Finger Lakes Center For Living

Based on record review and interviews during the abbreviated survey (#2626859) the facility did not ensure a significant medication error was reported to the State Agency as required for one (1) of five (5) residents (Resident #1) reviewed. Specifically, Resident #1's hospital discharge medications included an anticoagulant (blood thinner), the medication was not ordered upon admission to the facility, and the resident did not receive an anticoagulant from 9/2/2025 - 9/18/2025. Resident #1 was subsequently sent to the hospital and diagnosed with deep vein thrombosis (a blood clot in a vein). The facility did not report the incident to the New York State Department of Health in the required time frame.Findings include:The August 2016 New York State Department of Health Incident Reporting Manual documented neglect as the failure to provide timely, consistent, safe, adequate and appropriate services, treatment and/or care to a resident of a residential health care facility while the resident is under the supervision of the facility. Neglect may include but is not limited to failure to…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, record review and interviews during the abbreviated survey (NY00383652), the facility did not ensure one (1) of three (3) residents (Resident #1) reviewed received their needed respiratory care. Specifically, Resident #1 had a medical order for oxygen at bedtime, and on 6/13/2025 their oxygen tubing with the nasal cannula was not applied as ordered by Licensed Practical Nurse #3. This resulted in a decrease in Resident #1's oxygen saturation, and they were subsequently transferred to the emergency department to be evaluated for their respiratory distress. Findings include: The 3/6/2025 facility policy, Oxygen Administration, documented the nurse should: - verify a physician's order for oxygen before administration of oxygen; - assess for signs and symptoms of cyanosis (skin, nails and lips turn a blue color due to lack of oxygen in the blood) and hypoxia (low levels of oxygen in body tissues that can cause confusion and difficulty breathing); - check to make sure oxygen tubing was connected to the oxygen source and oxygen turned on; and - place appropriate…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, record review, and interviews during the abbreviated survey (NY00381595), the facility did not ensure allegations of abuse and neglect were thoroughly investigated for 4 of 4 residents (Residents #1-4) reviewed. Specifically, the facility investigation was not thorough and did not identify concerns related to: -Resident #1's roommate (Resident #2) alleged on 5/19/2025 Certified Nurse Aides #1 and 2 yelled at Resident #1 while providing care. There was no documentation Resident #1 was assessed by a qualified professional, Certified Nurse Aides #1 and 2 continued to work at the facility after the allegation was made, and there was no documentation the Administrator was notified of the allegation. -Resident #2 reported on 5/19/2025, they developed a headache due to Certified Nurse Aides #1 and 2 yelling at Resident #1 and they (Resident #2) required a pain-relieving medication for the headache. There was no documentation Resident #2 was assessed by a qualified professional. - Certified Nurse Aide #6 reported while they provided care to Resident #3 on 5/19/2025,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review during the recertification survey conducted 9/3/2024-9/6/2024, the facility did not ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety in the main kitchen. Specifically, the main kitchen had multiple unclean areas, expired food, and unwrapped and undated food. Findings include: The facility policy, Food Storage, dated 10/2001 documented food and supplies would be received and stored properly by the general kitchen worker. Food was rotated so the first food in was the first food out. The facility policy Infection Control for nutritional services dated 2/2002 documented the work area was kept clean and sanitary. All work surfaces, except the cooking surface, and all floors in the Nutritional Services food preparation area were cleaned daily with an approved disinfectant. Storage areas shall be adequate, cleaned thoroughly weekly, and inspected daily by the Director of Nutritional Services. All refrigerator units were cleaned thoroughly weekly. Food stored in…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation and interview during the recertification survey conducted 9/3/2024-9/6/2024, the facility did not ensure drugs and biologicals were labeled and stored in accordance with currently accepted professional principles for 1 of 2 medication rooms (Interlaken). Specifically, the Interlaken medication room refrigerator temperatures were not consistently documented. Findings include: The facility policy, Medication Refrigerator Temperature Logs, created 12/2019, documented medication refrigerator temperatures were documented once in the morning and once in the evenings. If the refrigerator temperature was above 46 degrees Fahrenheit or below 36 degrees Fahrenheit both maintenance and the Director of Nursing should be notified. During an observation on 9/3/2024 at 2:11 PM the Interlaken medication room refrigerator did not have documented temperatures for the day shifts on 8/6/2024, 8/7/2024, and 8/12/2024; and for the evening shifts on 8/3/2024, 8/4/2024, 8/5/2024, 8/6/2024, and 8/11/2024. During an interview on 9/6/2024 at 8:30 AM, Licensed Practical Nurse #4 stated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review during recertification survey conducted 9/3/2024-9/6/2024, the facility did not provide each resident with a nourishing, palatable, well-balanced diet that meets their daily nutritional needs, taking into consideration the preferences of each resident for 2 of 3 residents (Resident #29 and #50) reviewed. Specifically, Residents #29 and #50 were missing food items or had the wrong items on their meal trays. Findings include: The facility policy, Meal Tray Accuracy, dated 12/2022, documented residents were provided with appropriate supplements, adaptive equipment, and items requested at mealtimes within the current diet order to ensure accuracy of residents' meal trays. 1) Resident #29 had diagnoses including tachycardia (fast heartbeat), anxiety, and hypertension (high blood pressure). The 6/22/2024 Minimum Data Set assessment documented the had severe cognitive impairment, was dependent on staff with eating, and weighed 112 pounds. A 6/7/2024 Physician #10 order documented the resident was to receive a ground solid diet. The…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review during the recertification survey conducted 10/11/22-10/14/22, the facility failed to provide separately locked, permanently affixed compartments for storage of controlled drugs listed in Schedule II of the Comprehensive Drug Abuse Prevention and Control Act of 1976 and other drugs subject to abuse for 1 of 3 medication carts (the stepdown unit medication cart) reviewed. Specifically, all prescribed controlled drugs on the stepdown unit were stored in an untethered medication cart and not in a permanently affixed compartment as required. Findings include: The 12/10/2020 facility policy addendum titled Medication Administration/Storage--Covid documented narcotics would be removed from the medication lock box in med room for individual med pass and placed back in the lock box in the medication room in lock box designated per hall for C hall and top of A hallway following completion of medication pass. Step down narcotics will follow the same medication count each shift, however, they will remain in step down medication cart.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.