The Blossoms at White River Rehab & Nursing Center

In the surveyor’s words

From the most serious findings on record at The Blossoms at White River Rehab & Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 26, 2025

  Based on observation, record review, and interview, the facility failed to monitor and supervise a severely cognitively impaired resident to prevent elopement, and failed to ensure staff responded promptly to an exit door alarm and thoroughly check the area outside the building after a door alarm sounded for 1 (Resident #1) of 3 sampled residents (Residents #1, #4, and #5) who were at risk for elopement. Consequently, Resident #1 eloped from the facility without staff knowledge, traveled across rough ground, and was found by law enforcement in a dehydrated state. It was determined the facility's past non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. […]

• No harm, potential for more than minimal, widespreadF812Mar 13, 2024

  Based on observation, interview, and record review, the facility failed to ensure spices stored in the cabinet or on a shelf in the storage room were dated for first-in-first out spice rotation; and dietary staff washed their hands before handling clean equipment or food items to prevent the potential for cross contamination for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 50 residents who received meals from 1 of 1 kitchen (Total Census:53). The findings are: 1. On 03/06/2024 at 08:06 AM, the following observations were made in the kitchen: a. A pan of green beans is noted sitting on the stove top uncovered. The green beans were never covered while the initial tour was conducted, exposing it to possible cross-commination. b. […]

• No harm, potential for more than minimal, widespreadF812Dec 15, 2022

  Based on observation and interview, the facility failed to ensure the kitchen and dry storage for residents who received meals from 1 of 1 kitchen; failed to ensure a freezer air vent was functioning properly to prevent ice buildup; failed to ensure frozen food items were kept frozen, expired food items were promptly removed/ discarded by the expiration or use by dates, and foods were dated when received to assure first in first out usage to prevent potential for food borne illness; failed to ensure leftover food items were maintained to promote food quality; failed to ensure Dietary staff washed their hands before handling clean equipment or food items to prevent the potential for cross contamination, and 2 of 2 ice machines were maintained in a clean and sanitary condition. […]

• No harm, potential for more than minimal, widespreadF812Jul 2, 2021

  Based on observation, record review and interview, the facility failed to ensure dietary staff washed their hands before handling clean equipment or food items, foods stored in the refrigerator and freezer were covered, sealed, labeled, and dated; 2 of 2 ice machines and 1 of 2 ice scoop holders were maintained in sanitary condition; expired food items were promptly removed / discarded by the expiration or use-by dates; and hot foods were maintained at or above 135 degrees Fahrenheit on the steam table while awaiting service to prevent potential foodborne illness for residents who received meals from 1 of 1 kitchen. […]

• No harm, potential for more than minimal, patternF609Jun 18, 2026

  Based on record review, document review, interviews, and facility policy review, the facility failed to report an incident of resident-to-resident abuse. Specifically, the facility investigated but did not report to the state survey agency (SSA) within 2 hours, a resident-to-resident altercation in which Resident #63 stabbed Resident #68 with an ink pen in the chest. The findings include: Resident #63 Review of an admission Record indicated the facility admitted Resident #63 on 05/04/2023 with diagnoses that included dementia, with other behavioral disturbance; unspecified psychosis; personal history of traumatic brain injury; personal history of other mental and behavioral disorders; schizoaffective disorder. […]