Rehab & Healthcare Center of Cape Coral

In the surveyor’s words

From the most serious findings on record at Rehab & Healthcare Center of Cape Coral, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jan 13, 2023

  Based on observation, record review, review of surveillance camera video recording, review of the facility's abuse and neglect policy and procedure, resident representative and staff interview, the facility failed to protect residents' right to be free from neglect. The facility failed to closely supervise 1 (Resident #1) of 1 vulnerable resident with known exit seeking behavior and previous attempt at leaving the facility without staff knowledge. On 12/29/22 at approximately 10:24 p.m., Resident #1 who was cognitively impaired, and had a wander alarm followed a Physical Therapist through the front door of the facility, setting off the wander alarm. The Physical Therapist did not respond to the alarm and did not make sure the door was completely closed. […]

• Immediate jeopardy, isolatedF689Jan 13, 2023

  Based on observation, record review, review of surveillance camera video recording, Resident representative and staff interviews, the facility failed to adequately supervise 1 (Resident #1) of 1 cognitively impaired resident with exit seeking behaviors to prevent unsafe wandering and elopement. Resident #1 was a vulnerable adult and was dependent on staff for appropriate supervision due to cognitive impairment. On 12/29/22 at approximately 10:24 p.m., Resident #1 who was independently mobile, had a wander alarm, and was care planned for active exit seeking followed a Physical Therapist through the front door of the facility setting off the wander alarm. […]

• No harm, potential for more than minimal, patternF558May 13, 2025

  Based on observation, residents and staff interviews, the facility failed to ensure reasonable accommodation of needs by failure to ensure the call light was within reach to request assistance as needed for 9 (Residents #900, #1000, #1001, #20, #12, #89, #10, #1002, and #1004 ) of 18 sampled residents The findings included: On 5/12/25 at 8:45 a.m., during an initial tour of the facility the following observations were made: 1. Resident #900's room. The call light was hooked to a metal bracket that contained a box of gloves, on the wall behind the head of the bed. In an interview, Resident #900 said he did not know where the call light was. Photographic evidence obtained. 2. Resident #1000's room. Resident #1000 was observed sleeping in bed. […]

• No harm, potential for more than minimal, patternF600May 13, 2025

  Based on record review, review of facility's policies and procedures, and staff interviews, the facility failed to protect residents' rights to be free from neglect by failing to provide the necessary care and services to maintain personal hygiene for 3 (Resident #999, #89, and #27) of 5 sampled residents. The findings included: The facility policy Abuse Prevention Program documented The facility has designated and implemented processes, which strive to reduce the risk of . neglect . The policy defined neglect as, Failure to provide goods and services necessary to avoid physical harm, mental anguish or mental illness. The facility Policy Documentation for CNA'S (Certified Nursing Assistants) instructed CNA's to Document what you did for the resident (assisting with ADL's). 1. […]

• No harm, potential for more than minimal, patternF825May 13, 2025

  Based on review of the clinical record and staff interviews, the facility failed to provide specialized rehabilitative services as directed by the plan of care for 1(Resident #999) of 3 residents for rehabilitative services. The findings included: Review of the clinical record revealed Resident #999 had an admitted [DATE]. Diagnoses included cerebral vascular accident with left hemiparesis (weakness of one side of the body). On 5/12/25 at 1:35 p.m., in a telephone interview a family member said Resident #999 did not receive therapy during his stay at the facility. Review of the plan of care initiated 4/23/25 revealed Resident #999 had an activities of daily living self-care performance deficit. […]