Century Center For Rehabilitation And Healing

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and staff interviews, the facility failed to maintain resident care equipment in a sanitary manner or maintain the walls in a safe manner for 3 of 85 sampled rooms (rooms [ROOM NUMBER]) and maintain handrails and wall cover bases in good condition for 2 of 2 shower rooms sampled (shower room [ROOM NUMBER] and #2).The findings include:200 hall An observation of the 200 hall handrails and wall near the shower room was conducted in the presence of the Maintenance Director on 2/20/26 at 9:38 AM. The handrails were scuffed with rough edges and the cover base near the floor on the wall was broken. (Photographic evidence obtained) The Maintenance Director stated he would sand the rails and would replace the cover base that day. room [ROOM NUMBER] An observation of room [ROOM NUMBER]'s restroom was conducted on 2/17/26 at 1:37 PM. 1 denture brush and 2 tubes of toothpaste were observed underneath the paper towel dispenser, not labeled or bagged. A follow-up observation of room [ROOM NUMBER]'s…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews and review of the Electronic Medical Record (EMR), the facility failed to properly document the residents code status preference (preference on whether life saving measures should be implemented should the person's heart or breathing stop) and advance directives for 2 of 5 residents reviewed. (Resident #48 and #327) The findings include: On 11/05/24 at approximately 10:28 AM, an initial review of the EMR and paper chart for Resident 48 and 327 was performed. A record review including the EMR and paper chart revealed that Resident #48 was admitted on [DATE], but the code status and advaned directives were not documented in the EMR or paper chart at the time of the record review. A review of the Order Summary Sheet signed by the physician on 11/1/2024 does not include code status orders for Resident #48. A record review including the EMR and paper chart revealed that Resident #237 was admitted on [DATE], but the code status and advaned directives were not documented in the EMR or paper…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews the facility failed to ensure resident's remain as free of accident hazards as is possible by not completing smoking evaluations for 1 of 1 resident selected for smoking. (Resident #12). The findings include: A review of Resident #12's electronic medical record (EMR) revealed that Resident #12 was admitted on [DATE] and re-admitted on [DATE] to the facility. Further review of the EMR revealed that there was no smoking evaluation completed for Resident #12 upon either admission. On 11/06/24 at approximately 12:49 PM, an observation was conducted of Resident #12 outside smoking and talking with other residents and staff. On 11/06/24 at approximately 2:45 PM, an interview was conducted with the Director of Nursing (DON) concerning smoking evaluations. The DON confirmed that there was not an evaluation of smoking safety completed for Resident #12 for either admission in the resident's EMR. The DON stated that the Activities Director has been responsible for the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on family interview, staff interview, record review and facility policy review, the facility failed to honor resident rights regarding a room change request for 2 of 2 sampled residents, #184 and her roommate #185. On Saturday, 9/2/23, the family of resident #184 requested a room change due to safety concerns subsequent to agitated behaviors on the part of her roommate (#185). Staff on duty failed to initiate the room change, and informed the family member to address this concern with Social Services on Monday, 9/4/23. The findings include: On 9/25/23 at 12:25 PM a telephone interview was conducted with Resident #184's daughter. She stated that, on 8/31/23, her mother's roommate (Resident #185) threw a television remote at her but did not hit her. She further stated that, on Friday 9/1/23, Resident #185 was agitated and screaming, you are going to kill me and was sitting on Resident #184's bed. Resident #185 was redirected back to her bed by staff. After this incident, at approximately 7:20 PM, the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, resident interview, staff interview and record reviews, the facility failed to identify and treat a recurring facial rash for 1 of 4 residents reviewed for skin conditions, Resident #21. The findings include: On 09/25/23 at approximately 12:35 PM, an observation was made of Resident #21 with a reddened, flaky, irritated skin rash to face around mouth, bilateral nares, and eyebrow area. Below the right nare was some crusty yellow drainage. An interview ensued with the resident, in which he stated the rash has been there for a while and the staff were treating it at one time but have not been lately. Resident #21 described the rash as bothersome and explained that it is reoccurring. An additional observation was made of the resident on 09/26/23 at approximately 2:55 PM, with no changes to the facial rash from the previous observation, and dry skin flakes were noted extending down the residents t-shirt across the chest area. A review of Resident #21's medical record included a diagnosis of Diabetes Mellitus (a chronic condition that affects the way the body…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, staff