Rehabilitation Centers of Independence West Campus

In the surveyor’s words

From the most serious findings on record at Rehabilitation Centers of Independence West Campus, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Nov 6, 2025

  Based on observation, clinical record review, staff interviews, and facility policy review, the facility failed to provide supervision for an ambulatory cognitively impaired resident for 1 of 2 residents identified by the facility as an elopement risk (Resident #1). On 10/17/25 around 8:11 PM, Resident #1 went out the B-wing door, walked down the facility sidewalk, across the facility graveled parking lot, across a residential street, across a hospital parking lot and into the hospital ambulance garage. The Emergency Medical Service (EMS) Personal contacted the facility to inform them that the resident was at the emergency room entrance at 8:32 PM. The facility had been unaware the resident had eloped (ran away) until contacted by the Emergency Personal. […]

• Immediate jeopardy, isolatedF684Jan 8, 2024

  Based on clinical record review, staff and provider interviews, and policy review the facility failed to contact the provider, and provide intervention for health condition changes noted with a pre-dialysis assessment prior to transfer to a scheduled dialysis appointment on [DATE] for 1 of 3 residents reviewed (Resident #1) who was assessed as lethargic, pulse of 47, and pulse oximeter (oxygen level) 87% on room air. Resident had been diagnosed with Covid-19 on [DATE] and had been experiencing loose stools, lack of appetite, weakness, and confusion. […]

• No harm, potential for more than minimal, patternF725Apr 1, 2026

  Based on observation, resident and staff interviews, review of the facility computerized call light response times, and facility policy review, the facility failed to answer resident call lights in a timely manner for four of five residents reviewed. (Resident #4, #5, #6, #7).The facility reported a census of 56 residents. Findings include:1.The MDS (Minimum Data Set) dated 3/3/2026 reported Resident #4 had no cognitive impairment and had diagnoses including compression fracture, anxiety and diabetes. The resident transferred from one surface to another with staff assistance and a stand up lift. Observation on 3/31/2026 revealed the resident's call light on from approximately 7:37 a.m. until 8:00 a.m. At 7:55 a.m. […]

• No harm, potential for more than minimal, patternF584Aug 12, 2025

  Based on observation, staff interview, and resident interview, the facility failed to maintain a clean, comfortable and homelike environment. The facility reported a census of 56 residents. Findings include: 1. Observation on 8/11/2025 at 9:00 A.M. included: a. A Hall - Wall paper border above hand rail partially removed, peeling in multiple areas. Hall carpet with a large amount of dark stains and blackened colored areas. b. A Hall - room [ROOM NUMBER], #5 - Room carpet with moderate amount of dark stains. c. C Hall - room [ROOM NUMBER], #27, #36 - Room carpet with moderate amount of dark stains. 2. Observation on 8/11/25 at 8:15 A.M. […]

• No harm, potential for more than minimal, patternF800Nov 14, 2024

  Based on observation, record review, resident and staff interview, the facility failed to provide each resident with a palatable, well balanced diet that takes into consideration the preferences of each resident. (Resident #14). During an observation of a meal, the facility failed to maintain cold foods below 41 degrees, obtain temperatures and serve the correct portion size of pureed meals. The facility reported a census of 48 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] identified Resident #14 as cognitively intact with a BIMS (Brief Interview for Mental Status) score of 15 out of 15 and had the following diagnoses: Diabetes Mellitus, Arthritis, and [NAME]-[NAME] Syndrome. […]