The Heritage At Lowman Rehab And Healthcare

In the surveyor’s words

From the most serious findings on record at The Heritage At Lowman Rehab And Healthcare, in the surveyor’s own words.

• Actual harm, isolatedF689May 14, 2024

  Based on interviews, record review, and review of facility policy, the facility failed to maintain resident safety from harm for 1 of 1 resident. Specifically, while providing incontinent care to Resident (R)1 on 04/01/24, staff walked away from R1, resulting in R1 falling to the floor and suffering a hematoma of the scalp, skin tear and hematoma over the right elbow/forearm, and acute closed fracture of the tibia and fibula. Findings include: Review of the facility policy titled Falls with a revision date of 04/04/22 revealed, the facility will identify each patient/resident who is at risk for falls and develop and implement a plan of care. Qualified staff will complete a Fall Risk Evaluation to determine if the patient/resident is a fall risk. […]

• No harm, potential for more than minimal, widespreadF812Dec 9, 2025

  Based on observation, record review, interview, and review of facility policy, the facility failed to maintain safe temperatures in 4 of 4 refrigerators in the nourishment rooms on the units. This failure has the potential to cause harm by increasing the risk of foodborne illnesses.Findings include: Review of the facility policy titled Refrigerators and Freezers with a revised date of December 2022 documented: This facility will ensure safe refrigerator and freezer maintenance, temperatures, and sanitation, and will observe food expiration guidelines. 1. Acceptable temperature ranges are 35 degrees F to 40 degrees F for refrigerators and less than 0 degrees F for freezers. 2. Monthly tracking sheets for all refrigerators and freezers will be posted to record temperatures. 3. […]

• No harm, potential for more than minimal, patternF761Dec 9, 2025

  Based on review of the facility policy, observation and interview, the facility failed to ensure outdated/expired medications were removed from the medication carts and not stored with other medications in use for residents in 3 of 8 medication carts.Findings include:Review of the facility policy titled Storage of Medications states: The facility stores all drugs and biologicals in a safe, secure, and orderly manner . 3. The nursing staff is responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner . 8. UNOPENED INSULIN VIALS/PENS SHOULD REMAIN REFRIGERATED UNTIL USE; once in use. […]

• No harm, potential for more than minimal, patternF758Sep 4, 2024

  Based on interview and record review the facility failed to ensure trigger behaviors were identified for the use of an antipsychotic medication for one resident (Resident (R) 40) and failed to ensure psychotropic medications had an end date for three residents (R71, R10, R57). This failure placed the residents at risk of unmet care needs and a diminished quality of life. Findings include: 1. Review of the Face Sheet located in the Admission tab of the electronic medical record (EMR) revealed R40 was admitted to the facility on [DATE] with diagnoses that included Parkinson's disease (a neurological disease) and dementia. […]

• No harm, potential for more than minimal, patternF883Sep 4, 2024

  Based on interview, record review, and review of facility policy, the facility failed to ensure pneumonia vaccinations were offered and/or provided for three of five residents (Residents (R) 25, R43, and R100) reviewed for immunizations of 30 sample residents. This failure placed the residents at risk for pneumonia. Findings include: Review of facility's policy titled, Vaccination of Residents, dated April 2023, revealed .All residents will be offered vaccines that aid in preventing infectious diseases unless the vaccine is medically contraindicated, or the resident has already been vaccinated . […]