Unique Rehabilitation And Health Center Llc

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and resident and staff interviews, the facility staff failed to develop a care plan for one (1) of four (4) residents who used a powered(electric) wheelchair. (Resident #2).The findings included:Resident #2 was admitted to the facility on [DATE] with multiple diagnoses including Morbid Obesity, Chronic Bilateral Lower Extremities Lymphedema, and Muscle Weakness.An admission Minimum Data Set (MDS) assessment dated [DATE] documented in part that the resident had a Brief Interview Mental Status summary score of 15 indicating that at the time of the assessment the resident had an intact cognitive status.

Also, the resident was coded for lower extremity impairment, requiring staff assistance when using a manual wheelchair, and receiving occupational therapy services. A delivery ticket from a local medical supply store dated 04/17/25 documented a power(electric) wheelchair was delivered to the facility for Resident #2.A quarterly Minimum Data Set (MDS) assessment dated [DATE] documented in part that the resident had a Brief Interview Mental Status summary score of 15 indicating that at the time of the assessment the resident had an intact cognitive status.

Also, the resident was coded for lower extremity impairment, independently using a manual wheelchair, and receiving occupational therapy services. A review of a wheelchair and seating device assessment dated [DATE] documented, The resident on electric wheelchair demonstrates safe operation on the wheelchair.A review of the resident care plans showed there was no documented evidence of care plan to address the resident use of a manual or electric wheelchair.Multiple observation from 11/17/25 to 11/21/25 showed the resident in her room watching tv while sitting in a powered wheelchair. At the time of the observation on 11/17/25 at approximately 11AM, the resident stated that staff helps her transfer from the bed to her wheelchair.

The resident also said that she can independently operate her (electric)wheelchair in her room, the bathroom, around the facility, and outside the facility.During a face-to-face interview on 11/24/25 at approximately 2PM, Employee #4 (RN/Unit Manager) reviewed the care plans.

Then the employee stated that the resident's care plans did not have a care plan to address the resident's use of a powered (electric) wheelchair.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/24/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Unique Rehabilitation and Health Center LLC

901 First Street NW Washington, DC 20001

SUMMARY STATEMENT OF DEFICIENCIES