Rae Ann Geneva

In the surveyor’s words

From the most serious findings on record at Rae Ann Geneva, in the surveyor’s own words.

• Actual harm, isolatedF686Jan 20, 2026

  Based on record review, interview, review of the hospital records and facility policy review, the facility failed to develop and implement a comprehensive and individualized pressure ulcer prevention program to prevent the worsening of pressure ulcers, ensure timely and accurate assessments were completed, ensure treatments were implemented timely, and ensure nutritional interventions were implemented as ordered for Resident #313.Actual Harm occurred beginning on 10/07/25 when Resident #313 who was dependent on staff for toileting hygiene, bathing, bed mobility, and transfers returned from the hospital with a Stage II pressure ulcer (partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed, without slough, may also present as an intact or open/ruptured… […]

• No harm, potential for more than minimal, widespreadF726Jan 20, 2026

  Based on personnel record reviews and staff interviews, the facility failed to ensure a staff member working in the capacity of a Certified Nursing Assistant (CNA) met the state and federal requirements prior to providing direct resident care. The facility permitted CNA #674 to perform CNA duties without successfully completing the competency evaluation and obtaining an active CNA certification. This had the potential to affect all residents residing in the facility. The facility census was 60.Findings include:Interview with the Human Resources (HR) Director #628 on 01/07/26 at 11:13 A.M. revealed CNA #674 was hired at the facility on 07/26/24. He completed first Nurse Aide Training class on 07/23/24; he later took his test but did not pass the written portion of the test. […]

• No harm, potential for more than minimal, widespreadF868May 21, 2025

  Based on record review, interview and review of facility policy, the facility failed to ensure the medical director attended the Quality Assurance and Performance Improvement (QAPI) meetings. This had the potential to affect all 66 residents residing at the facility. Findings included: Review of QAPI meeting attendance sign in sheets dated 12/27/23, 01/16/24, 02/20/24, 03/19/24, 04/16/24, 05/22/24, 06/26/24, 07/24/24, 08/02/24, 09/25/24, 10/24/24, 11/26/24, 12/27/24, 01/23/25, 02/25/25, 03/26/25, and 04/22/25 revealed the Medical Director/Primary Care Physician (PCP) #600 did not attend the above meetings. Interview on 05/18/25 at 3:58 P.M. […]

• No harm, potential for more than minimal, widespreadF921May 21, 2025

  Based on observation, interview and record review, the facility failed to maintain the building floors in safe and clean condition. This had the potential to affect all 66 residents residing in the facility. Findings include: Review of a floor repair quote dated 03/22/25 revealed the quote included installation of vinyl floor tiles to the facility's front areas, halls and nurses' stations, but it did not seem to include repair to resident rooms. Observation on 05/19/25 at 1:37 P.M. of the environment revealed the following: The front foyer and entry way had various dark soiled areas with one large area near the right front entrance door. Multiple areas of the floor appear worn and scratched. There were various scuffs, and two small circular areas cracked and sunken. […]

• No harm, potential for more than minimal, widespreadF804Dec 24, 2024

  Based on observation, interview and policy review, the facility failed to serve food at appropriate temperatures. This had the potential to affect 61 residents who eat food prepared by the facility (all residents except Resident #21, #28, and #62). The total census was 64. Findings include: Interview with Resident #56 on 12/26/24 at 8:27 A.M. revealed the food was often served cold. Observation of a test tray for breakfast on 12/26/24 at 9:22 A.M. revealed it contained scrambled eggs, toast, and canned pears. The toast tasted unpalatably cool. The eggs tasted unpalatably lukewarm and had a temperature of 123 degrees Fahrenheit. No concerns were noted with the pears. […]