Absolut Center for Nursing and Rehabilitation at A

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during the Standard survey completed on 12/20/24, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, five ([NAME] 3, [NAME] 2, Willink A, Willink C, Willink Legacy Cove) of five unit Nourishment Room refrigerators contained undated, unlabeled, and out of date food and drink items and a staff member's personal food was stored with residents' food. The findings are: The policy and procedure titled Food Receiving and Storage, revised 12/2012, documented potentially hazardous foods stored in the refrigerator will be labeled and dated and discarded after three days once opened. All non-potentially hazardous foods stored in the refrigerator will be labeled and dated and discarded after five days once opened. The policy and procedure titled Food(s) Brought in from Outside the Facility, revised 12/2019, documented perishable foods brought in must be labeled with…

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 conducted during the Standard survey completed on 12/20/24, the facility did not ensure residents had the right to interact with members of the community and participate in community activities inside the facility for one (Resident #33) of two residents reviewed. Specifically, staff did not accommodate Resident #33's choice to attend the Resident Council Meeting on 12/17/24. The finding is: The policy and procedure titled Resident Rights and Responsibilities revised 4/2/24 documented the facility functions on the premise that the service it renders should demonstrate its belief in the dignity and worth of every individual. It is the objective of the facility to provide the Patient/Resident with optimal nursing and psychosocial care. Every effort is made by the staff to meet the Patient/Resident's individual needs and requirements. Resident #33 had diagnoses which included multiple sclerosis, paraplegia (paralysis of lower extremities) and anxiety. The 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review conducted during a Complaint investigation (#NY00347404) during a Standard survey completed on 12/20/2024, it was determined the facility did not protect residents from sexual abuse for two (Resident #165 and Resident #151) of seven residents reviewed. Specifically, residents who lacked ability to consent were observed undressed and in bed together. The policy and procedure titled Abuse Prohibition dated 02/2023 documented that residents have a right to be free from abuse including sexual abuse. The policy and procedure titled Abuse Prohibition Staff Responsible for Coordinating and Implementing dated 11/19/2021 documented that the Administrator is responsible for preventing abuse of the residents. The findings are: 1. Resident #165 was admitted to the facility with diagnoses of Alzheimer's disease and dementia. The Minimum Data Set (a resident assessment tool) dated 5/30/24 documented Resident #165 was severely cognitively impaired and had wandering behaviors. 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during the Standard survey completed on 12/20/24, the facility did not maintain an infection prevention program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infection for one (Resident #10) of three residents reviewed. Specifically, staff placed linens soiled with urine and fecal matter and soiled incontinence briefs directly on the floor and on the resident's bed headboard and footboard while providing care. The finding is: The policy and procedure titled Incontinent Care revised 3/2022 documented to remove brief, clothing and bed linen and place on a soiled barrier. Wash perineum, anus, buttocks, abdomen, hips, and thighs. Rinse if using soap. Pat dry with a towel. Remove gloves, wash hands, apply new gloves and apply a thin layer of protective skin barrier per care plan. Apply one glove before leaving room to place linen in hamper. The 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, interview, and record review conducted during the Standard survey completed on 12/20/24, the facility did not ensure each resident was offered the pneumococcal and influenza immunizations and received education regarding the benefits and potential side effects of the immunizations for two (Residents #171 and #10) of six residents reviewed. Specifically, Resident #171 was not given the influenza vaccine after their responsible party consented to the vaccination nor were they offered and educated about the pneumococcal vaccination. Additionally, Resident #10 was not given the pneumococcal vaccination after their responsible party consented to the vaccination. The findings are: The policy and procedure titled Policy on Influenza Immunization revised 10/2020, documented the facility assures that all residents receive a flu vaccination, unless medically contraindicated, or the resident makes an informed choice of refusal. The resident is immunized once the influenza vaccine consent form has been…

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 conducted during a Standard survey completed on 6/28/23, the facility did not ensure that residents who receive a psychotropic medication have gradual dose reductions (GDR), unless clinically contraindicated, in an effort to discontinue these drugs for one (Resident #7) of six residents reviewed for psychotropic medication use. Specifically, there was a lack of a GDR attempt for a resident receiving an antipsychotic medication without adequate supporting evidence for its continued use. The finding is: The policy and procedure (P&P) titled Psychotropic Med Use Initiation and Gradual dose reduction dated revised 10/22 documented each resident is evaluated for the initiation/continued need of psychotropic medications and the determination of whether he/she is being maintained on the lowest effective dose. Each resident receiving psychotic medication(s) require a GDR unless deemed and documented as clinically contraindicated. A determination is made if GDR/discontinuation is appropriate based on evaluation of resident's target symptoms,…

