The Springs Healthcare and Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, patternF880Jan 4, 2021

  Based on observation, interview and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe and sanitary environment and to help prevent the development and transmission of communicable diseases and infections for 100 of 100 residents (Residents 1, 2, 3, 4, 5, 6, 7, 8, 9 ,10 ,11 ,12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 41, 43, 44, 45,46, 47, 48, 49,50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100) reviewed for infection control. A. […]

• Immediate jeopardy, isolatedF635Oct 12, 2023

  Based on interview and record review, the facility failed to ensure the residents had physician orders for the resident's immediate care for one (Resident #1) out of 15 residents reviewed for physician orders. A nurse failed to transcribe NP telephone orders for Resident #1, a new admission with a diagnosis of diabetes, for accu-checks to the residents EMR to receive the necessary care and services upon admission. Resident #1 was sent to the hospital for a change of condition, his BS level was 498. An IJ was identified on 10/11/2023. The IJ Template was provided to the facility on [DATE] at 04:05 p.m. […]

• Actual harm, isolatedF689Jun 6, 2026

  Based on record review and interview, the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent accidents for 1 of 2 residents reviewed for accidents (Resident #1). The facility failed to ensure the side rails were up and locked in place on shower bed and CNA D did not shower Resident #1 with the assistance of a second staff, per the care plan, on 5/21/26. Resident #1 fell from the shower bed and hit her head which caused an injury requiring 4 staples. This deficiency could expose residents to harm and injury, due to not being adequately assisted. Finds include: Record review of Resident #1's face sheet reflected a [AGE] year-old female who was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF761Jan 5, 2024

  Based on observation, interview and record review the facility failed to ensure all drugs and biologicals were labeled and stored in accordance with currently accepted professional principles for 1 of 2 medication storage rooms (Transition Care Unit Storage room) and 4 of 5 medication carts (600 Hall MA cart, 600 Hall Nurse cart, 300 Hall Nurse cart, 400/500 Hall MA cart) reviewed. The facility failed to ensure expired medications were removed, food products were not in the carts and failed to ensure the carts were clean of potential contaminants. […]

• No harm, potential for more than minimal, widespreadF812Jan 5, 2024

  Based on observation, interview and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchens reviewed for food storage and sanitation. The facility failed to ensure all foods were properly covered, labeled, dated and discarded. The facility failed to ensure chemicals were not stored near food items. The facility failed to ensure the trash can was covered when not in use. The facility failed to ensure CK N washed her hands in between tasks. The facility failed to ensure sanitized the food processor after washing it. These failures placed residents at risk for foodborne illness. Findings included: An observation of the kitchen's walk-in refrigerator on 1/03/2024 at 8:17 a.m. […]