Wurzbach Nursing and Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 9, 2025

  Based on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible and each resident received adequate supervision to prevent accidents for 2 of 4 residents (Resident #1 and #2) reviewed for accidents and supervision. 1. The facility failed to ensure Resident #1 did not elope from the facility without staff knowing on the evening of 09/24/2024. The noncompliance was identified as PNC . The IJ began on 9/24/2024 and ended on 9/25/2024. The facility had corrected the noncompliance before the survey began. 2. CNA A transferred Resident #2 from the bed to the resident's wheelchair without using a lift on 08/15/2024. […]

• Immediate jeopardy, isolatedF689Dec 1, 2023

  48366 Based on observations, interviews, and record reviews the facility failed to ensure the resident(s) environment remained as free of accident hazards as is possible and each resident received adequate supervision and assistance devices to prevent accidents, for 2 of 9 residents (Resident #1 and Resident #6) reviewed for accident hazards and supervision, in that; 1. Resident #1 had one unauthorized, unchaperoned elopement event on [DATE]. 2. Resident #6 had one unauthorized, unchaperoned elopement event on [DATE]. The non compliance was identified as past noncompliance IJ(immediate Jepordy). The first non compliance began on [DATE] and ended on [DATE]. The second non compliance began on [DATE] and ended on [DATE]. […]

• Immediate jeopardy, isolatedF678Oct 26, 2023

  Based on observation, interviews and record reviews the facility failed to provide basic life support, including CPR to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the resident's advance directives for 1 (Resident #1) of 1 residents reviewed for CPR, in that; The facility failed to ensure Resident #1 received life saving measures including CPR (Cardiopulmonary Resuscitation) when he was found unresponsive on [DATE]. The non-compliance was identified as past non-compliance. The IJ began on [DATE] and ended on [DATE]. The facility had corrected the noncompliance before survey began. This failure could place residents at risk of not receiving life safe measures including CPR and could lead to death. […]

• Actual harm, patternF684Mar 3, 2023

  Based on observations, interviews, and record reviews the facility failed to ensure the rights of residents to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents, for 1 of 5 residents reviewed (Resident #17) for accommodation of orthotic support devices, in that: The facility failed to report to Resident #17's physician's the inability to fulfill Resident #17's order for a back brace, ordered by a neurologist [a medical doctor who specializes in diagnosing and treating diseases of the brain, spinal cord, and nerves]. Resident #17 had a compression fracture of vertebra and kyphosis. […]

• Actual harm, isolatedF689Jun 3, 2022

  Based on observation, interview, and record review the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent accidents for 1 of 6 residents (Resident #1) reviewed for adequate supervision. CNA A failed to supervise Resident #1 while she was in bed resulting in Resident #1 falling off the bed resulting in fractures of the right tibia (the inner large bone between the ankle and knee) and fibula (the outer smaller bone between the ankle and knee) between the middle and distal thirds. […]