The Chateau At Brooklyn Rehabilitation and Nursing

Based on record review and staff interview conducted during the Recertification survey from 06/13/2024 to 06/21/2024, the facility did not ensure that resident right to manage his or her financial affairs was maintained. This was evident for 1 (Resident #9) of 1 resident reviewed for Personal Funds. Specifically, the facility did not provide Resident #9 with quarterly statements advising of the balance in their personal fund account. The finding is: The facility policy and procedure titled Residents Funds with revision date of 06/18/2024 states that the facility manages the personal funds of residents who request the facility to do so. The policy also stated that should the resident elect to have the facility manage their personal funds, it is authorized in writing by the resident or the resident's representative, and a copy of such authorization is documented in the resident's medical record. Copies of all financial transactions are filed in the residents' permanent record. Resident #9 was admitted to the facility with diagnoses that included Hypertension, Multiple Sclerosis 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 record review and interviews conducted during the Recertification Survey from 6/13/2024 to 6/21/2024, the facility did not ensure a person-centered comprehensive care plan was developed and implemented to meet a resident's needs. This was evident for 1 (Resident #6) of 6 residents reviewed for Pain Management and 1 (Resident #22) of 2 residents reviewed for Respiratory Care out of 38 total sampled residents. Specifically, 1). a comprehensive care plan related to pain was not developed to address Resident #6 chronic pain and 2). there was no care plan created for a resident receiving Oxygen therapy. The findings include: The facility policy titled Care Plan-Comprehensive created 3/2022 and revised 6/2024 stated that comprehensive care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functions needs is developed and implemented. The care planning process will include an assessment of the residents' strengths and needs. The Comprehensive Care person…

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 (NY00337375) survey from 06/13/2024 to 06/21/2024, the facility did not ensure that residents were free from misappropriation of property. This was evident for 2 (Resident #232 and #334) of 2 residents reviewed for Abuse out of 38 total sampled residents. Specifically, Licensed Practical Nurse #3 diverted narcotic medication ordered and delivered for use with two residents. Licensed Practical Nurse #3 hid the medication in their personal bag and removed it from the facility. The findings are: The facility policy titled Abuse Neglect and Exploitation of resident dated 6/24/2024 documented each resident has the right to free from verbal, sexual, physical, and mental abuse, corporal punishment, involuntary seclusion, mistreatment, neglect, exploitation, and misappropriation of property. The policy further documented exploitation/misappropriation of resident property is an act or improper course of conduct, including…

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 record review and interviews conducted during the Recertification and Complaint (NY00337275) survey from 06/13/2024 to 06/21/2024, the facility did not ensure that misappropriation of property was reported to the Department of Health. This was evident for 1 (Resident # 334) of 2 residents reviewed for abuse out of 38 total investigated sampled residents. Specifically, during another investigation a Licensed Practical Nurse was found to have diverted narcotic medication for Resident #334 and this was not reported to the Department of Health. The findings are: The facility policy titled Abuse Neglect and Exploitation of Resident dated 6/24/2024 documented should the investigation revealed that an abuse occurred the Administrator will report the findings to the local police department, the ombudsman, and state licensing certification agency within such licensing agency within 24 hours of the results of the completion of the investigation, as indicated, and to the state survey and certification agency within five (5) days of the completion of the investigation. Resident #334…

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 Abbreviated (NY00337375) survey from 6/13/2024 to 6/21/2024, the facility did not ensure services provided met professional standards. This was evident for 2 (Resident #232 and #334) of 2 residents reviewed for Abuse out of 38 total sampled residents. Specifically, Licensed Practical Nurse #3 diverted narcotics intended for use with two residents. Licensed Practical Nurse #3 documented on 3/24/2024 that 30 Percocet 5/325 mg tablets were received instead of 60 Percocet 5/325 mg tablets for Resident #232 and that 30 Oxycodone 10 mg tablets were received instead of 60 Oxycodone 10 mg tablets for Resident #334. The Registered Nursing Supervisor #1 who delivered the medications to the unit did not monitor the quantity of narcotics the Licensed Practical Nurse #3 documented on the resident's narcotics sheets used on the unit. The findings are: The facility's policy titled Nursing Standards of Care dated 6/24/2024 documented members of 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 record reviews and interviews conducted during the Recertification and Abbreviated (NY00337375) Survey from 6/13/2024 to 6/21/2024, the facility did not ensure pharmaceutical services was provided to including procedures that assure accurate, receiving of narcotics, establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation; and determine that drug records are in order; and that an account of all controlled drugs is maintained. Specifically, Licensed Practical Nurse #3 diverted narcotics delivered for two residents. Licensed Practical Nurse #3 documented on 3/24/2024 that they received 30 Percocet 5/325 mg tablets instead of 60 Percocet 5/325 mg tablets and 30 Oxycodone 10 mg tablets instead of 60 Oxycodone10 mg tablets. The Registered Nursing Supervisor#1 who delivered the narcotic medications to Licensed Practical Nurse #3 did not observe the quantity of narcotics Licensed Practical Nurse #3 documented received on the narcotics sheets used on the unit. The findings are: The facility policy…

