Prestige Nursing Care & Rehab Center

Based on observation, record review, and interviews, the facility failed to ensure that residents' right to a safe, homelike environment was maintained. This was evident in two (2) shower rooms observed during the Environmental Task. Specifically, two (2) clear overhead lighting fixture coverings in the Six (6) [NAME] unit shower room were observed to be cracked or had broken circular areas, and the faucet on a sink in the Four (4) East unit was loose and became partially detached from the sink's base when used. The findings include:The facility policy and procedure titled, Homelike Environment, reviewed 01/2026, documented it is the policy of the facility to create and sustain a home-like environment that supports each residents' physical, emotional, and psychosocial well-being. The facility will respect resident preferences, encourage individuality, and promote autonomy while maintaining a safe and sanitary environment. The facility will maintain a clean, comfortable, and safe environment. Efforts will be made to reduce institutional appearance and maintain appropriate lighting.…

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 and interviews, the facility failed to ensure that food was stored in accordance with professional standards for food service safety. This was evident for three (3) of five (5) kitchen refrigerators that were observed during the initial kitchen tour. Specifically, walk-in refrigerator #1 was observed to contain unlabeled and undated cups of almond milk, walk-in refrigerator #2 was observed to contain outdated cooked food and undated defrosting food, and the kitchen pantry refrigerator contained four (4) ounce fruit and pudding cups that were undated and/or outdated.The findings include: The facility policy and procedure titled, Food Storage, with review date of 10/2025, documented that all use by dates will function as safety dates and all frozen food will be stored in a solid state. All perishable food will be dated by a staff member and stored immediately upon receival. Best by or best if used by dates are a suggestion for when the food item will be at its best quality. The facility standard is to treat this as the expiration date.The facility policy and…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interviews, the facility failed to ensure each resident was treated with respect and dignity. This was evident for one (1) (Resident #4) of two (2) residents reviewed for Activities of Daily Living out of a total sample of thirty-eight (38) residents. Specifically, Resident #4 was transferred via Hoyer Lift through the doorway, to a bariatric Geri chair. The findings include:The facility's policy titled, Lift and Transferring, last reviewed 03/2025, documented that preparation of the procedure includes providing enough space to move freely.The facility's policy titled, Resident's [NAME] of Rights, last revised 01/2026, documented that all staff members have a responsibility to enable a resident to have personal dignity, well-being and proper delivery of care.Resident #4 was admitted to the facility with diagnoses that include Coronary Artery Disease, Diabetes Mellitus and Non-Alzheimer's Dementia. On 04/13/2026 at 11:13 AM Resident #4 was observed for a transfer via…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and staff interviews, the facility failed to ensure that a person-centered comprehensive care plan was developed and implemented to address the residents' medical, physical, mental, and psychosocial needs. This was evident for one (1) resident (Resident #60) reviewed for Dental out of a total sample of 38 residents; specifically, a person-centered comprehensive care plan was not developed and implemented to address the resident's dental care needs. Additionally, a comprehensive care plan was not developed and implemented for Resident #73's use of plastic utensils in the resident's Activity of Daily Living or Behavior care plans.The findings include: The facility policy and procedure titled, Comprehensive Person-Centered Care Planning, dated 11/28/2017, last revised 01/2026, stated that a comprehensive, person-centered care plan for each resident is developed within (7) days of completion of the resident assessment. The care plan is based on the resident's comprehensive…

