Below average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hurricane Health And Rehabilitation during CMS and state inspections, most recent first.
Blood pressure medications were administered outside ordered hold parameters for multiple residents. One resident with hypertensive chronic kidney disease, diabetes, and bladder cancer received Lisinopril and Metoprolol despite low or undocumented BP readings, including an episode of unresponsiveness with BP 84/40 and a later hypotensive episode with BP 82/51. Other residents with hypertension, CHF, malnutrition, and orthopedic or psychiatric diagnoses also received Metoprolol or Lisinopril when SBP was below the ordered hold limits, including one order with confusing parameters that staff said they would have clarified.
Failure to arrange timely specialist follow-up: A resident with a Foley catheter and diagnoses including bladder dysfunction and BPH had hospital discharge orders for urology follow-up within 1-2 weeks, but the order was not entered for about 2 months and no urology appointment was documented until much later. During that time, the resident had catheter dislodgement, urethral pain, UTI symptoms, confusion, falls, and multiple hospital transfers for sepsis-related illness. Interviews showed the assigned nurse was expected to enter discharge orders and the DON/ADON were expected to verify them, but the DON stated the prior tracking system was not placing orders into the medical record.
Food storage and kitchen sanitation were not maintained according to professional standards. Surveyors found open-to-air frozen food in an outdoor freezer, unlabeled and undated bulk bins and refrigerated items, a dirty stove, steam table, ice machine, and other kitchen surfaces, plus dead roaches and black bugs in the storage area. The DM confirmed the pest issue and stated some food had been placed in the open-top freezer without proper wrapping or labeling.
A CNA was observed standing next to a cognitively intact resident while providing feeding assistance as the resident sat partially upright in bed. The resident had MS, DM2, dysphagia, CHF, chronic pain, and was dependent on staff for eating and other ADLs. The CNA stated she was not the resident’s assigned CNA and did not know how much assistance the resident needed because she was an agency CNA helping out.
A resident who was continent on admission and later identified as a good or possible candidate for bladder retraining was not provided consistent toileting support or bladder program services. The resident reported wearing a brief without understanding why, needing staff help to toilet, and having urinary incontinence when staff did not respond quickly enough. Records showed intact cognition, initial continence, and later documentation of incontinence, while staff gave inconsistent accounts of whether the resident was continent, needed a brief, or was on any bladder program. The DON stated the resident should have been offered toileting every 2 hours and worked with for bladder training.
A resident receiving hemodialysis had incomplete pre- and post-dialysis communication forms, with required items such as vital signs, cognition status, access site assessment, and nurse signature left blank on multiple dialysis days. The resident had ESRD, dependence on renal dialysis, atrial fibrillation, and muscle wasting/atrophy. An LPN stated staff entered morning vital signs onto the form before transport and did not assess the shunt after dialysis because of the bandage, while the DON stated the forms were being sent to dialysis without being fully completed.
A resident with ataxia, repeated falls, CKD, encephalopathy, and memory deficit had a monthly pharmacy review recommendation that Levothyroxine and Ferrous Sulfate be separated due to possible binding interaction. The physician did not document acceptance or decline of the recommendation, no acknowledgment was found in the chart, and the MAR showed both meds continued to be given together at 7:00 AM. The DON stated the pharmacy review form appeared to have been completely missed.
A resident with impaired cognition and mobility issues was not properly secured in a facility vehicle, resulting in a fall and femur fracture during transport. The transportation driver failed to secure the lap belt, leading to the resident sliding out of their wheelchair when the driver had to brake suddenly. The incident was reported, and the resident required hospitalization for their injuries.
