Elderwood at Wheatfield

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during complaint investigations (NY00344374, NY00348550, and NY00347789) conducted during the Standard survey completed on 8/14/24, the facility did not ensure sufficient nursing staff to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident for one of one facility. Specifically, the facility did not meet their established minimum number of staff for each shift. Additionally, there was a lack of sufficient nursing staff to get residents out of bed and provide appropriate care according to residents' care plans and preferences. Resident #'s 1, 13, 15, 32, 55, 56, 76, 82, 86, 89 and 91 were involved. The findings are: Refer to F561 Resident Choices, scope and severity = D 1. The Facility assessment dated [DATE], documented the facility's bed capacity was 123 and their average daily census at the time of the assessment was 107. The facility assessment documented the minimum number of staff required 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, interview, and record review during the Standard survey completed on 8/14/24, the facility did not maintain an effective pest control program so that the facility was free from insects for one (Unit 1) of three resident units. Specifically, flies were observed in resident rooms, dining rooms and common (lounge) area on Unit 1. The findings are: Refer to F 584 Safe clean and comfortable environment. Facility was unable to provide a policy and procedure for pest control. Review of work order dated 7/29/24, Resident room [ROOM NUMBER], documented the resident's family stating flies were coming in from around open, air conditioner. Work order indicated work order completed 7/29/24, seal around air conditioner. Review of work order dated 7/31/23, Resident Room's #100, #106, #107 noted reports of flies coming in from outside through gaps left by air conditioners. Work order documented completed, all three rooms sealed up air conditioners, done. Review of pest company National Accounts Service…

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 conducted during the Standard survey completed on 8/14/24, the facility did not ensure that each resident was treated with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for one (Resident #59) of two residents reviewed for dignity. Specifically, Resident #59 was observed to have a hospice (specialized care for people nearing the end of life) nursing assessment completed in the dining room while they were being assisted with their lunch. The finding is: The policy and procedure titled Resident's Rights Policy (General) revised 6/6/22 documented each staff member will be personally responsible for ensuring that the rights of each resident are respected and not violated. Staff shall ensure that all residents are afforded their right to a nondiscriminatory, dignified existence, self-determination, respect, full recognition of their individuality, consideration and privacy in treatment and care for…

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 a Complaint investigation (#NY00339558) during the Standard survey completed on 8/14/24, the facility did not ensure residents had the right to choose schedules, and health care consistent with their interests, assessments, and plan of care for three (Resident #1, #55, and #56) of six residents reviewed for choices. Specifically, Residents #1, #55, and #56 were not given showers twice a week as care planned and preferred. Additionally, Resident #56 was not gotten out of bed as care planned and preferred. The findings are: The policy and procedure titled Resident's Rights Policy dated 5/23/22 documented each staff member will be personally responsible for ensuring that the rights of each resident are respected and not violated. Staff shall ensure that all residents are afforded their right to self-determination in treatment and care for personal needs. Refer to a copy of Resident's Rights and relevant policy regarding rights of residents. Review…

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 and interview during the Standard survey completed on 8/14/24, the facility did not ensure housekeeping services necessary to maintain a sanitary, comfortable interior. Specifically, one (Unit 1) of 3 resident units had a strong urine odor present throughout the survey period. The findings are: The policy and procedure titled Cleaning Occupied Resident Room last modified 10/12/18 documented the room occupied by a resident will be maintained in a clean, hygienic, and attractive state, without disrupting resident health care, routines, or the privacy of the resident. During an observation on 8/8/24 at 10:00 AM, 8/9/24 at 8:57 AM, 8/13/24 at 1:38 PM there was strong urine odor upon entering Unit 1 and down the Side B of the unit. During an observation on 8/8/24 at 11:46 AM, 8/12/24 at 8:39 AM, and 8/13/24 at 1:40 PM, Resident room [ROOM NUMBER] had a strong urine odor. During an observation and interview on 8/9/24 at 10:42 AM and 8/12/24 at 8:44 AM, there was a strong urine odor in the room 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 interview, and record review conducted during a Complaint investigation (#NY00343934) during the Standard survey completed on 8/14/24 the facility did not ensure that all alleged violations including abuse, or mistreatment were reported immediately, but not later than two hours after the allegation was made to the State Survey Agency for one (Resident #69) of six residents reviewed. Specifically, an allegation of resident abuse/mistreatment was not reported to the New York State Department of Health as required. The finding is: The policy and procedure titled Abuse Prevention, Identification, Investigation, Protection and Reporting last modified 4/30/2024 documented the facility will provide protection for the health, welfare and rights of each resident residing in the facility. The Administrator or designee will report all alleged violations to, state agencies immediately, but no later than two hours after the allegation of abuse, mistreatment. 1.Resident #69 had diagnoses that included stroke affecting right dominant side with hemiplegia (paralysis on one side of body)…