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, record review, and interviews, the facility failed to act upon the recommendations documented in the drug regimen review for one (1) (Resident # 347) of five (5) residents reviewed for unnecessary medications out of 38 total sampled residents. Specifically, the irregularity noted in the drug regimen review for Resident #347, dated 02/09/2026, was to consider a gradual dose reduction of Olanzapine five (5) milligrams; the physician did not document a rationale for not changing the medication order in the resident's medical record.The findings are:The facility policy and procedure titled, Drug Regimen Review, last revised January 2026, documented that the consultant pharmacist shall perform medication regimen reviews for each resident at least monthly. They shall provide written documentation of all recommendations and submit it to the facility for the attending prescriber or designee's review and response. The prescriber or designee shall act upon the Drug Regimen Review findings/recommendations in a timely manner of seven to fourteen (7-14) days or less. They…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff interviews, the facility did not ensure that the resident's drug regimen is free from unnecessary drugs. This was evident for one (1) resident (Resident #131) out of a total sample of thirty-eight (38) residents. Specifically, Resident #131 was ordered Morphine fifteen (15) milligram extended-release tablets to be given with frequency of as needed, which is not an adequate indication or duration for its use. The findings include: The facility's policy titled, Pain Assessment and Management, last reviewed 01/2026, documented that residents admitted on pain medication regimens will have their pain medications continued uninterrupted after evaluation by the medical provider. Staff will assess the effectiveness of medication in managing the pain by evaluating the dosage and administration intervals.Resident #131 was admitted to the facility with diagnoses that include chronic obstructive pulmonary disease, renal insufficiency, and obstructive uropathy.The Quarterly…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff interviews, the facility failed to ensure that a resident received dental services in a timely manner. This was evident for one (1) resident (Resident #60) reviewed for Dental out of a total sample of thirty-eight (38) residents. Specifically, Resident #60 was not provided with dental services to meet the needs of the resident since resident was admitted to the facility.The findings include:The facility policy titled, Consults: In-house and Off-site, with a last revised date of 01/2026 stated that consultation services are provided by the Medical Department as part of the comprehensive plan of care for all resident at the facility. The Physician will write an order for the consult. The nurse will pick up the order and bring the consult to the nursing office; The nursing office will review the in-house consults on a weekly basis and make the necessary phone calls to the in-house consultants to inform them of the pending consults that are due. The completed…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during the recertification and complaint (NY00324696 and NY00318663) survey from 3/3/2024 to 3/8/2024, the facility did not ensure that all alleged violations involving abuse were immediately reported to the New York State Department of Health, but not later than 2 hours after the allegation was made. This was evident for 3 (Resident #265, #181, and #66) of 38 total sampled residents. Specifically, 1) Resident #265's abrasion and bruise to their face and head of unknown origin were not reported to the New York State Department of Health, and 2) a resident-to-resident altercation between Resident #181 and #66 was not reported to the New York State Department of Health within 2 hours of occurrence. The findings are: The facility policy titled Abuse Prevention Program dated 1/2024 documented all reports of resident abuse, neglect, misappropriation of resident property, mistreatment and/or injuries of unknown source shall be promptly reported to local, state, and…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interviews conducted during the Recertification survey from 3/3/2024 to 3/8/2024, the facility did not provide an environment that is free from hazards. This was evident for 1 (Resident #274) of 6 residents reviewed for accidents out of 38 total sampled residents. Specifically, Resident #274 was provided with a disproportionately smaller mattress atop a wider bedframe, a hazard increasing the resident's risk for falling from bed. The findings are: Resident #274 had diagnoses of coronary artery disease and dementia. The facility policy titled Bed Inspection and Maintenance revised 2/2024 documented the safety and comfort of the residents will be ensured by regularly inspecting and maintaining bedframes and mattresses upon admission, readmission, and during a periodic comprehensive audit including bed area assessment. The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #274 had severe cognitive impairment. On 3/05/2024 at 11:23 AM, Resident #274 was observed…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews conducted during the Recertification and Abbreviated survey (NY00259038 and NY00252716), the facility did not ensure that an alleged violations involving Abuse and serious bodily injury were reported to the New York State Department of Health (NYSDOH) within 2 hours. Specifically, (1) allegations of resident-to-resident abuse were not reported within 2 hours, and (2) incidents of resident-to-resident abuse and a fracture of unknown source were not reported. This was evident for 7 of 8 residents reviewed for Abuse (Resident #130, #131, # 191, #199, # 205, #536, and #386). The findings include but are not limited to: The facility policy titled Abuse Prevention Program with revised date 11/2017 documented that An alleged violation of abuse, neglect, exploitation or mistreatment (including injuries of unknown source and misappropriation of resident property) will be reported immediately, but no later than two (2) hours if the alleged violation involves abuse OR has resulted 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview conducted during the Recertification survey, the facility did not ensure that the assessment accurately reflected the resident's status. Specifically, a resident's wander guard was not captured on the Minimum Data Sets (MDS). This was evident for 1 of 13 residents reviewed for Accidents out of total sample of 35 residents (Resident # 184). The findings are: The facility policy and procedure titled Resident Assessment MDS 3.0 revised 11/2021, documented: All persons who have completed any portion of the MDS resident assessment forms must sign and document attesting to the accuracy of such information. and The results of the assessments are used to develop, review and revise the resident's comprehensive care plan. Resident #184 was admitted with diagnoses which included Alzheimer's disease, Restlessness and agitation, and Major depressive disorder. On 02/02/22 at 3:16 PM, Resident #184 was observed wandering in the hallway and then standing in another resident's…

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.