Town & Country Health & Rehab

In the surveyor’s words

From the most serious findings on record at Town & Country Health & Rehab, in the surveyor’s own words.

• Immediate jeopardy, widespreadF689May 22, 2025

  Based on record review, observations and interviews, the facility failed to have a system in place to ensure coffee was served to residents at a safe temperature to prevent burn injuries for 1 (#72) of 1 (#72) sampled residents investigated for burns. This deficient practice resulted in an Immediate Jeopardy for Resident #72 on 01/14/2025 at approximately 7:20 p.m., when Resident #72 was served hot coffee from the evening snack/hydration cart that she spilled on herself. The resident was sent to the emergency room where it was determined she had second degree burns from the spilled coffee. […]

• Immediate jeopardy, widespreadF835May 22, 2025

  Based on record review, and interviews the facility failed to be administered in a manner that used resources effectively and efficiently to prevent avoidable scald injuries for 1 (#72) of 1 residents (#72) who were investigated for burns. The facility failed to have a system in place to ensure safe temperatures of coffee and other hot liquids served to residents. This deficient practice resulted in an Immediate Jeopardy for Resident #72 on 01/14/2025 at approximately 7:20 p.m., when Resident #72 was served coffee and sustained 2nd degree burns to her left arm when she spilled the coffee on herself. […]

• Immediate jeopardy, isolatedF689Apr 5, 2023

  Based on interviews, record reviews, and observations the facility failed to provide adequate supervision for 1 (#1) of 6 (#1, #2, #3, #4, #5, #6) sampled residents reviewed for impaired cognition and/or a diagnosis that may increase their risk of elopement. The deficient practice resulted in Immediate Jeopardy for Resident #1 on 03/25/2023 at 7:38 p.m. when Resident #1 exited through the front door of the facility. Resident #1 was found in the middle of a two lane public road by a concerned community citizen approximately one tenth of a mile from facility. The facility was notified by a concerned community citizen that Resident #1 was outside in the middle of the road 18 minutes after Resident #1 exited the facility. […]

• No harm, potential for more than minimal, patternF577Jul 15, 2026

  Based on observation and interview the facility failed to ensure the most recent survey results were readily accessible to the residents, family members or anyone to review. Findings: An observation on 07/14/2026 at 8:45 a.m. revealed the facility's survey results binder was updated on 05/22/2025, from the last annual survey. Further review of survey binder failed to reveal additional recent surveys were added. During an interview on 07/14/2026 at 8:55 a.m. S1 Administrator confirmed the most recent survey results were not in the survey binder.

• No harm, potential for more than minimal, patternF656Jul 15, 2026

  Based on record review and interviews, the facility failed to develop and implement a comprehensive person-centered care plan for 1 (#89) of 31 care plans reviewed.Findings: Review of Resident #89's medical record revealed an admission date of 01/18/2021 and diagnoses including chronic obstructive pulmonary disease and dementia. Review of Resident #89's Quarterly MDS (Minimum Data Set) assessment dated [DATE] revealed, in part, Resident #89 had moderate difficulty hearing.Review of Resident #89's comprehensive care plan failed to reveal Resident #89 had been care planned with appropriate interventions for hearing impairment. During an interview on 07/15/2026 at 4:15 p.m. […]