Tucker House Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Tucker House Nursing and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Aug 28, 2026

  Based on review of facility documentation, observations, and staff and resident interviews it was determined that the facility failed to provide a clean, safe, comfortable and homelike environment for seven of seven resident rooms observed (room [ROOM NUMBER], 203, 307, 313, 321, 323, and 324). Findings Include: During a tour of the facility on August 25, 2026, at 12:45 p.m., multiple issues were noted in room [ROOM NUMBER], including: the housing of the air conditioning unit was cracked and missing pieces of plastic and the flat panel buttons were worn to the point of missing button labels; drips of a brown substance were noted on the wall near the clock; the overbed light on the door side was missing a cover; there were cracked and buckled vinyl floor tiles noted beneath both… […]

• No harm, potential for more than minimal, patternF925Dec 27, 2024

  Based on observations, review of the consulting pest control reports, , and interviews with staff and residents, it was determined that the facility failed to maintain an effective pest control program in the resident care areas for three of three nursing floors. (2nd floor, 3rd Floor and 4th floor) Findings include: An observation of Resident room [ROOM NUMBER] on December 27, 2024, at 10:56 a.m. with Employee E4, Nurse Aide, revealed that there were live roaches inside the drawer of nightstand. There was also dead roaches inside and around the night stand. Dark colored numerous tiny spots were observed inside the drawer which appeared like roach/pest droppings. Resident room was observed with trash, food particles on the floor. […]

• No harm, potential for more than minimal, patternF656Nov 15, 2024

  Based on review of facility policy, review of clinical records, observation, and staff interview it was determined that the facility failed to develop and implement a comprehensive care plan related to mobility, vision, and pressure ulcers for four of 35 residents reviewed (Residents R65, R1, and R102). Findings Include: Review of facility policy Baseline Care Plan, Comprehensive Care Plan and Ongoing Care Plan Updates dated April 1, 2022, revealed the facility will develop and implement a comprehensive person-centered care plan for each resident. The comprehensive care plan will describe the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being. […]

• No harm, potential for more than minimal, patternF584Jan 31, 2024

  Based on observations and staff interviews it was determined that the facility failed to maintain resident care areas and personal belongings in a clean and homelike environment for three of three nursing units (2nd, 3rd, and 4th floor Nursing Units). Findings Include: Observations on [DATE], at 11:50 a.m. in room [ROOM NUMBER] revealed the floors were sticky to touch and there was a red juice stain next to the window bed. Further observations revealed Resident R115's wheelchair was dirty with significant build-up of food/debris along the frame of the chair. Observations on [DATE], at 12:00 p.m. revealed residents seated in the 3rd floor dining room and lunch was about to start. The floors were observed to be dirty from breakfast with breakfast food spillage and wrappers on the floor. […]

• No harm, potential for more than minimal, patternF908Oct 25, 2023

  Based on observation and interviews with residents and staff, it was determined that the facility failed to ensure that essential equipment needed for resident care was in safe operating condition. Findings Include: A tour of the facility on October 26, 2023 at 9:45 a.m. it was revealed that there were serval pieces of broken equipment in the facility. Interview with Licensed nurse, Employee E6 on October 24, 2023, at 12:14 p.m. revealed we need new equipment. Employee E6 revealed the facility only has two or three working hoyer lifts for the entire facility and sometimes people have to wait to get care. Observation of the second floor shower room on October 24, 2023 at 11:15 a.m. […]