Inspection Reports for
Four Seasons Nursing and Rehabilitation Center

The state logged 99 complaints about this facility; 6 led to on-site inspections. Three citations resulted from those complaints.

Across 5 inspections, 3 resulted in citations totaling 32 violations primarily related to standard health and Life Safety Code issues. The facility had 99 complaints with 6 on-site inspections and 1 enforcement action involving fines.

The facility was found deficient in timely reporting of abuse allegations, medication administration and notification practices, medication storage security, and food storage safety standards. Several residents were involved in abuse allegations that were not reported within required timeframes. Medications were not administered or held without physician notification. Medications were stored unsecured on the 3rd floor nurses' station. Expired and unlabeled food items were found in the kitchen walk-in refrigerator and the 7th floor pantry.

The facility was found deficient in maintaining a safe, clean, and homelike environment, accurate resident assessments, proper medication labeling and storage, food safety and pest control, and infection prevention practices including hand hygiene and oxygen tubing management.

The facility failed to ensure adequate monitoring and adjustment of tube feeding for a resident with a PEG tube, resulting in continued weight loss despite interventions. There was no timely re-evaluation of the tube feeding formula and rate by the medical, dietary, or nursing staff, contributing to the resident's weight loss.