Shelby Skilled Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Shelby Skilled Nursing and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF837Sep 22, 2023

  Based on review of an employee file, review of Board of Executives of Long-Term Services and Supports (BELTSS) website and staff interview, the facility failed to ensure an Administrator of the facility had an active license through BELTSS while employed at the facility from [DATE]-[DATE]. This had the potential to affect all 35 residents residing in the facility. The facility census was 35. Findings include: Review of the employee record for former Administrator #94 revealed a hire date of [DATE]. Review of former Administrator #94's employee record revealed the staff served as facility Administrator from [DATE] to [DATE]. Further review of the employee record revealed no documentation to support former Administrator #94 had an active Nursing Home Administrator license. […]

• No harm, potential for more than minimal, isolatedF689Dec 1, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, staff interviews, review of the facility fall investigation report, and policy review, the facility failed to ensure a neurological evaluation were timely initiated after a resident fall with reported head injury. This affected one (#02) out of the three residents reviewed for falls. The facility census was 44. Findings include: Review of the medical record for Resident #02 revealed an admission date of 09/04/25 with medical diagnoses of acute respiratory failure, anemia, Alzheimer's disease, heart failure, and hypertension. […]

• No harm, potential for more than minimal, isolatedF580Aug 28, 2024

  Based on medical record review, staff interview, and facility policy review, the facility failed to notify a physician of resident's weight loss. This affected one (#13) of two residents reviewed for nutrition. The census was 46. Findings include: Review of medical record for Resident #13 revealed admitted [DATE]. The resident was admitted with diagnoses including nontraumatic subarachnoid hemorrhage, hypothyroidism, epilepsy, history of Hodgkin lymphoma, and stroke. The resident was documented as hospitalized on [DATE] and returned on 08/14/24, and had a second hospitalization on [DATE] and returned on 08/23/24. […]

• No harm, potential for more than minimal, isolatedF684Aug 28, 2024

  Based on medical record review and staff interview, the facility failed to timely implement treatment of a wound. This affected one (#13) of 12 residents reviewed for treatments. The facility census was 46. Findings include: Review of the medical record for Resident #13 revealed an admitted [DATE]. The resident was admitted with diagnoses including nontraumatic subarachnoid hemorrhage, hypothyroidism, epilepsy, history of Hodgkin's Lymphoma and stroke. The resident remained in the facility. […]

• No harm, potential for more than minimal, isolatedF692Aug 28, 2024

  Based on observation, resident and staff interview, medical record review, and facility policy review, the facility failed to provide timely interventions to address resident weight loss. This affected one (#13) of two residents reviewed for nutrition. The census was 46. Findings include: Review of the medical record for Resident #13 revealed an admitted [DATE]. The resident was admitted with diagnoses including nontraumatic subarachnoid hemorrhage, hypothyroidism, epilepsy, history of Hodgkin lymphoma, and stroke. The resident was documented as hospitalized on [DATE] and returned on 08/14/24 and had a second hospitalization on [DATE] and returned on 08/23/24. […]