Polaris Rehabilitation and Care Center

In the surveyor’s words

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

• Immediate jeopardy, patternF880Jan 6, 2022

  Based on observation, staff interview, and review of policy and procedures, the facility failed to ensure transmission-based precautions (TBP) were followed during 1 of 3 observations of hydration pass. This failure resulted in an unacceptable risk to resident health and a determination of immediate jeopardy. In addition, the facility failed to ensure acceptable infection control practices were followed during 5 random observations of hand hygiene and personal protective equipment (PPE) use, 2 random observations of treatments, and 1 random observation of equipment disinfection. The census was 83. The findings were: 1. […]

• Actual harm, isolatedF600Nov 14, 2025

  Based on observation, medical record review, staff, resident, and resident representative interview, facility incident review, and policy and procedure review, the facility failed to protect residents' right to be free from physical abuse by another resident for 1 of 6 sample residents (#1) reviewed for abuse. This failure resulted actual harm to resident #1 and resident #2. Corrective measures were implemented prior to the survey and compliance was determined to be met on 10/23/25. The findings were: 1. […]

• Actual harm, isolatedF757Oct 24, 2025

  Based on medical record review, staff interview, and review of medication interactions, the facility failed to ensure residents did not receive unnecessary medications for 1 of 8 (#1) sample residents reviewed. This failure caused harm to resident #8 whose functional capacity declined from independent to dependent. The findings were: 1. Review of the 2/7/25 admission MDS assessment for resident #1 showed the resident was coded as being severely cognitively impaired with inattention and disorganized thinking continuously present; wandered 4 to 6 days of the look-back period; was coded as requiring supervision or setup assistance for all self-care areas and was independent with mobility. The resident was not coded as receiving an anticonvulsant medication. […]

• Actual harm, isolatedF760Aug 7, 2025

  Based on medical record review, staff interview, medication variance report review, and policy and procedure review, the facility failed to ensure residents were free of significant medication errors for 1 of 7 sample residents (#2) reviewed for medication errors. This failure resulted in actual harm to resident #2 who was hospitalized in the intensive care unit. The findings were: 1.Review of the quarterly MDS assessment dated [DATE] showed resident #2 had a BIMS score of 15 out 15, which indicated the resident was cognitively intact, and diagnoses which included renal insufficiency, renal failure, or end0stage renal disease, diabetes mellitus, depression, other toxic encephalopathy, chronic pain syndrome, acquired absence of right leg below the knee, idiopathic gout, and paraneoplastic… […]

• No harm, potential for more than minimal, widespreadF727Jul 23, 2026

  Based on review of nurse schedules, and staff interview, the facility failed to ensure the services of an RN were used for at least 8 consecutive hours a day, 7 days a week. The census was 69. The findings were:1. Review of the nurse schedule from 7/1/26 through 7/22/26 showed there was not an RN scheduled for 8 consecutive hours on 7/5/26.2. Interview with the regional nurse consultant on 7/22/26 at 11:40 AM confirmed the facility was not staffed with a RN for 8 consecutive hours on 7/5/26.