interview, record review and policy review, the facility failed to ensure interventions to prevent falls (locking the wheelchair) and post-fall monitoring processes were followed for 1 of 3 residents sampled for accidents, #65. The findings include: On 09/25/23 at approximately 12:25 PM, an observation was made of Resident #65 sitting unattended in an unlocked high-back chair at the nurses station. Resident #65 had a large multicolored bruise noted to the left temple, eye, and cheek area. When Resident #65 was asked about the bruise, she mumbled incomprehensibly then stated fall, fall, fall. An interview was conducted with bypassing Employee O, a Certified Nursing Assistant (CNA), who explained that she was unsure about the cause of Resident #65's bruising and would have to confirm with the nurse. When asked to explain how staff ensure the safety for residents who are identified as high fall-risk, CNA O verified that no supervising staff were present at the nurses station, but stated usually someone was here, they must have just stepped away. CNA O…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, observations, and record reviews, the facility failed to provide appropriate treatment and services to prevent complications of enteral feeding (tube feeding) site care for 1 of 1 individuals reviewed for tube feeding care. (Resident #72) The findings include: On 09/25/23 at approximately 12:40 pm, an observation was conducted of Resident #72 sitting in the day room semi-reclined in a high-back chair, with wet stains on his t-shirt. An interview was initiated with Resident #72 in which he stated the stain was from his leaking feeding tube. He proceeded to pull up his t-shirt exposing an unsecure blood-tinged saturated gauze, that he caught just before it hit the floor. It was at this time the drainage was observed to extend around towards his back and the skin around the stoma appeared excoriated. Resident #72 explained that the tube had been leaking for a while but was not sure why and explained that the nurses should be changing it later today. On 9/25/23 at approximately 12:45 pm, an…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews and resident record review, the facility failed to timely initiate orders to address the specific needs of the dialysis patient for 1 of 1 residents sampled for dialysis care. (Resident #66) The findings include: Resident #66 was admitted to the facility on [DATE] for rehabilitation after hospitalization for a Cerebral Vascular Accident (CVA). The resident also had a history of End Stage Renal Disease (ESRD) and was to continue to receive dialysis services. The admission MDS (Minimum Data Set) assessment dated [DATE] revealed that Section O - Special Treatments and Programs was marked as Dialysis Treatment not received. The Care Plan for Dialysis was noted to be created in the electronic record on 9/20/2023. A review of vital sign records revealed multiple recordings of Blood Pressures taken from the Left arm, the location of Dialysis Shunt/Fistula (a connection between a vein and an artery that provides vascular access for hemodialysis, a treatment that cleans the blood by removing…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based upon interviews and record reviews, the facility failed to provide adequate dental care for 1 of 1 residents reviewed for dental concerns. (Resident #19) The findings include: On 09/25/23 at approximately 12:15 pm, an interview was conducted with Resident #19, in which she voiced complaints about not being able to chew the facility served food. An additional interview was conducted on the same day at 2:45pm, in which Resident #19 explained her bottom dentures are causing her mouth to be sore and contribute to her having difficulty eating. She confirmed that she has not seen a dentist during her stay at the facility. A review of the resident's medical record revealed an admission to the facility on 4/4/23. Her diagnosis included Moderate Protein-Calorie Malnutrition, Dysphagia (difficulty swallowing), Hyposomolality (a condition where the levels of electrolytes, proteins, and nutrients in the blood are lower than normal) and Hyponatremia (lower than normal sodium electrolyte levels in the blood), Anxiety,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and staff interviews, the facility failed to ensure physician progress notes were present in the medical record for 6 of 6 residents sampled (#19. #21, #49, #58, #65, #72). The findings include: On 9/28/2023 at approximately 11:45 AM, a review of the medical records for Resident #49 and Resident #58 noted a document titled Chronological Record of Resident Assessment by Physician with the listed dates of provider visits. A further review of the hard copy and electronic medical record could not locate the narrative documentation of the provider visits for Resident #49 and Resident #58. On 9/28/2023 at approximately 12:45 PM, the Director of Nursing (DON) was asked for the medical provider notes for January 2023 through September 2023 for Resident #49 and Resident #58 to determine if the provider was aware of the residents decline in weight. On 9/28/2023 at approximately 2:11 PM, the DON provided the requested provider visits for December 2022 through May 2023. The DON was made aware of additional visits according to the Chronological Record of Resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.