Rex Rehab & Nursing Care Center

In the surveyor’s words

From the most serious findings on record at Rex Rehab & Nursing Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 17, 2024

  Based on observations, record review, facility neighbor, resident, and staff and physician interviews the facility failed to provide the necessary supervision to prevent a severely cognitively impaired resident (Resident #52) who was at high risk for falls from exiting the interior of the facility through an unlocked door leading to an enclosed exterior courtyard. On 1/14/24 an individual who resided in a nearby home heard Resident #52 yelling for help and Neighbor #1 and Neighbor #2 crossed over the fence into the facility's courtyard and found Resident #52 dressed in a night gown lying face down on the brick paved ground. Resident #175 was shivering and kept saying I'm so cold. […]

• No harm, potential for more than minimal, patternF661May 17, 2024

  Based on record review and staff interviews the facility failed to complete a recapitulation of stay for 2 of 2 residents reviewed for a planned discharge from the facility to home (Resident #79 and Resident #146). Findings included: 1. Resident #79 was admitted to the facility on [DATE] and discharged home on 3/07/24. The discharge Minimum Data Set, dated dated dated [DATE] revealed Resident #79 was coded as cognitively intact. Review of Resident #79's electronic health record revealed a discharge summary completed by different disciplines dated 3/07/24. […]

• No harm, potential for more than minimal, patternF812Mar 23, 2023

  Based on record review, observation and staff interviews, the facility failed to date food items opened and placed in the walk-in refrigerator and discard expired food items stored for use in 1 of 1 walk-in refrigerator. These practices had the potential to affect food served to residents. The facility also failed to date leftover food items and discard expired food items stored for use in 1 of 3 resident nourishment refrigerators located in the recreation center of the facility. Finding included: 1. On [DATE] at 10:04 a.m. during the initial tour of the kitchen with the Dietary Supervisor, the following food items were observed in the walk-in refrigerator: * Small sandwich size ham slices wrapped in clear plastic wrap dated [DATE]. […]

• No harm, potential for more than minimal, isolatedF578Aug 21, 2025

  Based on record review and staff interviews, facility failed to have accurate advanced directive documentation throughout the medical record for 1 of 5 residents reviewed for advanced directives (Residents #25). The findings included: Resident #25 was admitted to the facility on [DATE] with diagnoses that included chronic kidney disease and hypertension.Her admission Minimum Data Set assessment dated [DATE] revealed Resident #25 was cognitively intact.The electronic medical record profile indicated Resident #25's code status as do not resuscitate. […]

• No harm, potential for more than minimal, isolatedF695May 17, 2024

  Based on observations, record review, staff and Nurse Practitioner interviews, the facility failed to obtain orders for the use of supplemental oxygen for 1 of 1 resident reviewed with oxygen (Resident #133). Findings included: Resident #133 was admitted to the facility on [DATE] with diagnoses which included shortness of breath and acute kidney failure. Resident #133's admission Minimum Data Set was in progress. Review of Resident #133's care plan last updated 5/14/24 revealed a problem for impaired gas exchange. The goal was that the resident maintained adequate gas exchange as evidenced by oxygen saturation within normal limits and absence of hypoxia through the next review. […]