. The facility had corrected the noncompliance before the survey began. […]

• Actual harm, isolatedF686Mar 19, 2026

  Based on observation, interview, and record review, the facility failed to ensure that residents received care, consistent with professional standards of practice, to prevent pressure ulcers and does not develop pressure ulcers for 1 of 2 residents (Resident #1) reviewed for monitoring of applied knee immobilizers. The facility failed to develop and implement supports and monitoring systems for Resident #1's need for a right knee immobilizer, and the resident developed skin breakdown underneath the knee immobilizer. This failure could place residents at risk for injuries from unmonitored orthotic devices. The findings include:A record review of Resident #1's admission record dated 3/18/2026, revealed an admission date of 2/2/2026 with a diagnosis of aftercare for orthopedic encounter. […]

• No harm, potential for more than minimal, patternF656Jun 10, 2026

  Based on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that included measurable objectives and time frames to meet residents' medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment and to ensure the comprehensive care plan described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 3 of 13 residents (Residents #1, #2, and #3) reviewed for care plans. 1. The facility failed to develop a care plan to address Resident #1 had wandering behaviors.2. […]

• No harm, potential for more than minimal, patternF812May 20, 2026

  Based on observation, interview, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one (1) of one (1) kitchen (Kitchen 1) reviewed for food safety requirements. 1. Food service staff failed to ensure an unidentified nursing staff member wore hair restraints while in the kitchen during meal preparation on 05/17/2026. 2. Food service staff failed to ensure personal foods and beverages were not kept in the kitchen refrigerator and freezer on 05/19/2026. 3. Food service staff failed to ensure a facility contracted chemical supplier representative wore hair restraints while in the kitchen during meal preparation on 05/20/2026. […]