Stellar Care Center

In the surveyor’s words

From the most serious findings on record at Stellar Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF690Sep 30, 2025

  Based on record review, review of hospital records, facility policy review and interviews, the facility failed to develop and implement comprehensive and individualized suprapubic catheter (a tube inserted into the bladder through a small cut in the lower abdomen (just above the pubic bone) to drain urine for resident's who can't pass urine normally through the urethra) care/interventions to prevent complications resulting in an acute change in medical condition and hospitalization. This resulted in Immediate Jeopardy and Actual Harm on 09/21/25 when Resident #05 was transferred to a local hospital and then life-flighted to a higher acuity hospital and admitted to the intensive care unit for treatment of sepsis and acute kidney injury secondary to a urinary tract infection. […]

• Immediate jeopardy, isolatedF684Jul 29, 2024

  Based on closed and open medical record review, hospital record review, review of patient handout information from Medscape.com, emergency medical services (EMS) records, policy review and interviews the facility failed to provide comprehensive, resident centered care to adequately manage and prevent worsening of cardiac conditions for Resident #50. This resulted in Immediate Jeopardy and serious life-threatening harm/death for Resident #50, who was admitted to the facility on [DATE] with a history of chronic heart failure, cardiomyopathy, ventricular tachycardia (with an implanted defibrillator), atrial fibrillation, hypertension, and hypokalemia (low blood potassium level) when the resident did not receive the correct physician ordered dose of diuretics or antiarrhythmic medications for… […]

• Actual harm, isolatedF684May 15, 2026

  Based on record review, hospital record review, facility policy review and interview, the facility failed to timely identify a decline in condition and obtain medical intervention for Resident #26 following an injury sustained because of a fall. This affected one (Resident #26) of four residents reviewed for skin conditions.Actual harm occurred on 04/04/26 when Resident #26 complained of pain and had a decline in the ability to transfer. There was no thorough assessment completed to ensure the resident was provided timely and necessary treatment/medical intervention because of this change in condition. On 03/27/26 Resident #26 had sustained an unwitnessed fall. […]

• No harm, potential for more than minimal, widespreadF836May 15, 2026

  Based on record review and interview, the facility failed to ensure the food license was renewed timely. This had the potential to affect 31 of 31 residents residing in the facility. The facility census was 31.Findings include: Review of an email from the Administrator to Corporate Accounts Payable dated 02/12/26 revealed the Administrator sent the appropriate food license application to the corporate office and requested payment be sent to the local health department to renew the building's food service license.Review of a Food Service Operation License revealed it was issued on 03/06/26 and would expire 03/01/27.Review of an additional food license application revealed it was completed on 03/11/26 and had a late fee of $110.00 applied to the renewal fee. […]

• No harm, potential for more than minimal, widespreadF812Jan 28, 2026

  Based on observation, interview, and record review the facility failed to ensure foods were stored under sanitary conditions. This had the potential to affect all residents residing in the facility. The census was 36. Findings include:Observation on 01/20/26 at 8:38 A.M. during the initial tour of the facility kitchen revealed a walk-in white refrigerator. Upon entry to the refrigerator a foul odor was noted. Upon inspection under the shelf in the right corner a rotten apple, an old onion, open cheese slice, and an unidentifiable rotted item.Interview and observation on 01/20/26 at 8:48 A.M. […]