Inspection Reports for
Civic Center Health and Rehabilitation, LLC

The complaint investigation included report number AL00047241 regarding exploitation by LPN #13 and report number AL00046869 regarding neglect in supervision of residents during appointments. The exploitation allegation was substantiated with LPN #13 terminated for taking money from a resident. The neglect allegation involved residents left unattended at a clinic due to staff call-offs and confusion.

The facility failed to report an allegation of exploitation involving LPN #13 taking money from Resident Identifier #27 to the State Agency, and failed to ensure adequate supervision of residents during off-site medical appointments, resulting in two residents being left unattended outside a clinic in the rain. Immediate corrective actions were taken including staff in-service and monitoring.

The complaint investigation included allegations that LPN #13 was terminated for borrowing $500 from a resident, residents were left unattended at a clinic appointment, and other care and safety concerns. The exploitation allegation was substantiated with evidence that LPN #13 took money from Resident #27 on multiple occasions and the facility failed to report it timely to the State Agency.

The facility failed to timely report suspected exploitation of a resident by an LPN, left residents unattended during medical appointments, administered expired medication, had unsanitary kitchen conditions, failed to prevent cross-contamination in infection control practices, and did not ensure required dementia training for a Certified Nursing Assistant (CNA). Corrective actions were implemented for some deficiencies.

The complaint investigation included report numbers AL00047241 and AL00046869. Allegations involved exploitation by LPN #13, residents left unattended at appointments, and other care concerns. The exploitation complaint was substantiated with findings of LPN #13 taking money from a resident and failure to report to the State Agency. The unattended residents complaint was substantiated with residents left alone at a clinic appointment.

The facility was found deficient in timely reporting exploitation allegations, leaving residents unattended at appointments, administering expired medication, poor kitchen sanitation, inadequate infection control practices, and failure to provide required dementia training to a nurse aide. Corrective actions were initiated for these deficiencies.

Complaint/report number AL00047241 involved exploitation by LPN #13 taking money from Resident #27. Complaint/report number AL00046869 involved neglect related to residents #81 and #26 being left unattended at a clinic appointment on 01/25/2024.

The facility failed to timely report an allegation of exploitation involving LPN #13 taking money from Resident #27 and failed to ensure adequate supervision of residents during off-site medical appointments, resulting in residents being left unattended outside a clinic. Corrective actions were implemented including staff in-service and monitoring.

The facility failed to ensure that Resident Identifier #47's quarterly MDS assessments dated 1/22/21 and 4/23/21 accurately reflected the resident's receipt of hospice care and continuous oxygen therapy, resulting in coding errors identified during record review and staff interview.

The facility failed to document Resident Identifier #47's hospice and continuous oxygen therapy status accurately in the quarterly MDS assessments dated 1/22/21 and 4/23/21, despite physician orders indicating these treatments. The error was attributed to a coding mistake by the responsible nurse.

The facility failed to provide timely and proper discharge notices to Resident #81 and/or their representative, did not notify about bed hold policies during hospital transfers, and denied the resident's return to the facility despite hospital reports indicating the resident was stable and safe to return. These deficiencies affected Resident #81 and involved minimal harm or potential for actual harm.

The complaint investigation focused on the facility's failure to notify RI #81 and/or the representative about discharge and bed hold policies, and the refusal to allow RI #81 to return after hospitalization despite hospital reports indicating the resident was stable and safe to return. The facility admitted to not issuing required notices and denying readmission due to safety concerns.

The facility failed to issue proper discharge notices and bed hold notices to RI #81 and/or the resident's representative upon multiple hospital discharges. Additionally, the facility denied RI #81's return after hospitalization despite reports from the hospital that the resident was stable and safe to return. These deficient practices affected RI #81, one of one sampled residents reviewed.