New Mark Rehab And Healthcare Center

During an interview on 9/24/25 at 4:06 P.M. the PA said:-He/She did not see staff remove the dressing from Resident #2; there was a substantial amount of bleeding and staff were wrapping the wound up when he/she arrived; -He/She would not expect a dressing change to cause that kind of bleeding; -He/She would not expect a dressing to be stuck that badly if it was changed regularly; -He/She did not work with wound vacs typically.

During an interview on 9/25/25 at 10:32 A.M.

Nurse Practitioner A said:-He/She was the primary care provider for Resident #2; -The facility notified him/her of the issue with the dressing being adhered to the wound;-He/She had never known a wound vac dressing to adhere to a wound;-He/She would expect staff to call the primary care physician or wound care physician for wound vac orders.

During an interview on 9/25/25 at 11:00 A.M. LPN B said:-Staff notified him/her on 9/19/25 that Resident #2 wound vac did not look right; -He/She assessed the dressing and looked for documentation of when it had been changed; -He/She was unable to find orders for the wound vac dressing change, or when it had been changed;-He/She was only able to find a note that showed the wound vac was in place on 9/10/25; -He/She used saline to soak the dressing to remove it; -There were three sponges and the third sponge was severely adhered to Resident #2's wound;-One area started to bleed significantly;-He/She wrapped the wound with roll gauze, discussed the situation with the Registered Nurse, and decided to call EMS; -He/She cut away the old dressing, applied thick padding, and wrapped the leg with gauze, as the wound was bleeding significantly; -The wound had bled through the thick dressing when EMS arrived;-Typically wound vac dressings should be changed twice weekly or more often if there was excessive drainage;-The wound nurse typically orders all the wound care supplies; -There was not a wound nurse currently; -He/She was not aware who would order supplies for wound care.

During an interview on 9/26/25 at 12:04 P.M. the Administrator said:-He/She would expect staff to take orders from the hospital where the resident discharged or call the physician for orders; -There should have been orders for wound vac dressing changes for Resident #2;-He/She was aware there were no orders for the dressing change after the resident was sent to the hospital.

Complaint 2622612

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/26/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

New Mark Rehab and Healthcare Center

11221 North Nashua Drive Kansas City, MO 64155

SUMMARY STATEMENT OF DEFICIENCIES