Unique Rehabilitation and Health Center LLC

In the surveyor’s words

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

• Immediate jeopardy, patternF689Nov 27, 2024

  Based on observations, record reviews, resident and staff interviews, for four (4) out of 40 sampled residents identified as smokers, facility staff failed to ensure effective and adequate supervision was provided as evidenced by the surveyor's observing residents in non-designated smoking areas with smoking paraphernalia that included cigarettes and/or lighters. Residents' #103, #117, #43, #21. Due to these failures, an Immediate Jeopardy (IJ) was identified on 11/05/24 at 12:15 PM and an IJ was called on 11/12/24 at 1:15 PM related to supervision of resident's who smoke. The facility's Administrator submitted a corrective action plan to the Survey Team that was accepted on 11/12/24 at 9:25 PM. […]

• Immediate jeopardy, isolatedF689Apr 25, 2023

  Based on observation, record reviews, and staff interviews, the facility's staff failed to supervise residents on a secure unit during lunch for one (1) of three sampled residents. As a result, Resident #1 had access to a meal not prescribed. Due to these failures, an immediate jeopardy situation was identified on April 21, 2023, at 5:33 PM. The facility submitted a plan of action on April 21, 2023, at 8:33 PM and it was accepted. Verification of the plan was completed on April 24, 2023, and the immediacy was removed at 1:30 PM. After removal of the immediacy, the deficient practice remained for the potential for minimal harm, at the scope/severity D. The findings included: Resident #1 was admitted to the facility on [DATE]. […]

• Actual harm, isolatedF600Sep 26, 2022

  Based on record review and staff interview, for two (2) of 63 sampled residents, facility staff neglected to provide the needed care and services evidenced by 1. Resident #204 developing pressure ulcers that were first observed at an advanced stage, and 2. Resident #3 flipping out of a wheelchair in a transportation vehicle due to staff neglecting to secure him with a seatbelt. These failures resulted in actual harm to Resident #204 and Resident #3. The findings included: 1. Review of a Complaint, DC00010905, received by the State Agency on 07/29/22 revealed allegations that the facility failed to provide the proper to Resident #204. […]

• Actual harm, isolatedF686Sep 26, 2022

  Based on record reviews, resident and staff interviews, for one (1) of 63 sampled residents, facility staff failed to ensure residents received care consistent with the professional standards of practice to prevent the development of pressure ulcers. Resident #204. These failures resulted in actual harm to Resident #204 when the resident obtained facility acquired ulcers first observed at advanced stages. The findings included: Review of the facility's Wound Prevention Program policy (not dated) showed, .Weekly skin checks will be conducted by the license nurse. This will be documented in the resident's Electronic Medical Record (EMR). Daily, during routine care, the Certified Nursing Assistant will observe the resident's skin. […]

• Actual harm, isolatedF689Sep 26, 2022

  Based on observations, record reviews, and staff interviews, for three (3) of 63 sampled residents, facility staff failed to provide adequate supervision and assistance to residents to prevent accidents and injury as evidenced by: 1. failure to secure Resident #3's wheelchair with the seatbelt in the transportation van; 2. failure to assign a 1:1 monitor to Resident #505; and 3. failure to provide Resident #176 with 1:1 supervision while in the courtyard. (Residents' #3, #505 and #176) These failures resulted in actual harm to Resident #3, example #1. The findings included: 1. […]