Poplar Hill Health and Rehab

In the surveyor’s words

From the most serious findings on record at Poplar Hill Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF684May 13, 2026

  Based on clinical record review, staff interview and facility document review, the facility staff failed to follow professional standards of care for one of eight residents in the survey sample, Resident #1. The findings include:For Resident #1 (R1), the facility staff failed to follow standard of care for resident with persistent complaints of decreased blood pressure (BP), dizziness, and gastrointestinal (GI) (1) symptoms and little to no improvement in symptoms and no evidence of discussion or implementation of an alternative plan of care. […]

• No harm, potential for more than minimal, patternF803May 13, 2026

  Based on observation, staff interview and facility document review, facility staff failed to provide residents with the correct amount of food according to the facility's menu in one of one facility kitchens.The findings include:On 05/12/2026 at approximately 12:00 p.m. an observation in the facility's kitchen revealed Dietary Manager plating lunch for the residents. The lunch menu consisted of whole chicken leg quarters, whole mixed vegetables, cubed potatoes, chopped chicken, pureed chicken, mash potatoes and pureed mixed vegetables. […]

• No harm, potential for more than minimal, patternF804May 13, 2026

  Based on observation and staff interview, it was determined that the facility staff failed to serve palatable food on one of four facility units, the 400 Unit.The findings include:On 05/12/2026 at 12:00 p.m. the holding temperatures for the resident's food for lunch were obtained by the Dietary Manager in the facility's kitchen at steam table with the following results: whole chicken leg quarter-168 F (degrees Fahrenheit), whole mixed vegatables-187 F, diced potatoes- 159 F, Chopped chicken-160 F, ground chicken-166 F, pureed chicken-158 F, mashed potatoes-177 F, pureed mixed vegatables-172 F. On 05/12/2026 at 12:48 p.m., a test tray consisting of all the food item listed below was placed on a cart with other meal trays for residents and taken to the 400 Unit. […]

• No harm, potential for more than minimal, patternF812May 13, 2026

  Based on observations and staff interviews, the facility staff failed to prepare food in a sanitary manner in one of one facility kitchens.The findings include:On 05/12/2026 at approximately 11:30 an observation of OSM (other staff member) #3 kitchen aide in the facility's kitchen revealed she was placing covers on approximately 20 cups of a beverage for the resident's lunch. Further observations of OSM #3 failed to evidence she was wearing a hairnet.On 05/12/2026 at approximately 11:30 an observation of a ladder cart in the facility's kitchen revealed trays of approximately 12 plated slices of cake on each tray next to the kitchen steamer and in front of a food preparation table. […]

• No harm, potential for more than minimal, patternF656Aug 2, 2023

  Based on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to develop and/or implement the comprehensive care plan for four of 22 residents in the survey sample, Residents #38, #39, #242 and #35. The findings include: 1. For Resident #38, the facility staff failed to implement the comprehensive care plan for administering pain medications per the physician orders. The comprehensive care plan dated, 5/27/2023 documented in part, Focus: (R38) is at risk for acute pain due to her osteoarthritis, limited ROM (range of motion) to her neck and kidney stones. The Interventions documented in part, Pain patches to neck and knee per MD (medical doctor) order. […]