Skytop View Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Skytop View Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF761Jun 16, 2022

  Based on observation, interview and record review the facility failed to label and store all medications available for use in accordance with professional standards in 2 out of 2 medications carts reviewed. Findings: During an observation conducted on 6/14/22 at 8:22 AM with Staff A, Licensed Practical Nurse (LPN) medication cart #1 contained one opened [MEDICATION(S)] insulin pen with no date opened or expiration date, and two [MEDICATION(S)] insulin pens unopened with a label from the pharmacy to refrigerate until opened. […]

• No harm, potential for more than minimal, widespreadF761Jan 7, 2021

  Based on observation, interview, and policy and procedure review the facility failed to ensure all drugs and biologicals used in the facility were stored and labeled in accordance with current professional standards for 3 of 3 medication carts and 1 of 1 medication storage rooms. Findings: During an observation of Medication Cart #1 on 1/5/2021 at 9:05 AM with Staff A, LPN (Licensed Practical Nurse) it showed one bottle of Regular Insulin for Resident #8 that is unopened and unrefrigerated, one [MEDICATION NAME] IM (intramuscular) injection without the original pharmacy packaging and unlabeled with a resident identifier. During an interview conducted on 1/5/2021 at 9:15 AM with Staff A, LPN she stated, This insulin should be refrigerated until we open it. I'm not sure why it isn't. […]

• No harm, potential for more than minimal, patternF695Jun 16, 2022

  Based on observation, interview, and record review the facility failed to provide respiratory care services in accordance with professional standards of practice for 4 of 7 residents, Residents #12, #68, #118, and #119, reviewed for oxygen administration and respiratory equipment. Findings: 1. During an observation on 6/14/2022 at 9:44 AM Resident #119 was observed sitting at the bedside with oxygen being administered at 2 liters per minute by nasal cannula. Review of the medical record for Resident #119 documented the resident was admitted to the facility on [DATE] with the following Diagnoses: [MEDICAL RECORD OR PHYSICIAN ORDER] }, history of falling, fracture of third thoracic vertebra, pulmonary embolism (a blood clot) without acute cor pulmonale (a form of sudden right sided heart… […]

• No harm, potential for more than minimal, isolatedF757Dec 16, 2025

  Based on interview and record review, the facility failed to ensure physician ordered medication parameters were followed for adequate indications for use, resulting in the administration of unnecessary medications for 1 of 3 residents, Resident #1, reviewed for unnecessary pain medications. Findings include: Review of Resident #1's admission record documented diagnosis of atherosclerotic heart disease of native coronary artery(heart disease) without angina pectoris (chest pain), fibromyalgia (a disorder of pain processing causing chronic widespread pain), essential (primary) hypertension (high blood pressure), major depressive disorder, recurrent, unspecified, anxiety disorder unspecified, personal history of pulmonary embolism (a blood clot in the lung), personal history of malignant… […]

• No harm, potential for more than minimal, isolatedF695Mar 5, 2025

  Based on observation, interview, and record review the facility failed to ensure respiratory care services were provided for oxygen administration for 1 of 3 Residents, Resident #5, reviewed for respiratory services. Findings include: Record review of Resident #5's clinical record documented the resident was admitted with diagnosis that included: anemia, atherosclerosis heart disease, pulmonary hypertension, and chronic obstructive pulmonary disease. Review of Resident #5's physician orders dated 3/3/2025 read, Oxygen at 4LPM [liters per minute] via NC [nasal cannula] every shift. Review of Resident #5's care plan dated 2/6/2025 read, Focus: The resident has oxygen therapy r/t [related to] COPD [chronic obstructive pulmonary disease]. […]