Blood pressure medications given outside ordered hold parameters
Penalty
Summary
The facility did not ensure that residents’ drug regimens were free from unnecessary drugs when blood pressure medications were administered outside of ordered parameters. The deficiency involved 4 sampled residents whose antihypertensive medications were given despite low blood pressure readings or, in some instances, without a documented blood pressure reading before administration. The report defined an unnecessary drug as one used in excessive dose, for excessive duration, without adequate monitoring, without adequate indication, or in the presence of adverse consequences. Resident 7 had diagnoses including hypertensive chronic kidney disease, type 2 diabetes, and bladder cancer. Lisinopril and Metoprolol Succinate were ordered with instructions to hold both medications if BP was below 120/80. The MAR showed 17 administrations in July and August 2025 when no morning BP was documented, and 20 administrations in July, August, and September 2025 when the BP was below the ordered hold parameter. The record included multiple low BP readings, including 115/65, 100/68, 109/63, 104/61, 85/60, 91/51, and 93/50. On 7/25/25, a nursing progress note documented that the resident was found unresponsive, then assessed as responsive to tactile stimuli, pale, and groaning in pain, with BP 84/40, pulse 110, respirations 22, and oxygen saturation 85% on room air; EMS was called and the resident was transferred to the hospital. On 8/22/25, a provider note documented a hypotensive episode with BP down to 82/51, lightheadedness, and weakness, and the provider ordered both medications held until BP was above 120/80. Resident 8 had diagnoses including rheumatoid arthritis, type 2 diabetes, severe protein-calorie malnutrition, and essential hypertension. Metoprolol Succinate was ordered in the morning with instructions to hold if SBP was less than 120 or HR was less than 60. The MAR showed 15 administrations in August and September 2025 when the medication should have been held because SBP was below 120, with readings including 101, 114, 112, 111, 113, 117, 101, 118, 106, 106, 117, 117, 108, 107, and 110. Resident 43 had diagnoses including fracture of the right femur, osteoporosis, anxiety disorder, and major depressive disorder. Lisinopril was ordered daily with instructions to hold for SBP less than 120 and a confusing additional instruction about SBP being consistently greater than 135/85. The MAR showed 10 administrations when SBP was below 120, including readings of 105, 111, 108, 115, 118, 104, 106, 103, 118, and 119. Resident 38 had diagnoses including hypertension, congestive heart failure, diabetes mellitus type II, and hepatic failure. Metoprolol Tartrate was ordered twice daily with instructions to hold for SBP less than 100 or HR less than 60. The MAR showed two administrations when the resident’s BP was below the hold parameter, including BP 99/67 and 96/61.
Failure to Arrange Timely Urology Follow-Up After Hospital Discharge
Penalty
Summary
The facility failed to arrange outside professional services for a resident who had physician orders for urology follow-up after hospital discharge. Resident 18 was admitted and re-admitted with diagnoses including sequelae of cerebral infarction, neuromuscular dysfunction of the bladder, benign prostatic hyperplasia with lower urinary tract symptoms, and muscle weakness. Hospital discharge documents from 4/4/25 stated the resident was discharged with a Foley catheter and was to follow up with urology within 1-2 weeks, with instructions to call for an appointment. Record review showed the resident continued to have a Foley catheter and later experienced multiple urinary and medical events, including catheter dislodgement, urethral pain from the Foley insertion site, urinary tract infection symptoms, foul-smelling urine, confusion, a fall, and transfers to the emergency department for sepsis-related concerns. Hospital discharge documents from 5/13/25 and 6/5/25 again included urology follow-up instructions, and the 6/5/25 discharge paperwork listed a scheduled urology appointment for 7/30/25. The medical record contained no documentation of any urology follow-up appointments before that date. An interview with an LPN indicated that when residents returned from the hospital, the assigned nurse was to review the paperwork and enter new discharge orders, with the DON or ADON reviewing to ensure the orders were placed in the medical record. The DON stated the prior appointment-tracking system was not putting orders into the resident's medical record and that a staff member had been designated to track appointments before her tenure. The DON also stated the resident's appointment was scheduled after the 6/2/25 hospital visit and that she did not know why the resident did not see the urologist before 7/30/25.
Food Storage and Kitchen Sanitation Deficiencies
Penalty
Summary
Food was not stored, prepared, distributed, and served in accordance with professional standards for food service safety. During an initial kitchen walk-through, a lift-top freezer in the outdoor storage room contained a torn plastic bag with frozen pizza crusts open to air and a large plastic bag of frozen cookie dough open to air and appearing freezer burned, and there was no thermometer in the freezer. In the kitchen, the stove was not clean and had crumbs, a dipping sauce packet, and a cheese wrapper under it. The ice machine was not clean and had rust or water deposits above the ice. In the dry storage room, two bulk bins that appeared to contain flour and sugar were not labeled or dated, two large plastic containers with blue lids were not labeled, and a box of buttermilk pancake mix was not labeled with an open date and the bag was open to air. On a later walk-through, three dead roaches and several black bugs of different sizes were observed under the storage shelves and behind the freezer. The stove remained not clean, the steam table had floating food in the bottom and unclean sides, and the landing under the juice machine and the cart next to it were dirty with white powder. The dry storage room still had two bulk storage bins containing flour and sugar open to air and not labeled or dated, the buttermilk pancake mix was open to air, and the floor was not clean. In the reach-in refrigerator, a bag of parmesan cheese was not labeled or dated and a large bowl of Jell-o salad was not labeled. The Dietary Manager confirmed the bugs in the outdoor storage room, stated dead bugs had been seen there before, and stated the pizza crust and dough had been placed in the open-top freezer when the walk-in freezer went out and were not properly wrapped or labeled.