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 8/14/24, the facility did not ensure that a resident with pressure ulcers receives necessary treatment and services consistent with professional standards of practice to promote healing for one (Resident #38) of three residents reviewed. Specifically, there was a delay in an assessment from a qualified individual of the resident's newly identified right buttock pressure ulcer to include a description, stage, location, and measurements. The finding is: The policy and procedure titled Pressure Ulcer, Pressure Injury, and other Skin Conditions: Initial Assessment, Care Planning, Ongoing Evaluation and Management last modified 2/27/23, documented that all staff interacting with the resident daily, including nursing assistants, will conduct skin observations and report any changes in skin condition to ensure timely evaluation and assessment. Any new skin conditions are communicated during shift-to-shift report and/or to the supervisor for further evaluation, as necessary. The policy documented…

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 (#NY00321764) during the Standard survey completed on 8/14/24, the facility did not ensure that each resident receives adequate supervision to prevent accidents for one (Resident #84) of one resident reviewed for elopement. Specifically, Resident #84 was found in the parking lot by a visitor on 8/9/23. The finding is: The policy and procedure titled Elopement-Wandering-Missing Resident last modified 10/11/2018, documented all residents are assessed as needed to determine risk level for unsafe wandering/elopement. In the event a resident successfully leaves the facility undetected and unsupervised, the Missing Resident procedure will be put into place immediately. 1.Resident #84 had diagnosis including dementia, cognitive communication deficit, and anxiety disorder. The Minimum Data Set (a resident assessment tool) dated 6/13/23 documented the resident had severe cognitive impairment and exhibited no 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.

Based on observation, interview, and record review conducted during a Standard survey completed on 8/14/24, the facility did not ensure that each resident was provided special eating equipment and utensils for residents who need them while consuming meals for one (Resident #85) of one resident reviewed. Specifically, Resident #85 was not provided bowls for solid foods or mugs for liquid beverages as care planned. The finding is: The policy and procedure titled Meal Serving-Resident dated 9/24/2018, documented that designated dietary staff will be responsible for ensuring that the necessary items are present at mealtime, or are obtained immediately upon request, for the consumption of food. Nursing staff or other appropriately trained staff will be responsible for fulfilling all non-food requests of residents, feeding of resident if needed, and for other dietary services that are part of the resident's care plan. Resident #85 had diagnoses that included Alzheimer's disease, unspecified dementia, senile degeneration of brain (loss of intellectual ability of the brain). 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 observation, interview, and record review conducted during a Standard survey completed on 8/14/24, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. for two (Resident #15 and Resident #82) of eight residents reviewed for infection control processes during care. Specifically, Certified Nurse Aide #4 and Certified Nurse Aide #18 did not wear proper personal protective equipment for a resident requiring enhanced barrier precautions with a multidrug resistant organism infection while they emptied a catheter bag (urine collection bag), changed the catheter bag to a leg bag, and transferred the resident to a shower chair (#15). In addition, Certified Nurse Aide #5 did not use proper hand hygiene during incontinent care (Resident #82). The findings are: The policy and procedure titled Infection Prevention Control…

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 the Standard Survey completed on 12/6/19, the facility did not ensure provision of a safe, sanitary and comfortable environment to help prevent the development and transmission of communicable diseases and infections. One (Resident #20) of one resident reviewed for transmission-based precautions had issues. Specifically, the lack of maintaining proper infection control practices during incontinence care, the lack of maintaining appropriate infection control practices and hand hygiene after staff provided fecal incontinence care. The findings are: Review of the facility policy and procedure (P&P) titled Infection Prevention Control Program dated 2/5/18 will establish and maintain an infection prevention control program designed to provide a safe, sanitary and comfortable environment and help prevent the the development and transmission of communicable diseases and infections The P&P titled Perineal, Incontinence Care dated 5/23/18 documents to wash, rinse and dry perineal are from top to bottom, inside to out. Then…

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.