Rayburn Health Care & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Rayburn Health Care & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Oct 23, 2024

  Based on interview and record review, the facility failed to use the services of a registered nurse for 8 at least consecutive hours 7 days a week (140 days) and have a DON licensed in her state of residency (since [DATE]) reviewed for sufficient staffing. The facility failed to ensure they had a full time DON licensed in Texas and failed to ensure there was an RN for 8 consecutive hours 7 days a week. These failures could place residents at risk of lack of nursing oversight and a higher level of care. Findings included: Record review of the personnel file from 09/01/23 through 10/23/24 indicated the DON had a valid Florida license for RN and assume the DON position on 09/01/23. She had an active LVN license in Texas. […]

• No harm, potential for more than minimal, widespreadF847Aug 30, 2023

  Based on record review and interview the facility failed to ensure the arbitration agreement contained all the required elements for 1 of 1 facility reviewed for Arbitration Agreements. The facility did not ensure the arbitration agreement contained the required elements: *Failed to provide the right to rescind in 30 calendar days of signing This failure could place the residents or the residents' responsible parties in binding agreements not fully understood, have a loss of their legal rights, and cause negative psychological issues. Findings included: Record review of undated Admission Agreement included: .29. […]

• No harm, potential for more than minimal, widespreadF848Aug 30, 2023

  Based on record review and interview the facility failed to ensure the Arbitration Agreement included the provision of a neutral arbitrator and a convenient venue for 1 of 1 facility reviewed for Arbitration Agreements . The facility failed to ensure the provision of a neutral arbitrator. The facility failed to ensure the Arbitration Agreement contained a section indicating the provision of a convenient venue. These failures could place the residents or the residents' responsible parties in binding agreements not fully understood, have a loss of their legal rights, and cause negative psychological issues. Findings included: Record review of undated Admission Agreement included: .29. […]

• No harm, potential for more than minimal, widespreadF812Mar 18, 2021

  Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards for 1 of 1 kitchen reviewed for food service safety, in that: Food items in the dry storage room were undated and not stored in sealed container. Food items in the refrigerator were undated and not stored in sealed container. Food items in the freezer were unlabeled. These failures placed residents who ate food served by the kitchen at risk of cross contamination and food-borne illness. Findings include: Observation and interview of dry storage room with Dietary Manager on 11/19/20 at 9:50 a.m. indicated the following: -4 hamburger buns in original plastic bread bag with the end tied in a knot. […]

• No harm, potential for more than minimal, patternF761Feb 11, 2026

  Based on observation, interview, and record review, the facility failed to ensure all drugs and biologicals were stored in locked compartments for 2 of 2 medication carts (Medication Cart L and Medication Cart R) reviewed for labeling and storage. The facility failed to ensure Medication Aide A's (the only assigned staff for medication administration on the secure unit.) assigned medication cart's (Medication cart L, and Medication cart R) were kept locked and under direct observation where 13 residents and unauthorized staff could not access it when left on the hall of the secure unit for four minutes. This failure could place residents at risk of gaining access to and swallowing medications not prescribed for them.Findings included: During an observation on 02/11/2026 from 4:00 p.m. […]