Upper East Side Rehabilitation And Nursing Center

Based on interview and record review conducted, the facility did not have evidence that all alleged violations were thoroughly investigated. This was evident for one (1) out of seven (7) residents (Resident #1) reviewed for abuse. Specifically, Resident #1 reported that on 08/20/2025 a middle-aged worker (later identified as Certified Nursing Assistant #1) came into their room to change their brief between the hours of 11:30 PM and midnight and punched them in the face. There was no documented evidence that the facility took measures to facilitate Resident #1's ability to identify the person alleged to have assaulted them.A review of the facility's investigation found that it dismissed the resident's claim that they were assaulted by Certified Nursing Assistant #1 because the facility found that Certified Nursing Assistant #2 (who did not fit the description given by the resident) provided incontinent care to Resident #1 on 08/21/2025 between 3:30 AM and 4:00 AM. A review of the unit assignment sheet revealed that Certified Nursing Assistant #1 was not assigned to provide care 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review conducted during the Recertification survey from 1/16/2024 to 1/23/2024, the facility did not ensure a residen t's preferences were incorporated in developing care plan goals. This was evident for 1 (Resident #38) of 38 total sampled residents. Specifically, Resident #38 requested chocolate Ensure and was served with vanilla Ensure. The findings are: The facility policy titled Food Preferences dated 10/2021 documented the facility will provide individualized and person-centered care to its residents, ensuring dietary preferences of residents are respected, appropriately accommodated, and align with their nutritional needs. Resident #38 had diagnoses of malnutrition and dementia. The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #38 was moderately cognitively impaired. On 1/17/2024 at 1:05PM, Resident #38 was interviewed and stated the facility provided vanilla Ensure supplements even though Resident #38 informed staff they prefer chocolate…

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, interviews, and record review conducted during the Recertification Survey from 01/16/2024 to 01/23/2024, the facility did not ensure resident menus and dietary preferences were followed. This was evident for 1 (Resident #58) of 38 total sampled residents. Specifically, Resident #58 did not receive food items listed on the tray ticket during mealtime. The findings are: The facility policy titled Tray Ticket Identification and Labeling dated 4/2019 documented resident food trays are accurately identified with the meal, diet type, type of fluid, food likes and dislikes to ensure accurate food delivery and diet to residents. Resident #58 had diagnoses of diabetes mellitus and gastric esophageal reflux disease. The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #58 was cognitively intact and required a therapeutic diet. On 1/22/2024 at 7:58 AM, Resident #58 was observed in bed with their breakfast tray in front of them. Resident #58 stated the food items on the tray did not…

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, interviews, and record review conducted during the Recertification survey 1/16/2024 to 1/23/2024, the facility did not ensure food was stored in accordance with professional standards for food safety. This was evident for 1 (8th Floor) of 13 resident unit pantries. Specifically, the 8th Floor pantry refrigerator temperature was above 41 degrees Fahrenheit and contained undated and unlabeled melted ice cream in the freezer. The findings are: The facility policy titled Food Storage dated 5/2018 documented refrigeration temperatures are to be maintained at 41 degrees Fahrenheit or less. The facility policy titled Pantry Refrigeration Cleaning dated 11/2017 documented the pantry refrigerator will be cleaned, temperatures monitored, and documentation maintained to ensure optimal conditions for refrigerated items. On 1/19/2024 at 4:10 PM, the 8th Floor pantry refrigerator was observed in the presence of Registered Nurse #1. The internal temperature of the refrigerator was 55 degrees Fahrenheit. Undated and unlabeled containers of melted ice cream were in the freezer…

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, conducted during the recertification and abbreviated (NY00294833) survey from 1/16/2024 to 1/23/2024, the facility did not maintain an effective pest control program to keep the facility free from pests and rodents. This was evident in 1 (8th Floor) of 13 resident units. Specifically, a live roach was sighted in the 8th Floor pantry refrigerator. The findings are: The facility policy titled Pest Control dated 1/2018 documented an integrated pest control program was established and maintained. On 1/19/2024 at 4:10 PM, a roach approximately 1-inch long was observed running crawling out of the 8th Floor pantry refrigerator as the door was opened. The roach ran into a corner of the pantry and hid. The Pest Control Service Inspection Report dated 5/26/2023 documented roach gel was used to treat the kitchen, baseboards and interior. On 8/17/2023, the exterminator documented the 11th Floor had multiple cockroaches in resident rooms that were caught on glue boards. Spot application of roach gel was done and glue boards were replaced on…

