Hurricane Health and Rehabilitation

Inspectors wroteBased on interview and record review, the facility did not ensure each resident's drug regimen was free from unnecessary drugs. An unnecessary drug was defined as any drug when used in excessive dose; or for excessive duration; or without adequate monitoring; or without adequate indication for its use; or in the presence of adverse consequences. Specifically, for 4 out of 25 sampled residents, blood pressure medications were administered outside of a physician's ordered parameters and one resident required medical intervention. Resident identifiers: 7, 8, 38, and 43. 1. Resident 7 was admitted to the facility on [DATE] with diagnoses which included hypertensive chronic kidney disease, type 2 diabetes, and bladder cancer. Resident 7's medical record was reviewed on 9/22/25 through 9/25/25. On 5/15/25, Lisinopril oral tablet was ordered for hypertension, with the following parameters: [...]

Inspectors wroteBased on interview and record review, the facility did not arrange services with an outside agency. Specifically, for 1 out of 25 sampled residents, residents had physician's orders to follow up with a specialist and the facility staff did not put the order in for 2 months, which delayed the resident seeing the specialist for over 3 months.

Inspectors wroteBased on observation and interview, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, a freezer in the outdoor storage room contained food items open to air, areas in the kitchen were not clean, food items in the reach in refrigerator were not labeled, and dead bugs were found in the outdoor dry storage room.

Inspectors wroteBased on interview and observation, for 1 of 25 sampled residents, the facility did not treat residents with respect and dignity and care for each resident in a manner that promoted maintenance or enhancement of his or her quality of life, recognizing each resident's individuality. Specifically, a Certified Nursing Assistant (CNA) was observed standing next to a resident in bed while providing feeding assistance . Resident identifier: 48.

Inspectors wroteBased on interview and record review, it was determined for 1 of 25 sampled residents, that the facility failed to ensure that a resident who was continent of bladder on admission received services and assistance to maintain continence unless his or her clinical condition was or became such that continence was not possible to maintain; and a resident who was incontinent of bladder received appropriate treatment and services to restore continence to the extent possible. Specifically, one resident who was assessed to be continent or a good candidate for bladder retraining was not provided services. Resident identifier: 59.

Inspectors wroteBased on interview and record review, for 1 of 25 sampled residents, the facility did not ensure that residents who required dialysis received such services, consistent with professional standards of practice. Specifically, a resident receiving dialysis was not having his pre-dialysis vital signs information documented before leaving for dialysis as was required in the facilities' dialysis communication policy. Resident identifier: 30.

Inspectors wroteBased on interview and record review, for 1 of 25 sample residents, the facility did not ensure that the monthly drug regimen recommendations by a licensed pharmacist were implemented in a timely manner. Specifically, a recommendation made by the pharmacist to separate administration of a medication and a supplement due to interaction was not acknowledged by the physician or implemented. Resident identifier: 3.

Inspectors wroteBased on interview and record review, it was determined that for 1 of 7 sampled residents, the facility did not ensure each resident received the supervision and assistance devices necessary to prevent an accident. Specifically, Resident 3 was not properly secured when transported in a facility vehicle and the resident subsequently slid out of their wheelchair and sustained a femur fracture. Resident Identifier: 3. In response to the incident involving Resident 3, the facility identified the quality deficiency and developed a corrective action plan. At the time of the complaint survey, it was determined the facility had implemented corrective measures and met the requirements of F689. Due to the facility's corrective measures, the noncompliance was determined to be past-noncompliance. [...]

Inspectors wroteBased on interview and record review it was determined, for 1 of 6 sampled residents, that the facility did not ensure that residents were free from any significant medication errors. Specifically, a resident 's Clozapine medication was omitted due to unavailability from the pharmacy. Resident identifier 5.

Inspectors wroteBased on observation, interview, and record review, it was determined for 1 of 26 sample residents, that the facility did not ensure that the resident's environment remained free of accident hazards. Specifically, the facility did not provide adequate locks to prevent residents access to harmful chemicals. Resident identifier: 11.

Inspectors wroteBased on interview and observation, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, reusable ice packs were located in resident freezers, garbage cans in the kitchen were soiled, and kitchen cabinets were in disrepair.

Inspectors wroteBased on interview and record review, the facility did not ensure that 2 of 26 sample residents had an accurate Minimum Data Set (MDS) Assessment. Resident identifiers: 29 and 34.

Inspectors wroteBased on interview and record review it was determined, for 1 out of 26 sampled residents, that the facility did not ensure that a resident who was incontinent of bladder received the appropriate treatment and services to prevent urinary tract infections (UTI) and to restore continence to the extent possible. Specifically, a resident with a urinary catheter had a delay in treatment for a UTI. Resident Identifier:

Inspectors wroteBased on interview and record review it was determined that the facility did not provide each resident with a safe, clean, comfortable and homelike environment. Specifically, there were walls in resident room with scratched drywall, chipped paint, a wall with drywall missing and baseboard pulling away from the wall.

Inspectors wroteBased on observation, interview and record review it was determined, for 5 of 5 contracted staff members, that the facility did not ensure that all staff including contracted staff members were fully vaccinated for COVID-19, except for those staff who had been granted exemptions to the vaccination. Specifically, contracted staff members vaccination status were unknown. Staff member identifiers: Contracted Staff Member (CSM) 1, CSM 2, CSM 3, CSM 4 and CMS 5.

Inspectors wroteBased on observation, interview, and record review it was determined, for 2 of 19 sampled residents, that the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, observations were made during wound care of cross contamination during treatment application, lack of hand hygiene, and not changing soiled gloves. Additionally, observations were made of staff assisting a resident without the required Personal Protective Equipment (PPE) needed for the resident who was on contact/droplet precautions. Resident identifiers: 27 and 88.