Reunion Plaza Healthcare & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Reunion Plaza Healthcare & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF628Aug 7, 2025

  Based on interviews and record review, the facility failed to complete a discharge summary that included but was not limited to, (i) A recapitulation of the resident's stay that includes, but was not limited to, diagnoses, course of illness/treatment or therapy, and pertinent lab, radiology, and consultation results; (ii) A final summary of the resident's status; (iii) Reconciliation of all pre-discharge medications with the resident's post-discharge medications (both prescribed and over-the-counter) for one (Resident #58) of four residents reviewed for discharge planning. 1. The facility failed to complete a discharge summary and a reconciliation of medications for Resident #58 for her unplanned discharge to the hospital on [DATE]. […]

• No harm, potential for more than minimal, patternF880Aug 7, 2025

  Based on observations, interviews, and record reviews the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for two (Resident #35 and Resident #25) of five residents, reviewed for infection control.1. The facility failed to ensure CNA A performed hand hygiene while bathing Resident #35. 2. The facility failed to ensure CNA B performed hand hygiene during incontinence care for Resident #25.These failures placed residents at risk for healthcare associated cross contamination and infections.Findings included: 1. […]

• No harm, potential for more than minimal, isolatedF585Aug 7, 2025

  Based on observations, interviews, and record review, the facility failed to notify residents or their representatives on how to file a grievance in an anonymous manner, and the information of who the facility named as the Grievance Official for 2 residents (Resident #27 and Resident #43) out of 7 residents interviewed for grievances.1.The facility failed to notify Residents or their representatives either individually or through prominent postings throughout the facility on how to file a grievance or complaint in an anonymous manner. 2.The facility failed to follow their grievance policy by providing the correct information as to who the facility identified as the Grievance Official for Resident #27 and Resident #43. […]

• No harm, potential for more than minimal, isolatedF677Aug 7, 2025

  Based on observation, interview and record review, the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for one (Resident #35) of four residents reviewed for ADL care. 1. The facility failed to ensure CNA A thoroughly cleaned the vaginal area and feet of Resident #35 when he provided the resident with a bath on 08/05/25. This failure could place residents at risk for a skin breakdown and infection.Findings included: 1. Review of Resident #35's Quarterly MDS Assessment, dated 05/18/25, reflected the resident was a [AGE] year-old male admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF842Aug 7, 2025

  Based on observation, interview and record review, the facility failed to maintain medical records on each resident that are complete and accurately documented for 1 (Resident #7) of 5 residents reviewed for medical records. The facility failed to ensure Resident #7's medical records contained the results of the preadmission PASRR Level 1 screening and subsequent evaluations and determinations in accordance with accepted professional standards and practices. This failure could place the residents at risk of not achieving their person-centered plan of care objectives and goals. […]