Townview Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Townview Health and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 12, 2026

  Based on review of facility policy, clinical records and staff interviews, it was determined that the facility failed to make certain each resident received adequate supervision and assistance for bed mobility to prevent accidents which resulted in actual harm of a bruise to the left eye for one of two residents (Resident R1). Findings include: Review of the American Congress of Rehabilitation Medicine - Caregiver Guide and Instructions for Safe Bed Mobility published 4/28/17, indicated bed mobility refers to activities such as scooting in bed, rolling, side-lying to sitting, and sitting to lying down. […]

• Actual harm, isolatedF760Aug 12, 2026

  Based on review of facility policy, clinical record, facility documentation, and staff interview, it was determined the facility failed to ensure that one of three residents (Resident R1) were free from significant medication errors which resulted in actual harm requiring increased monitoring and intravenous placement, and administration of replacement fluids to increase blood pressure for one of two residents (Resident R1).Findings include: Review of the facility policy Medication Administration dated 3/25/26, with a previous review date of 3/26/25, indicated that medications are to be administered safely and following state and federal regulations. Residents are to be identified utilizing a name band and or photo before administration of medications. […]

• Actual harm, isolatedF689Feb 18, 2026

  Based on review of facility policy, clinical records, facility documents, and staff interviews, it was determined that the facility failed to prevent accidents, which resulted in actual harm, requiring further treatment for aspiration pneumonia for one of six residents (Resident R1). Findings include: Review of the facility Fall and Accident Prevention Program policy dated 3/26/25, indicated the facility will provide a safe environment that is free from hazards and activities that may result in an accident. Review of the facility policy Restorative Nursing-Eating/Swallowing policy dated 3/26/25, indicated activities will be provided to improve or maintain feeding food and fluids that may include providing total assistance for eating to maintain the ability to consume nutrition. […]

• No harm, potential for more than minimal, widespreadF812Nov 10, 2022

  Based on observations and staff interviews it was determined that the facility failed to maintain sanitary conditions in the Main Kitchen which created the potential for cross contamination (Main Kitchen). Findings include: Review of facility policy Cleaning Instructions: Ice Machine and equipment dated 6/29/22, indicated the ice machine and equipment (scoops and receptacles that are used to hold or transport ice) will be cleaned and sanitized on a regular basis. During an observation on 11/7/22, at 9:30 a.m. it was revealed the ice machine in the main kitchen contained a brown substance inside the machine. During an interview on 11/7/22, at 9:50 a.m. the Dietary Manager Employee E4 confirmed the brown substance in the ice machine creating the potential for cross contamination. […]

• No harm, potential for more than minimal, widespreadF812Nov 5, 2021

  Based on a review of facility policies, observations and staff interviews, it was determined that the facility failed to maintain sanitary conditions and properly store food products in the Main Kitchen (Main Kitchen). Findings include: A review of facility Food Storage policy dated 6/30/21, indicated that scoops are to be provided for bulk food. Scoops are not to be stored in the food, but are stored covered in a protected area near the container. All food stock must be rotated with each new order received. Rotating stock is essential to make certain the freshness and highest quality of all foods. […]