Rehab at Shannondell

In the surveyor’s words

From the most serious findings on record at Rehab at Shannondell, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 20, 2021

  Based on observations and interviews with staff, it was determined that the facility did not ensure that food was stored, and prepared in accordance with professional standards for food service safety. Findings include: A tour of the Food Service Department conducted on December 15, 2021, at 9:45 a.m. with Employee E3, Food Service Operations Manager (FSOM), revealed the following: Observations in the dumpster area revealed a large compactor with the sliding lid closure in the open position exposing the bags of garbage inside. […]

• No harm, potential for more than minimal, isolatedF609Apr 28, 2026

  Based on review of clinical records and interview with staff, it was determined that the facility failed to report an elopement incident to the department of health for one of twelve residents reviewed (Resident R125)Review facility policy on Patient Elopement dated September 2022 revealed that under section Purpose: This policy ensures that patients that leave the facility without staff knowledge or without adequate supervision / safety is managed appropriately. Under section Procedures #3 Patient's Rights with Outings: patients who are not at risk of elopement will have their rights preserved and are free to move throughout the facility and leave the facility with supervision.Review of Resident R125's clinical record revealed that Resident R125 was admitted to facility on March 16, 2026,… […]

• No harm, potential for more than minimal, isolatedF610Apr 28, 2026

  Based on review of clinical records and interview with staff, it was determined that the facility failed to conduct a timely and thorough investigation of an elopement incident for one of twelve residents reviewed (Resident R125).Review facility policy on Patient Elopement dated September 2022 revealed that under section Purpose: This policy ensures that patients that leave the facility without staff knowledge or without adequate supervision / safety is managed appropriately. Under section Procedures #3 Patient's Rights with Outings: patients who are not at risk of elopement will have their rights preserved and are free to move throughout the facility and leave the facility with supervision.Review of Resident R125's clinical record revealed that Resident R125 was admitted to facility on… […]

• No harm, potential for more than minimal, isolatedF689Apr 28, 2026

  Based on review of clinical records and interview with staff, it was determined that the facility failed to ensure that residents are supervised which resulted in a resident leaving the facility without the knowledge of the staff for one on twelve residents reviewed (Resident R125).Review facility policy on Patient Elopement dated September 2022 revealed that under section Purpose: This policy ensures that patients that leave the facility without staff knowledge or without adequate supervision / safety is managed appropriately. […]

• No harm, potential for more than minimal, isolatedF694Apr 28, 2026

  Based on review of facility policy, review of clinical record, observations, and interview with staff it was determined that the facility failed to administer intravenous (IV) medications in accordance with professional standards of practice for one of twelve residents reviewed (Resident R8). Findings include:Review of facility policy Central Venous Catheter Dressing Change (allows delivery of medications directly into the blood stream) dated May 2011, revealed the Registered Nurse will measure external portion of catheter (ensures that the catheter is properly positioned within the vein) and document in residents electronic medical record and further ensure external measurement is what is documented on the IV insertion records and notify physician of any discrepancies.Review of Resident… […]