Osborn Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Osborn Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF600Oct 10, 2024

  Based on clinical record reviews, facility documentation, staff interviews, and policy review, the facility failed to ensure that two residents (resident #272 & #273) were free from resident to resident verbal abuse, and that one resident (resident #369) are not physically abused by visitors. The deficient practice could result in further resident to resident verbal abuse, and visitor to resident abuse. In regards to resident #272, findings include: Resident #272 was initially admitted on [DATE] with diagnosis of Hypertension, Diabetes Mellitus, Cerebrovascular Accident (CVA), Transient Ischemic Attack (TIA), or Stroke, Hemiplegia or Hemiparesis, Schizophrenia. […]

• No harm, potential for more than minimal, patternF676Oct 10, 2024

  Based on observations, interviews, facility documentation, and review of facility policy, the facility failed to ensure appropriate treatment and services for activities of daily living were provided, according to residents' preferences and to meet residents' needs, for Residents #320 and #322. The deficient practice could lead to a resident's needs not being met, or a decline in a resident's physical function or psychosocial status. -Regarding Resident #320: Resident #320 was admitted into the facility on [DATE], with diagnoses that included pigmentary retinal dystrophy, sepsis, urinary tract infection, pneumonia, and adult failure to thrive. […]

• No harm, potential for more than minimal, patternF658Sep 29, 2023

  Based on staff interviews, review of policy, and observation of current practice, the facility failed to ensure professional standards were met for 6 residents (#56, #49, #72, #23, #40, and #62) during medication administration. Findings Included: Resident #56 was admitted to the facility on [DATE] with diagnoses that included sequelae of cerebral infarction, personal history of traumatic brain injury, and essential hypertension. Review of the MDS (Minimum Data Set) assessment dated [DATE] revealed resident had a BIMS (Brief Interview of Mental Status) score of 14, indicating cognitively intact. An observation of the medication administration was conducted on September 27, 2023 at 7:27 AM with licensed practical nurse (LPN/staff #119). […]

• No harm, potential for more than minimal, patternF757Sep 29, 2023

  Based on clinical review, staff interviews, and facility policy and procedures, the facility failed to administer pain medication within the pain scale parameters for one resident (#8). The deficient practice could result in residents being overmedicated. Findings include: Resident #8 was admitted to the facility on [DATE] with diagnoses that included migraine, dysphagia following unspecified cerebrovascular disease, and type II diabetes. The care plan dated March 30, 2023 revealed that the resident is currently prescribed and opioid for acute/chronic pain; potential for adverse outcomes from opioid use. The interventions included to administer opioid as prescribed. […]

• No harm, potential for more than minimal, isolatedF755Jan 16, 2026

  Based on clinical record review, staff interviews, and review of facility policies and procedures, the facility failed to acquire or obtain Levothyroxine, a routine medication, for one resident (#155) to treat the resident's medical condition. The sample size was 2. The deficient practice could result in resident's medical condition not appropriately treated and would place the resident at risk for illnesses. Findings Include:Resident #155 was admitted to the facility on [DATE] with diagnoses that included hypothyroidism (low thyroid hormone), Alzheimer's Disease, depression and epilepsy (seizure).The comprehensive care plan dated January 8, 2026, revealed that the resident was at risk for impaired cognitive function or impaired thought processes, had activities of daily living self-care… […]