Reunion Plaza Senior Care and Rehabilitation Cente

In the surveyor’s words

From the most serious findings on record at Reunion Plaza Senior Care and Rehabilitation Cente, in the surveyor’s own words.

• Immediate jeopardy, patternF689Sep 24, 2025

  Based on observation, interview, and record review the facility failed to ensure residents were free from accident hazards for 3 of 8 residents reviewed for accidents (Resident #1, Resident #2, and Resident #3.) Resident #1 had a fall on the facility van, Van Driver A did not call 911 for assistance, and he did not report the incident to the facility. The resident was not sure of the date or time frame, and the facility could not provide a time frame. Resident #2 complained of Van Driver A's unsafe and erratic driving. Resident #3 was not strapped into the van correctly and her wheelchair tipped over backward which caused her to hurt her head, hand, and arm. This noncompliance was identified as PNC (past non-compliance) Immediate Jeopardy. The noncompliance was corrected prior to entrance. […]

• Immediate jeopardy, isolatedF695Feb 26, 2026

  Based on observation, interview, and record review the facility failed to ensure that residents who need respiratory care are provided with such care, consistent with professional standards of practices for 1 of 1 resident (Resident #5) reviewed for respiratory care related to tracheostomy care.1. The facility failed to ensure LVN A, who worked for a staffing agency, had the needed competencies/knowledge to care for Resident #5 with a tracheostomy prior to attempting to perform tracheostomy (surgical procedure creating an opening (stoma) into the neck into the trachea (tube-windpipe- that allowed air to pass to and from lungs) to establish an airway)) care and suctioning on 2/25/26 and required surveyor intervention for the safety of the resident.2.The facility failed to ensure LVN A… […]

• Immediate jeopardy, isolatedF689Dec 5, 2024

  Based on interview, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 2 of 3 residents reviewed for quality of care (Resident #289 and Resident #290). 1. The facility failed to ensure Resident #289 did not elope from the facility on [DATE]. 2. The facility failed to ensure Resident #290 did not elope from the facility on [DATE] and [DATE] . The noncompliance was identified as PNC. The Immediate Jeopardy (IJ) began on [DATE] and ended on [DATE]. […]

• Immediate jeopardy, isolatedF580Nov 2, 2023

  Based on interview and record review the facility did not notify the physician of a significant change in the physical condition for 1 of 22 resident reviewed for notification of change. (Resident #151) The facility did not notify the physician when Resident #151, who had a history of Acute Respiratory Failure with hypercapnia (too much carbon dioxide in the body), had an oxygen saturation of 88% on [DATE] at approximately 6:30 p.m., had difficulty breathing, and would not keep on their Bipap (non-invasive ventilation breathing support administered through a face mask) mask . The resident was found unresponsive at 11:10 p.m. […]

• Immediate jeopardy, isolatedF678Nov 2, 2023

  Based on interview and record review, the facility failed to provide basic life support, including cardiopulmonary resuscitation (CPR) to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the resident's advance directives for 1 of 1 resident reviewed for CPR. (Resident #151) The facility failed to ensure that staff provided appropriate CPR when LVN O performed CPR on the Resident #151's abdomen and not his chest as indicated by the American Heart Association. This failure resulted in the identification of an Immediate Jeopardy (IJ) on [DATE] at 5:21 p.m. […]