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 conducted during the Recertification survey from 5/18/2022 to 5/25/2022, the facility did not ensure safe food handling and storage were practiced to prevent food-borne illness. This was evident during observation of the facility Kitchen. Specifically, several expired food items were observed in the Kitchen refrigerators. The findings are: The facility policy titled Food Storage revised 2/15/2022 documented foods removed from original packaging must be dated with expiration dates, and leftover food is used within 3 days or discarded. On 05/18/2022 at 09:17 AM, the Kitchen reach-in refrigerator was observed with the following labeled items: one honey thick orange juice cup expiration 5/4/2022; one nectar thick water cup expiration 5/6/2022; five nectar thick water cups expiration 5/10/2022; two cottage cheese cups, two nectar thick water cups, and two nectar thick apple juice cups expiration 5/15/2022; one nectar thick apple juice cup, three 4-ounce Lactaid milk containers, and three 4-oz cottage cheese cups expiration 5/17/2022.…

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, observation, and interview the facility did not ensure a comprehensive person-centered care plan that includes measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs and includes the resident's goals, desired outcomes, and preferences was developed. Specifically, a comprehensive care plan was not developed for a resident with a diagnosis of diabetes mellitus. This was evident for 1 of 5 residents reviewed for Unnecessary Medications out of a sample of 35 residents. (Resident #77) The findings are: The facility policy and procedure titled Care Plans - Preliminary dated 12/20/2021 documented a preliminary plan of care to meet the resident's immediate needs shall be developed for each resident within twenty-four (24) hours of admission. The facility policy and procedure titled Care Plans - Comprehensive Care Planning dated 12/20/2021 documented the facility will develop a comprehensive, person-centered care plan for each resident that…

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 during the Recertification Survey, the facility did not ensure that a resident was cared for in a manner that maintained or enhanced his or her dignity. Specifically, residents with a catheter were observed in common areas with visible urine-filled catheter tubing. This was evident for 2 of 2 residents reviewed for Catheter Care (Residents #162 and #165). The findings are: Review of the facility policy and procedure, titled, Foley & Suprapubic Care, dated 07/11/2018, documented the use of a dignity bag when out of bed. 1) Resident #162 was re-admitted on [DATE] with diagnoses which include Neurogenic Bladder. The Quarterly Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented the resident had clear speech and understands. The resident had a Brief Interview of Mental Status (BIMS) score of 09/15, indicating moderately impaired cognition. Several observations made on 06/18/19 at 12:24 PM and on 06/20/19 at 11:39 AM found the resident in the dining room,…

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 during the Recertification Survey, the facility did not ensure that residents' privacy and confidenciality were maintained. Specifically, residents with a catheter were observed in common areas with visible urine-filled catheter tubing. This was evident for 2 of 2 residents reviewed for Catheter Care (Residents #162 and #165). The findings are: Review of the facility policy and procedure, titled, Foley & Suprapubic Care, dated 07/11/2018, documented the use of a dignity bag when out of bed. 1) Resident #162 was re-admitted on [DATE] with diagnoses which include Neurogenic Bladder. The Quarterly Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented the resident had clear speech and understands. The resident had a Brief Interview of Mental Status (BIMS) score of 09/15, indicating moderately impaired cognition. Several observations made on 06/18/19 at 12:24 PM and on 06/20/19 at 11:39 AM found the resident in the dining room, during a lunch meal and during…

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, the facility did not ensure that housekeeping and maintenance services were maintained. Specifically: 1.) chairs in resident room and in dining room were soiled, faded, tattered and torn, with duck tape to armrests. 2.) hole in wall, peeling plaster, soiled dusty curtains hanging off their hooks. 3) Dining room windows missing vertical blind slats. 4.) the 4th floor nurse station counter top with its edges with exposed inner wood material and missing pieces of the Formica covering. 5) Hoyer lift with accumulation of dirt and dust. This was evident for two (2) of (5) five resident units. (units 4 and 5). The findings are: The following was observed during the initial unit observations and subsequent date on 06/18 /19 at 10:37 AM on the 4th floor (fl) and on 06/19/19 at at 9:01 AM on the 5th fl. 4th floor unit: The Nurse Station desk top with its corners frayed exposing the inner material and missing Formica covering. The dining room area: Five (5) crimson colored chairs with torn arm rest, soiled and heavily worn…

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 during the Recertification Survey, the facility did not ensure that a person-centered care plan with measurable goals and time frames and interventions was developed to address a resident's medical needs identified in the comprehensive assessment. Specifically, there was no documented evidence that the comprehensive care plan included measurable goals, objectives and interventions to address for a resident with a Urinary Catheter. This was evident for one (1) of two (2) Residents investigated for Catheter Care. (Resident # 165). The finding is: Resident # 165 is a [AGE] year old admitted on [DATE] with diagnosis that included 'Retention of Urine. The Annual MDS ARD of 05/26/19 documented the resident has being able to be understood and understands, with moderate to severe cognition. The resident requires extensive assistance from staff with activities of daily living. The It is alsot documented that the resident at the time of the assessment had an indweling…

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 the facility did not ensure that infection control practices were maintained. Specifically, a resident who has an physician order to be on contact precautions did not have clear signage to the resident's room either identifying the category of transmission-based precautions, instructions for use of Personal Protective Equipment (PPE), and/or instructions to see the nurse before entering. This was evident for one (1) resident investigated for Infection. (Resident # 65). The finding is: Review of the facility policy and procedure for, Infection Control, dated 03/28/19 documented that, When Transmission Based Precautions are implemented, the designee shall, Post the appropriate notice on the room entrance door . Observations on 06/20/19 at 12:04 PM found a visitor in the the room of the resident who was on contact precautions. The visitor was observed sitting close to the resident, talking with the resident, both were eating a sandwich. The visitor did not have on a…

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.