Failure to Provide Dignified Feeding Assistance
Penalty
Summary
The facility failed to treat a resident with respect and dignity and to care for her in a manner that promoted maintenance or enhancement of her quality of life, recognizing her individuality. Resident 48 was admitted and re-admitted with diagnoses including multiple sclerosis, type 2 diabetes, dysphagia, congestive heart failure, and chronic pain. Her MDS assessment showed a BIMS score of 15, indicating she was cognitively intact, and documented upper extremity impairment on one side with dependence on staff for eating, oral hygiene, toileting, and bathing. During an observation, a CNA was seen standing next to the resident while providing feeding assistance as the resident was partially sitting up in bed. During an interview shortly afterward, the CNA stated the resident was unable to feed herself, that she was not the resident’s CNA, and that she did not know how much assistance the resident needed because she was an agency CNA helping out.
Failure to Provide Toileting and Bladder Retraining Services
Penalty
Summary
The facility failed to ensure that a resident who was continent of bladder on admission received services and assistance to maintain continence, and that a resident who was incontinent of bladder received appropriate treatment and services to restore continence to the extent possible. Resident 59 was admitted with diagnoses including fracture of the right humerus, asthma, congestive heart failure, head injury, fibromyalgia, glaucoma, rheumatic heart disease, osteoarthritis, and irritable bowel syndrome. The resident had a BIMS score of 14, indicating intact cognition, and the admission record stated she was continent of urine, used the toilet, and did not use pads or briefs. A bowel and bladder evaluation identified her as continent or a good candidate for bladder retraining, and a later evaluation identified her as incontinent of bladder for an unknown length of time and a possible candidate for bladder retraining. During interview, Resident 59 stated she wore a brief even though she could tell when she needed to use the bathroom, needed staff assistance to toilet, did not wear briefs before coming to the facility, and had urinary incontinence when staff did not come quickly enough. Staff interviews showed inconsistent understanding of her toileting status and bladder program needs. One CNA stated residents who could not use the call light were offered bathroom use every couple of hours, another said the resident wore a brief because of sundowning and preference, and an LPN stated the resident was incontinent and wore a brief. The DON stated that if a resident was identified as a possible candidate on the bowel and bladder evaluation, the resident should be further evaluated and placed on the care plan, and that staff should have been offering toileting every 2 hours and working with the resident on bladder training even if assistance was needed.
Incomplete dialysis pre-treatment documentation
Penalty
Summary
Resident 30, who was admitted and re-admitted with diagnoses including end stage renal disease, dependence on renal dialysis, atrial fibrillation, and muscle wasting and atrophy, was receiving hemodialysis on Mondays, Wednesdays, and Fridays. His care plan directed staff to obtain vital signs and weight per protocol and to report significant changes in pulse, respirations, and blood pressure immediately. The facility’s dialysis communication policy also required pre-dialysis blood pressure assessment in the non-fistula arm and documentation related to pre- and post-dialysis care in the clinical record. Record review showed that on multiple dialysis days, the resident’s pre- and post-dialysis communication forms were only partially completed. The resident’s name and date were entered, but items including cognition status, vital signs, fasting blood sugar if applicable, recent falls or trauma if applicable, access site assessment, changes in the past 24-48 hours, and the nurse’s signature and date were left blank. Nursing progress notes documented the resident’s return from dialysis and post-dialysis weights, and one note included a pre-dialysis weight, but the communication forms themselves did not contain the required completed information. During interview, an LPN stated night staff filled out the form before the appointment and morning vital signs were taken from a sheet at the nurses station and placed on the form before the resident left. The LPN also stated the shunt was checked in the morning but not when the resident returned because he had a bandage on his arm. The DON stated the resident took a face sheet, medication list, and dialysis communication form to dialysis, that blood pressures were documented on the communication form but were not being put into the resident’s progress note, and that she was unaware the communication forms were being sent to the dialysis center without being completed by nursing staff.