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 interview and record review, conducted during a Standard survey completed 6/28/23, the facility did not ensure the resident has a right to a safe, clean, comfortable, and homelike environment. The facility did not exercise reasonable care for the protection of resident's property from loss or theft for one (Resident #43) of 3 reviewed. Specifically, Resident #43 reported to the facility in February 2023 that their cell phone went missing during a room change from one unit to another. The facility did not investigate and follow up on the missing property report. The findings are: The policy Loss/Misappropriation of resident Property, dated/revised 11/4/2021 documented that reports of misappropriation of resident property are promptly and thoroughly investigated. The facility does not request or require residents to waive potential facility liability for losses of personal property. All Lost Property/Damaged Property Reports are filed in a file found in the Administrator's/Designee's office. This shall service as the log of allegations and subsequent investigations as…

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 conducted during a Complaint Investigation (NY00310847) during a Standard survey completed on 6/28/23, the facility did not ensure that residents, residents' representative, and the Office of the State Long Term Care Ombudsman receive a written notice of transfer or discharge must be made by the facility at least 30 days before the resident is transferred or discharged . Specifically, three (Residents #221, 220, 219) of four, their representatives, and the New York State Ombudsman office did not receive a written transfer or discharge notices 30 days prior to being transferred to another facility. The findings are: The policy and procedure titled Discharge Notice dated 12/03 documented that a notice will be issued at least 30 days prior to the transfer/discharge unless there is an urgent medical need, the health or safety of the residents are endangered, or there is a sufficient improvement in the resident's health where the services of the skilled nursing facility is no…

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 conducted during a Standard survey completed on 6/29/23, the facility did not ensure that each resident who was unable to carry out Activities of Daily Living (ADL's) received the necessary services to maintain grooming and personal hygiene for one (Residents #7) of four residents reviewed for ADL's. Specifically, Residents #7 had dark thick debris under their fingernails. The findings are: The policy and procedure (P&P) titled Nail Care revised 10/11 documented purpose was to ensure cleanliness and to prevent infection. Routine nail care is to be done following bath/shower whenever possible. The P&P titled Bathing and Grooming revised 2/2019 documented all residents are bathed as often as necessary to maintain cleanliness, refresh and stimulate circulation. Care of fingers and toenails is part of the bath. Be certain nails are clean and trim as needed. 1. Resident #7 had diagnoses that included unspecified dementia, type 2 diabetes mellitus, and peripheral…

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 conducted during a Standard survey completed on 8/11/21, the facility did not maintain all essential mechanical, electrical, and patient care equipment in a safe operating condition. Specifically, one ([NAME]) of two kitchens in use had issues with sub-optimal dish machine water temperatures for proper cleaning and sanitizing of dishes. The findings are: Review of facility dish machine Installation and Operation Manual dated 2013 provided by vendor documented, in the hot water sanitizing mode the temperature gauge labels must specify 160°F (degrees Fahrenheit) minimum wash temperature and 180°F minimum rinse temperature. Observation of the [NAME] kitchen on 8/10/21 at 12:30 PM revealed Dietary Aide #2 sent three racks of dishes (trays, bowls, and juice cups) through the hot water sanitizing mode dish machine. The wash cycle temperature gauge did not go above 150 °F and the rinse cycle did not go above 110 °F. Review of the thermostat instructions posted on 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during the Standard survey completed on 8/11/21, the facility did not ensure that each resident who is unable to carry out Activities of Daily Living (ADL's) receives the necessary services to maintain grooming and personal hygiene. Specifically, one (Resident # 205) of four residents reviewed for ADL's had long jagged fingernails. The finding is: A facility policy and procedure (P&P) titled Activities of Daily Living dated 3/20 documented that each resident will receive, and the facility will provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, consistent with the resident's comprehensive assessment and plan of care. A facility P&P titled Nail Care dated 3/2020 documented the purpose was to ensure cleanliness and prevent infection, routine nail care is to be done following bath/ shower whenever possible and report pertinent observations. 1. Resident #205 had diagnoses 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, interview, and record review conducted during a Standard survey completed on 8/11/21, the facility did not ensure that residents receive treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for one (Resident #6) of six residents reviewed for non-pressure related skin issues. Specifically, a nurse did not complete the wound treatment as ordered by the physician and there was a lack of hand hygiene and glove change, during wound treatment. The finding is: The facility policy and procedure (P&P) titled Physician Orders effective 3/1/20 documented it shall be facility policy to assure that medication/treatment orders are implemented accurately, timely, and in accordance with the Health Code of the State of NY and Federal Government agencies. Review of facility P&P titled Dressing-Clean Technique effective 3/1/20 documented a clean dressing technique is used to provide and appropriate and safe environment conducive to wound…

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.