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 recertification (HT7E11) and abbreviated survey (NY00269377) completed on 8/31/2021, the facility did not ensure all alleged violations involving abuse immediately, but not later than 2 hours after the allegation is made, to the State Survey Agency. Specifically, the facility did not report allegations of resident-to-resident abuse to the New York State Department of Health (NYSDOH) within 2 hours. This was evident for 2 of 3 residents reviewed for Abuse (Resident #26 and Resident #415). The findings are: The policy and procedure titled Accident reporting and investigation-NY effective 11/2016 documented the nurse supervisor will inform the Director of Nursing (DON)/Administrator of any allegation of abuse/neglect or serious incidents. Summarize and document the resident account of the incident in the progress notes, appropriate section of the accident report and investigation form unless the resident objects or is unable to provide such information as 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the Recertification survey, the facility did not ensure that services and treatments were provided to prevent further decrease in ROM or mobility. Specifically, carrot splints and heel boots were not applied as ordered. This was evident for 1 out of 1 residents reviewed for Position and Mobility out of a sample of 38 residents. (Resident #59). The finding is: The policy titled Application and Management of Splint/Brace/Immobilizer dated 11/17 documented to provide the patient/resident with pressure relieving devices on the bed and in the chair. Nursing staff is responsible to follow the scheduled time that devices are to be worn. Resident #59 was admitted to the facility with diagnoses that included Hemiplegia, unspecified affecting Right Dominant side, and Cerebral Infraction, unspecified. The Annual Minimum Data Set (MDS) dated [DATE] and Quarterly MDS dated [DATE] documented the resident had severely impaired cognition. The resident was…

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 staff interviews conducted during the Recertification and Abbreviated survey (NY00277772), the facility did not ensure that a resident received medically-related social services to attain or maintain their highest practicable Psysical, mental and psychosocial well-being. Specifically, a resident hospitalized for Psoriasis and discharged with a pre-scheduled follow-up dermatology appointment was not assisted with transportation to attend the appointment. This was evident for 1 of 1 residents reviewed for Quality of Care (Resident #341). The finding is: Resident #341 was admitted to the facility with diagnoses which include Psoriasis, Diabetes Mellitus without complications, and Hypertension. The admission Minimum Data Set 3.0 (MDS) assessment dated [DATE] and Quarterly MDS dated [DATE] documented the resident was cognitively intact. No skin issues were documented in the MDS. On 08/23/21 at 03:19 PM, the complainant was interviewed and stated being the POA (Power of Attorney and Health…

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 staff interview conducted during the Recertification survey, the facility did not ensure expired medications were removed from the current medication supply. Specifically, 2 bags of Dextrose solution, a vial of Piperacillin, and a vial of Tazobactam were observed in the medication storage past the expiration date. This was evident on 1 of 7 units reviewed for Medication Storage (Unit 4). The findings are: The form titled Environmental Rounds Audits- Medication Storage/Handling dated 8/30/21 documented no that expired or discontinued medications are present in the Medication Room/Carts section of the form. On 08/30/21 at 11:24 AM, an observation of the medication storage room on the 4th floor was conducted with the Registered Nurse (RN #1). Lactated Ringer's and 5% Dextrose Injection USP 1000 ml (milliliter) bags (2 bags) was observed with the manufacturer's expiration date of 6/21. A vial of Piperacillin and Tazobactam 3.375 gram per vial was observed with the manufacturer's expiration date of 4/2021. On 8/30/21 at 11:58 AM an interview was…

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 reviews and interviews during the re-certification survey, the facility did not maintain infection control practices to help prevent the development and transmission of communicable diseases and infections. Specifically, one resident with a Foley Catheter drainage bag and tubing were observed touching the floor and the floor mat in the resident's room. This was observed on two separate occasions on the same day. (Resident #76) The findings are: The facility policy titled, Urinary Catheter Care dated 3/2016 documents It is the policy of the facility that following the insertion of a urinary catheter, a closed drainage system is maintained. Catheter Care shall be provided daily for residents with Indwelling catheters and documented in the medical record. Purpose, to reduce risk of infection. Procedure- #8- A non-obstructed downhill flow must be maintained at all times. Keep the collection bag below the level of the bladder at all times. Do not rest the bag on the floor. Resident #76…

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.