Pharmacy Review Recommendation Not Implemented
Penalty
Summary
The facility did not ensure that a licensed pharmacist’s monthly drug regimen review was implemented in a timely manner for Resident 3. Resident 3 was admitted and later re-admitted with diagnoses including ataxia, repeated falls, chronic kidney disease, encephalopathy, and memory deficit following a nontraumatic subarachnoid hemorrhage. The resident’s medical record was reviewed between 9/22/25 and 9/25/25, and no documentation of the monthly pharmacy reviews was found in the progress notes or miscellaneous documents. In the facility’s 2025 monthly pharmacy review binder, a March 2025 pharmacist recommendation for Resident 3 stated that Levothyroxine and Ferrous Sulfate, both ordered for 7:00 AM, should be separated by an hour earlier or in the evening because drug interaction binding may occur. There was no documentation that the physician accepted or declined the recommendation, and no signature showing the physician reviewed or acknowledged it. Review of the MARs from March 2025 through September 2025 showed that both medications continued to be administered together at 7:00 AM. During interview, the DON stated the pharmacist emailed monthly reviews to her, she gave them to the physician, and after provider review they were returned for implementation and uploaded to the chart; she stated the form for Resident 3 appeared to have been completely missed.
Resident Injury Due to Improper Securement During Transport
Penalty
Summary
The facility failed to ensure that a resident received the necessary supervision and assistance devices to prevent an accident during transportation. Specifically, a resident was not properly secured in a facility vehicle, leading to the resident sliding out of their wheelchair and sustaining a femur fracture. The incident occurred when the transportation driver had to brake suddenly, and it was later revealed that the lap belt was not secured on the resident. The resident involved had a medical history that included diabetes mellitus type 2, hypotension, muscle weakness, and required assistance with personal care and mobility. The resident used a wheelchair and had moderately impaired cognition, as indicated by a BIMS score of 11. On the day of the incident, the resident was being transported back from a doctor's appointment when the accident occurred, resulting in injuries that required hospitalization. The transportation driver admitted to neglecting to secure the lap belt, although the wheelchair was harnessed at four points. The incident was reported to the Survey State Agency, and the facility's investigation confirmed the oversight in securing the resident properly. The resident was evaluated by a facility nurse and emergency medical services were called, leading to the resident's transport to an acute care hospital where a left femur fracture was diagnosed.
Removal Plan
- The facility entered into an agreement with an organization to implement and provide training and new protocols to transport facility residents.
- All staff who performed transportation services for the facility were reeducated on proper securement of residents during transport, which included training videos produced by the contracted organization.
- Transportation staff attested to the completion of the training by signing training records.
- Transportation staff were required to complete a post-training test.
- All staff members who performed transportation services were required to read and sign the Fleet Safety Program book.
- Staff members were interviewed regarding safety during transportation.
- Administrative staff interviewed residents to determine if there were additional concerns about safety during transportation.
- The facility's Quality Assurance Performance Improvement (QAPI) Committee approved the updated driver safety training program.
- The transportation supervisor will audit the transport of each driver daily for 2 weeks, followed by audits on 3 random days of the week for 1 week, with an audit 1 day per week for 1 week.
- The transportation supervisor will perform ongoing random audits.
- The transportation supervisor or designee will validate transportation driver's pre and post-securement, documenting the results every week for 4 weeks then bi-weekly for 2 weeks, and 3 random audits every month thereafter.
- The transportation supervisor will report any trends or concerns to the QAPI committee for review for 90 days.
- Any discrepancies will be addressed at time of discovery.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Hurricane
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Red Cliffs Health And Rehab | 15.1 mi | ★★★★★ | 0 | 0 |
| Coral Desert Rehabilitation And Care | 16 mi | ★★★★★ | 0 | 0 |
| Advanced Health Care Of St. George | 16.2 mi | ★★★★★ | 0 | 0 |
| St. George Rehabilitation | 16.3 mi | ★★★★★ | 0 | 0 |
| Bella Terra St George (black Rock Health And Rehab | 16.3 mi | ★★★★★ | 4 | 0 |
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