Schnepp Senior Care and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jul 8, 2026

  Based on observations, interviews, and record review, the facility failed to 1) provide adequate supervision/assistance and implement meaningful interventions to prevent falls and injuries for one Resident (R24) of four Residents reviewed for falls, resulting in R24 fractures and R68 having multiple unsupervised falls 2) safely transfer 1 Resident (R76) of 1 Resident reviewed for lift transfers. Findings include: R24 Review of an admission Record revealed R24 initially admitted to the facility on [DATE] with pertinent diagnoses which included anxiety, nondisplaced fracture, and chronic pain. Review of an Incident Report for R24 dated 6/4/2026, revealed R24 was observed on her bedroom floor with her back leaned against her bed. […]

• Actual harm, isolatedF600Aug 13, 2025

  Citation related to intake #2575541Based on interview and record review, the facility failed to prevent physical abuse and neglect for two residents (R4, R6) of three residents reviewed for abuse, resulting in emergency hospitalization, injury and fearfulness. Findings include: Resident #4 (R4)Review of an admission Record revealed R4 was a [AGE] year-old male, originally admitted to the facility on [DATE], with pertinent diagnoses of dementia, Parkinson's disease, and type 2 diabetes. Review of a Brief Interview for Mental Status (BIMS) dated 7-25-25, reflected a score of 0 out of 15 which indicated severe cognitive impairment. […]

• Actual harm, isolatedF684Feb 14, 2024

  This citation pertains to intake # MI00142627 and MI00142701 Based on interview and record review, the facility failed to provide safe standards of care for a dependent resident (R2) of 2 Residents reviewed for death, resulting in R2 falling out of bed when she was being provided care and sustaining lacerations and fractures that resulted in her subsequent death. Finding included: Review of R2's face sheet revealed she was a [AGE] year-old female admitted to the facility on [DATE] and had diagnoses that included: chronic kidney disease, dementia, adjustment disorder, dysphagia (difficulty swallowing), osteoarthritis and osteoporosis (weak bones). R2 was her own responsible party. […]

• No harm, potential for more than minimal, patternF880Jul 8, 2026

  Based on observation, interview, and record review, the facility failed to 1) ensure appropriate hand hygiene during perineal care and 2) ensure full implementation of their water management plan.Findings include: R35 Review of an admission Record revealed Resident 35 (R35) originally admitted to the facility on [DATE] with pertinent diagnoses which included diabetes and multiple sclerosis. In an observation and interview on 7/7/2026 at 11:40 AM in R35's room, Certified Nursing Assistant (CNA) A donned gloves and gown prior to assisting R35 off the bedpan and performing perineal care. CNA A used wet wipes to clean stool from R35's anal area after removing the bedpan and a large amount of feces. Without changing gloves or performing hand hygiene, CNA A then performed perineal care. […]

• No harm, potential for more than minimal, patternF658Aug 13, 2025

  Based on interview and record review, the facility failed to assess for physician ordered parameters during medication administration for one of three residents (Resident #7), reviewed for professional standards. Findings:Resident #7 (R7)Review of an admission Record revealed R7 was an [AGE] year-old male, originally admitted to the facility on [DATE], with pertinent diagnoses of dementia, high blood pressure, type 2 diabetes, and chronic kidney disease stage 3. A Brief Interview for Mental Status (BIMS) completed 7-29-25 revealed a score of 11 out of 15 that reflected moderate cognitive impairment. Review of a physician order summary for R7 revealed an order for Metoprolol 25 MG (milligrams) 1/2 tab in the morning for high blood pressure. […]