The Five Towns Premier Rehabilitation & Nursing Ce

In the surveyor’s words

From the most serious findings on record at The Five Towns Premier Rehabilitation & Nursing Ce, in the surveyor’s own words.

• Actual harm, isolatedF684Nov 20, 2025

  Based on observation, interviews and record review during an abbreviated survey conducted (complaint# 2633955) the facility failed to ensure one (1) (Resident #1) of three (3) residents received treatment and care in accordance with professional standards of practice and the comprehensive care plan. Specifically, on 09/30/2025, Resident #1 fell out of bed. Registered Nurse Supervisor #1 assessed Resident #1 and assisted lifting them into bed using a Hoyer lift. Registered Nurse Supervisor #1 failed to document the fall in Resident #1's Electronic Medical Record, failed to complete a facility Occurrence Report, failed to notify Physician of the fall, and failed to notify Resident #1's family. […]

• No harm, potential for more than minimal, patternF658Feb 15, 2023

  Based on record review and interviews during the Recertification Survey initiated on 2/9/2023 and completed on 2/15/2023 the facility did not ensure the services provided or arranged by the facility, as outlined by the comprehensive care plan, met professional standards of quality. This was identified for one (Resident #565) of one resident reviewed for insulin usage. Specifically, Resident #565, who had diagnosis of Diabetes Mellitus (DM), had physician's orders to receive insulin as a standing dosage with sliding scale coverage. […]

• No harm, potential for more than minimal, patternF842Feb 15, 2023

  Based on observation, record review, and interviews during the Recertification Survey initiated on 2/9/23 and completed on 2/15/23 the facility did not ensure that resident records were accurately documented in accordance with professional standards of practice. This was identified for one resident (Resident #72) of three residents reviewed for Respiratory Care. Specifically, the facility did not have documented evidence that Colostomy care was provided to Resident #72 as per the facility protocol. The finding is: The facility policy titled Colostomy care dated 9/2022 included to document changes and any unusual observation in the Electronic Medical Record (EMR). […]

• No harm, potential for more than minimal, isolatedF610Jun 25, 2026

  Based on record review and interviews during the survey, the facility failed to ensure that all alleged allegations of abuse, neglect, exploitation, or mistreatment were thoroughly investigated. This was identified for one (Resident #6) of two residents reviewed for accidents. Specifically, Resident #6 had an unwitnessed fall on 11/15/2025 that resulted in injuries. The facility's accident and incident investigation report did not include statements from all staff involved. Additionally, the staff statements that were obtained were inconsistent and did not accurately indicate staff's response to the incident. […]

• No harm, potential for more than minimal, isolatedF580Jun 18, 2026

  Based on record review and staff interviews, the facility failed to ensure that the resident's Designated Representative was notified when the need to start a new form of treatment was identified. This was identified for one (Resident #5) of three residents reviewed for Notification of Change. Specifically, Resident #5 was started on amoxicillin 875 milligrams-potassium clavulanate 125 milligrams (an antibiotic to treat infections) on 08/07/2025 for cough. There was no documented evidence that Resident #5's designated representative was notified of the resident's change in condition and the need to start a new treatment of antibiotic until 08/12/2025.Complaint #2663274The findings include:The facility policy titled, Change in Condition last revised on 05/2026 documented that it is the… […]