Osage Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Osage Nursing & Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF610Jun 5, 2023

  The facility reported a census of 43 residents, with two included in the sample. Based on observation, interview, and record review the facility failed to ensure the protection of the residents from Abuse, Neglect, and Exploitation (ANE) when the facility did not implement any care planned interventions to address the hypersexualized behaviors of bed bound Resident (R)2 (a resident with traumatic brain injury) and did not implement any care planned interventions to address the behaviors of independently mobile R1 (with a history of imprisonment due to the sexually predatory behavior), who was found twice naked in/around R2's room. […]

• Immediate jeopardy, widespreadF610Jun 1, 2023

  The facility reported a census of 43 residents, with two included in the sample. Based on observation, interview, and record review the facility failed to ensure the protection of the residents from Abuse, Neglect, and Exploitation (ANE) when the facility did not implement any care planned interventions to address the hypersexualized behaviors of bed bound Resident (R)2 (a resident with traumatic brain injury) and did not implement any care planned interventions to address the behaviors of independently mobile R1 (with a history of imprisonment due to the sexually predatory behavior), who was found twice naked in/around R2's room. […]

• No harm, potential for more than minimal, widespreadF812Sep 5, 2024

  The facility reported a census of 39 residents. Based on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions, to the residents of the facility appropriately to prevent the potential for food borne bacteria. Findings included: - During an initial tour of the resident kitchenette, on 09/03/24 at 09:39 AM, the following areas of concern were noted in the facility kitchen: 1. The inside of the microwave contained a dried-on food substance. 2. The stationary can opener contained a build-up of a sticky substance on the area which pierces the can and the handle of the opener. 3. The hand soap dispenser plate had a large amount of a dried, sticky substance. 4. The bottom shelf of one prep table contained food debris. […]

• No harm, potential for more than minimal, widespreadF814Sep 5, 2024

  The facility reported a census of 39 residents. Based on observation, interview, and record review, the facility failed to dispose of garbage and refuse properly by failing to ensure the lid of the dumpster was kept close. Findings included: - During an initial tour of the kitchen on 09/03/24 at 09:39 AM, observation revealed the lid to the dumpster outside of the kitchen was left open. On 09/04/24 at 10:41 AM, observation revealed the lid to the dumpster outside of the kitchen was left open. On 09/03/24 at 10:00 AM, Dietary staff BB stated it was the expectation for the lids of the dumpster be kept always closed. The facility lacked a policy for keeping the lid of the dumpster closed. The facility failed to ensure the lid of the dumpster was kept always closed, as required.

• No harm, potential for more than minimal, widespreadF851Sep 5, 2024

  The facility reported a census of 39 residents. Based on observation, interview, and record review, the facility failed to electronically submit to Centers for Medicare and Medicaid Services (CMS) with complete and accurate direct staffing information, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS (i.e. Payroll Base Journal (PBJ), related to licensed nursing staffing information, when the facility failed to accurately report 24 hour per day Licensed Nurse coverage on 11 dates between 04/01/23 and 06/30/23 and four dates between 07/01/23 and 09/30/23 as required. […]