Rehabilitation Center of Independence, The

In the surveyor’s words

From the most serious findings on record at Rehabilitation Center of Independence, The, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Apr 14, 2021

  Based on interview and record review, the facility failed to follow discharge orders including daily weights, failed to follow subsequent physician's orders for weekly weights, failed to get clarification on conflicting orders for obtaining weights, and failed to notify the physician of excessive weight gain which resulted in one closed record sampled resident (Resident #501) who gained a total of 112.5 pounds (lbs.) from 1/7/21 to 2/1/21 and failed to follow physician orders including daily weights and notifying the physician of weight changes for one sampled resident (Resident #84) out of 22 sampled residents and 16 closed record sampled residents. The facility census was 95 residents. The Administrator was notified on 5/27/21 at 12:46 P.M. […]

• Immediate jeopardy, isolatedF689Apr 14, 2021

  Based on observation, interview, and record review, the facility failed to ensure an unwitnessed injury, to the second finger of a resident who was severely cognitively impaired was thoroughly investigated and to immediately put interventions in place to prevent further injury. Within less than 30 days the resident sustained a similar injury to his/her third finger. The facility failed to thoroughly investigate the second injury and failed to immediately put interventions in place to prevent further injury. This affected one sampled resident (Resident #97) out of 22 sampled residents. The facility census was 95 residents. The Administrator was notified on 5/27/21 at 12:46 P.M. of an Immediate Jeopardy (IJ) which began on 4//5/21. […]

• Immediate jeopardy, isolatedF760Apr 14, 2021

  Based on observation, interview, and record review, the facility failed to ensure a resident who was severely cognitively impaired received Antibiotic Therapy (ABT) as prescribed for an injury to his/her index (second) finger. The resident's index finger became infected with two infections resulting in the need to partially amputate the resident's index finger. Following the amputation, the resident was placed on two antibiotic medications and the facility failed to ensure the resident received the ABT as prescribed or to contact the physician when the resident refused the medication. This affected one resident (Resident #97) out of 22 sampled residents. […]

• Actual harm, isolatedF684Jan 10, 2025

  Based on interviews and a review of medical records, the facility failed to identify and implement the necessary care and services to address the needs of diabetic residents. Specifically, facility staff failed to: 1. Recognize and appropriately respond to signs and symptoms of hyperglycemia, such as changes in mental status, feelings of anger, excessive hunger, excessive thirst, and frequent urination. 2. Implement blood glucose monitoring as ordered by the medical provider. Failed to transcribe and/or verify insulin orders and blood glucose monitoring with the physician upon admission. 3. Administer insulin as ordered by the medical provider resulting in the resident becoming physically and verbally combative, excessively hungry, resulting in hypoglycemia and a blood sugar of 541. […]

• Actual harm, isolatedF600Jun 13, 2023

  Based on observation, interview, and record review, the facility failed to ensure one sampled resident (Resident #18) was free from resident to resident abuse. On 5/31/23 around 2:00 A.M., Resident #78 struck Resident #18 with a wooden back scratcher resulting in multiple bruises to his/her face, arms, legs, and lower rib cage; a broken left pinky finger; and laceration to his/her head that required 5 staples. The facility census was 91 residents. Review of the undated Facility Abuse and Prohibition Program policy showed: -The purpose of the policy included ensuring a standardized methodology for the prevention of abuse. -Each resident had the right to be free from abuse. -The facility was committed to protecting the residents from abuse by anyone. 1. […]