The Encore Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at The Encore Healthcare and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF689Sep 7, 2022

  Based on interviews, observations and record reviews, the facility failed to ensure a resident was free from accidents hazards during a mechanical lift transfer for 1 (#1) out of 5 (#1, #2, #3, #4 and #5) sampled residents who required two-person transfer with a mechanical lift. The deficient practice resulted in an actual harm for Resident #1 on 7/26/22 at 6:00 a.m., when S3RA (Resident Assistant) used a mechanical lift to transfer the resident from the bed to the chair, from the chair to the shower bed, and from the shower bed to the chair without the assistance of another person. Resident #1 fell from the lift sling during the transfer from the shower bed to the chair and landed on the floor in the shower room hitting the back of his head. […]

• No harm, potential for more than minimal, patternF656Jul 23, 2025

  Based on record review and interview, the facility failed to develop a person-centered comprehensive plan of care for 3 (#9, #73, #75) out of a final sample of 37 residents as evidenced by:1. Failing to develop a plan of care for Resident #9's hospice status, and;2. Failing to develop a resident centered comprehensive care plan for Resident #73 and #75.On 07/23/2025, a review of the facility's policy titled, Care Plan Policy and Procedure with a last reviewed date of 02/09/2025 read in part; A comprehensive person-centered care plan will be completed according to the RAI (Resident Assessment Instrument) manual upon admission, significant change, annual and as needed. […]

• No harm, potential for more than minimal, patternF640Jun 20, 2024

  Based on record review and interview, the facility failed to ensure a Discharge Minimum Data Set (MDS) assessment was completed timely for 1(Resident #38) out of 35 sampled residents investigated. Findings: Resident #38 was admitted to the facility on [DATE] with diagnoses including Cord Compression, Aural Vertigo, Spinal Stenosis, Diabetes Mellitus, Hypertension, and Displaced Fracture of Right Femur. Review of Resident #38's medical record, revealed Resident #38 was admitted on [DATE] and discharged from the facility on 02/19/2024. Review of Resident #38's Discharge MDS assessment dated [DATE], revealed a transmission date of 06/20/2024. On 06/20/2024 at 12:30 p.m., an interview was conducted with S9MDSLPN. […]

• No harm, potential for more than minimal, patternF842Jun 20, 2024

  Based on record review and interview, the facility failed to ensure accuracy of the documentation entered into the resident's record for 2 (#35, #71) residents in a final sample of 35 residents evidenced by: 1. inaccurately documenting a presence of a PEG (Percutaneous Endoscopic Gastrostomy) tube for Resident #35; 2. the nurse failing to document the correct reason as to why Resident #71 did not receive a scheduled medication, and another nurse failing to document that Resident #71 received an antibiotic injection immediately after administration per the facility's policy for medication administration. Findings: 1. […]

• No harm, potential for more than minimal, patternF726May 24, 2023

  Based on observation, interview and record review, the facility failed to ensure sufficient nursing staff with the appropriate competencies and skills set to provide nursing services to assure resident safety and attain the highest practicable physical well-being. This was evidenced when: 1. S8LPN (Licensed Practical Nurse) failed to write standing orders into Resident #12's electronic record, failed to document that a PRN (as needed) pain medication had been administered, failed to assess the resident's pain level prior to administration of the PRN medication, and failed to conduct a follow up evaluation of effectiveness of the PRN pain medication; 2. […]