United Helpers Canton Nursing Home

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interview during the recertification survey conducted 8/6/2024-8/9/2024, the facility did not ensure residents had the right to a safe, clean, comfortable, and homelike environment for 2 of 2 resident neighborhoods (North and [NAME] Neighborhoods). Specifically, hot water was not maintained at acceptable temperatures in the North and [NAME] neighborhoods; resident wheelchairs were soiled and in disrepair on the [NAME] Neighborhood; there were sticky floors in several areas of the North Neighborhood; and the kitchenettes on the North and [NAME] Neighborhoods were in disrepair. Findings include: The facility policy, Resident's Rights, dated 8/15/2017, documented residents of the facility had the right to live in a clean and safe environment. The facility policy, Maintaining and Monitoring Water Temperatures - SNF (Skilled Nursing Facility), dated 2/2021 documented the water temperature must be capable of attaining a temperature of 90 degrees Fahrenheit and must not attain 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.

Based on observation, record review, and interview during the recertification survey conducted 8/6/2024-8/9/2024, the facility did not ensure residents were free of any significant medication errors for 3 of 4 resident (Residents #9, #53, and #59) reviewed. Specifically, Residents #9 and #53 did not receive medications as ordered and the medical provider was not notified, and Resident #59 did not receive their medication for Parkinson's disease (a progressive neuorological disorder) timely as ordered. Findings include: The facility policy, Medication Policies Program, revised 9/16/2024, documented all drugs were to be administered in compliance with the physician's orders, were administered safely, and were administered without error. The person who administered the medication would ensure the six rights of medication administration: the right person, the right medication, the right dose, the right time, the right method/route, and the right documentation. 1) Resident #9 had diagnoses including depression, heart failure, and hypothyroidism (underactive thyroid). The 6/4/2024 Minimum…

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 8/6/2024-8/9/2024, the facility did not ensure drugs and biologicals were labelled and stored in accordance with currently accepted professional principles and included the appropriate accessory and cautionary instructions when applicable for 1 of 4 medication carts (North neighborhood, Oak, and Elm Cart) reviewed. Specifically, the North neighborhood (the secured unit) Oak and Elm medication cart was left unlocked and unattended. Findings include: The facility policy, Medication Policies Program, revised 9/7/2016, documented medication rooms, medication cupboards, medication carts, and drug preparation areas would be kept clean, neat, and orderly at all times and the area would be kept locked unless under direct visual control by the staff person responsible for the medication administration. All mobile medication carts must be under visual control of the designated staff administering medications at all times. The following observations were made on 8/7/2024: - At 12:24 PM, the medication cart for Oak…

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 6/7/22-6/9/22, the facility failed to exercise reasonable care for the protection of resident property from loss for 1 of 3 residents (Resident #26) reviewed. Specifically, Resident #26's hearing aids were missing and there was no documented evidence the missing hearing aids were reported or an investigation was initiated. Findings include: The facility policy Misappropriation of Resident Property revised 6/26/17 documented: - All employees have the responsibility to protect the resident's property and to alert the appropriate individuals of any occurrence of misappropriation. - Upon receipt of an allegation of misappropriation (either verbally or written) by the resident, designated representative, or other individual or source, it shall be reported to the administrator or designee immediately and investigation will be undertaken not later than 48 hours after receipt. Resident #26 was admitted to the facility with diagnoses including hemiplegia (paralysis on one side of the body) 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.

Based on observation, interview, and record review during the recertification and abbreviated surveys (NY00293106) conducted 6/7/22 to 6/9/22, the facility failed to thoroughly investigate all alleged violations of abuse, neglect, exploitation, or mistreatment for 1 of 3 residents (Resident #46) reviewed. Specifically, Resident #46 had a bruise which was not thoroughly investigated to rule out abuse, neglect, or mistreatment. Findings include: The facility policy Reporting & Investigating Resident Incidents dated 6/26/17 documented: - If a resident was subjected to an incident, any employee must report such an incident or suspicion to the charge nurse/supervisor/department head/DON (Director of Nursing)/Administrator. - The supervisor or designee must complete an Incident Report. If an incident occurred, the Administrator or designee would be immediately notified, and an investigation initiated. - The Building Supervisor would notify the Administrator or designee if any injury of unknown origins occurred, which was considered a possible reportable incident to the New York State…

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, interview, and record review during the recertification and abbreviated surveys (NY00289301) conducted 6/7/22-6/9/22, the facility failed to ensure a resident who was unable to carry out activities of daily living (ADL) received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 1 of 5 residents (Resident #55) reviewed. Specifically, Resident #55 was not provided protective heel boots as care planned. Findings include: Resident #55 had diagnoses including dementia and chronic pain. The 4/26/22 Minimum Data Set (MDS) assessment documented the resident had severe cognitive impairment, did not exhibit behavioral symptoms or rejection of care, was dependent for ADLs, was at risk for pressure ulcer/injury, and had pressure reducing devices for the chair and bed. The comprehensive care plan (CCP) initiated 8/30/21 documented the resident was at risk for pressure ulcers due to impaired mobility and chronic disease. Interventions included observe skin…

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 interview and record review during the recertification survey, the facility did not ensure that each resident and/or resident representative, was involved in developing the plan of care and making decisions about his or her care for 1 of 1 resident (Resident #52) reviewed for care planning. Specifically, Resident #52 was not invited to attend her annual care plan meeting. Findings include: The 4/7/17 Resident/Family Participation policy documented residents are invited to attend and participate in the care planning conferences on at least an annual basis and advanced notice of the care planning conference is provided to the resident by mail, telephone, and/or in person. Social services maintains a record of such notices by documentation in the resident's medical record and/or keeping a copy of mailed notices. Resident #52 was admitted to the facility on [DATE] with diagnoses of Parkinson's disease and dementia. The 12/4/18 annual Minimum Data Set (MDS) assessment documented the resident had moderately…

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 residents with limited range of motion (ROM) received appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion for 1 of 2 residents (Resident #22) reviewed for ROM. Specifically, Resident #22 had recommendations for a palm protector for hand contractures and the resident was observed without the palm protector in place. Additionally, guidelines for use of the palm protector were unclear. Findings include: The 2/29/08 Documentation of Range of Motion Limitations and Contractures Policy documented a resident with limited range of motion will receive appropriate treatment and services to improve range of motion and/or prevent further decline in his/her range of motion. Resident #22 was admitted to the facility on [DATE] with diagnoses of dementia and osteoarthritis. The 4/23/19 Minimum Data Set (MDS) assessment documented the resident had…

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 interview during the recertification survey, the facility did not ensure the provision of food and drink was palatable, attractive, and at a safe and appetizing temperature for 1 of 2 meals (West Unit dinner) tested. Specifically, food at a lunch meal was not served at palatable and safe temperatures. Findings include: The 2/13/12 Food Service Production policy documented hot food items must be stored at a temperature of at least 140 degrees Fahrenheit (F) to prevent food borne illnesses. All thermometers will be tested weekly to ensure accurate food temperatures. The 6/26/19 Temperature Sheet for the lunch meal documented that the whole grilled chicken had a measured temperature of 190 F and the mashed potatoes were 189 F. There was no documented time or location when the temperatures were obtained. During a unit dining observation on 6/26/19 at 12:21 PM, a tray was assembled by a staff member for a resident that was not eating and was set aside. Diet Technician/Supervisor #16 observed one of the burners on the steam table was turned off. 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.