Inspection Reports for Polaris Rehabilitation and Care Center

The survey was conducted as a complaint investigation prompted by complaint intake #2695371.

No deficiencies were identified pertaining to the complaint investigation.

Complaint intake #2695371 was investigated and found to have no deficiencies.

The survey was conducted as a complaint investigation prompted by complaint intakes 2652282 and 2651381 regarding an incident of physical abuse between residents.

The facility failed to protect residents from physical abuse by another resident, resulting in actual harm to two residents. Corrective actions were implemented prior to the survey and compliance was met on 2025-10-23.

The complaint investigation was substantiated. Resident #1 was physically assaulted by resident #2, resulting in injuries requiring hospital evaluation. Resident #1 later passed away due to complications. Resident #2 exhibited aggressive behavior and was placed in a separate room with interventions implemented.

A revisit survey was conducted on 11/13/25 through 11/14/25 to verify correction of all previous deficiencies cited on 8/7/25.

The facility failed to ensure residents were free of significant medication errors, specifically for one resident (#6) who experienced missed doses of colchicine due to medication unavailability and lack of physician notification. The facility implemented corrective actions including education, audits, and new tracking procedures to prevent recurrence.

A complaint survey was conducted from 10/21/2025 to 10/24/2025 prompted by multiple complaint intakes regarding resident care and facility practices.

The facility was found deficient in multiple areas including failure to treat residents with dignity and respect, failure to provide timely notification of changes in condition, inadequate assistance with activities of daily living such as bathing and incontinence care, insufficient nursing staff to meet resident needs, failure to prevent pressure ulcers, and failure to ensure residents did not receive unnecessary medications.

The survey was complaint-driven based on multiple complaint intakes. Substantiation status is not explicitly stated but deficiencies were found related to the complaints.

The survey was conducted due to complaint intakes 2636066 and 2636607.

No deficiencies were identified pertaining to the complaint investigation based on the survey team's findings.

Complaint intakes 2636066 and 2636607 prompted the survey; no deficiencies were found related to the complaints.

The inspection was conducted as a complaint investigation prompted by complaints #2602955 and #2603036 regarding resident care and staffing issues.

The facility failed to provide routine bathing for multiple residents and did not maintain sufficient nursing staff to meet resident care needs. Staffing shortages led to delayed call light responses and inadequate personal care. The facility also failed to properly post total nursing staff hours per shift.

The investigation was initiated due to complaints about inadequate bathing, delayed call light responses, and insufficient staffing. Resident interviews and grievance reviews confirmed these issues. The complaint was substantiated by findings of missed baths and staffing shortages.

A complaint survey was conducted from 2025-08-05 through 2025-08-07 prompted by multiple complaint intakes and incidents related to resident safety and medication errors.

The facility failed to protect a resident from physical abuse by another resident, resulting in injury and required intervention. Additionally, the facility failed to prevent a significant medication error involving a fentanyl patch, which caused actual harm and hospitalization of a resident.

The survey was complaint-driven based on complaint intakes #2570509, #1901387, #1901386, #1901385 and incidents #1901388, #1901380. The complaint investigation substantiated abuse allegations involving resident-to-resident physical abuse and medication errors causing harm.