Restore Health Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Restore Health Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF761Sep 21, 2022

  Based on observation, staff interviews, and review of medical record documentation it was determined that the facility failed to maintain a safe and effective system for securing medication, treatment supplies, and hazardous medical equipment in their designated carts on nursing units with residents with documented cognitive deficits and wandering behaviors. This practice was noted on 8/31/22 and included five (5) medication/treatment carts that were observed unlocked and unattended. The facility's failure to secure medications and treatment supplies was evident throughout the facility's two (2) nursing units. The deficient practice was observed on 4 out of 4 medication carts and 1 of 3 treatment carts. Additionally, the facility failed to ensure that 2. […]

• Actual harm, isolatedF689Apr 3, 2026

  Based on record review and staff interviews, the facility failed to ensure adequate supervision and safe positioning during activities of daily living (ADL) care for a dependent resident who required staff assistance with bed mobility. This deficient practice was determined to be past noncompliance that resulted in the resident falling from the bed during care and sustaining multiple fractures for 1 of 3 sampled residents (Resident #7). Findings:Resident #7 was admitted to the facility with diagnoses including fracture of right humerus, chronic heart failure, atrial fibrillation, anemia, hypertension, chronic pain, obesity, and osteoarthritis.Review conducted on 3/31/26 at 5:46 PM of the quarterly Minimum Data Set (MDS) assessment dated [DATE], completed by the MDS Coordinator, revealed… […]

• No harm, potential for more than minimal, widespreadF760Sep 21, 2022

  Based on review of resident medical records and interview with facility staff, it was determined that the facility failed to ensure that residents' medications were documented at the time of administration, including high risk medications, resulting in a consistent and widespread pattern of medications being documented inaccurately and hours after they were due. This involved multiple staff on all shifts and on both units. This was evident for 5 (Residents #21, #61, #35, #25, and #73) out of 5 residents reviewed in detail for timely medication administration but was also noted in every medication administraion record (MAR) seen during the survey. This practice has the potential to impact all residents. Documentation is an integral part of medication administration. […]

• No harm, potential for more than minimal, patternF684Apr 3, 2026

  Based on observation, record review, and staff interviews, the facility failed to provide necessary care and services to maintain the highest practicable physical well-being of residents by failing to ensure complete and thorough bathing and hygiene care and failing to provide an alternative method for showering when residents were unable to use a shower chair, for 3 of 3 sampled residents (Resident #9, Resident #10, and Resident #17).Findings: Resident #10 was admitted to the facility on [DATE] with diagnoses of Parkinson's disease, epilepsy, bipolar disorder, hypertension, polyneuropathy, low back pain, muscle spasm, dementia, hypothyroidism, chronic pain, hyperlipidemia, GERD, and anxiety. […]

• No harm, potential for more than minimal, patternF842Apr 3, 2026

  Based on record review and staff interviews, the facility failed to ensure that resident records were accurate and reflected the care and services provided, by documenting that showers were provided when staff interviews revealed that showers were not performed, for 2 of 3 sampled residents (Resident #9 and Resident #17).Findings included:Resident #17 was admitted to the facility on [DATE] with diagnoses of hemiplegia, polyneuropathy, benign prostatic hyperplasia, hypertension, pain, depression, and atrial fibrillation.Review conducted on 4/2/26 at 12:52 PM of the quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated that Resident #17 was moderately impaired and dependent on shower/bathe self (the ability to bathe self, including washing, rinsing, and drying self; excludes… […]