Northland Rehabilitation & Health Care Center

In the surveyor’s words

From the most serious findings on record at Northland Rehabilitation & Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Oct 6, 2021

  Based on interview and record review, the facility failed to thoroughly assess two sampled residents (Residents #1 and #2) after the residents fell and sustained injuries and failed to notify the resident's physicians after the falls. The facility failed to ensure that staff understood the definition of all falls which affected one resident (Resident #1). The facility staff also failed to thoroughly assess one resident (Resident #4) after an allegation of injury. The facility census was 87. The Administrator was notified on 10/5/21 at 4:55 P.M. of an Immediate Jeopardy (IJ) which began on 10/2/21. […]

• Immediate jeopardy, isolatedF689Oct 6, 2021

  Based on interview and record review, the facility failed to ensure all staff were trained and informed of each resident's individual care needs. The facility identified Resident #1 required a Hoyer lift (mechanical lift used for residents who required total assistance for transfers). On 10/2/21, staff transferred the resident using a sit to stand (STS, type of mechanical lift that required a resident to be able to bear weight). During the transfer, the resident was unable to hold on to the lift, was assisted to the floor, and sustained a femur fracture. The facility census was 87. The Administrator was notified on 10/5/21 at 4:55 P.M. of an Immediate Jeopardy (IJ) which began on 10/2/21. […]

• Immediate jeopardy, isolatedF697Oct 6, 2021

  Based on interview and record review, the facility failed assess, treat, and reassess two sampled residents (Resident #1 and #2) for complaints of pain after Resident #1 fell from the sit-to-stand mechanical lift on 10/2/21 and after Resident #2 had a witnessed fall from his/her wheelchair on 10/2/21. The facility failed to seek pain treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #1 was diagnosed with a fracture to the right femur (upper leg bone) and Resident #2 was diagnosed with a fracture of the left ankle. The facility census was 87. The Administrator was notified on 10/5/21 at 4:55 P.M. of an Immediate Jeopardy (IJ) which began on 10/2/21. The IJ was removed on 10/6/21, as confirmed by surveyor onsite verification. […]

• Actual harm, isolatedF689Apr 21, 2026

  Based on observation, interview and record review, the facility failed to properly transfer resident (Resident #1), in a safe manner, when staff did not use two staff members and the sit to stand lift (a mechanical lift used to transfer residents) from bed to shower chair, as directed in the resident's plan of care. The resident fell, resulting in a fracture to the right femur. Facility census was 95. On 04/21/2026 the Administrator was notified of the past noncompliance that began on 03/30/2026. The Administrator immediately began an investigation and audit to identify incorrect care plans. The administrator implemented corrective actions to include re-education for nursing staff to provide care as directed in each resident's care plan and Kardex. […]

• No harm, potential for more than minimal, widespreadF812Jul 24, 2025

  Based on observation, record review, and interviews, the facility failed to store, prepare and serve food in accordance with professional standards of food service safety when staff failed to discard expired leftovers in the refrigerator, failed to wear beard nets and hand wash while working in the kitchen, failed to maintain proper standards of cleanliness and storage in the kitchen area, and failed to take accurate temperature readings of cooked food items. This affected all residents by putting them at risk for a food borne illness. The facility census was 95. […]