Woodside Manor Nursing Home Inc

Based on observations, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for one (1) of one (1) main kitchen, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, raw shell eggs and raw chicken were not stored in a sanitary manner to prevent cross contamination, temperature controlled for safety (potentially hazardous) foods were not hot-held for service at 140 degrees Fahrenheit ( ) or above, thermometers were not stored in a sanitary solution, there was a severely dented can of food, condensation was dripping onto a food container from a hole in a reach-in cooler, and food items were undated and unlabeled. The findings are:Record review of the facility policy titled food storage, dated January 2008, revealed the policy included the following:All food products must be stored, labeled, and dated appropriately by the department procedure to prevent spoilage and possibility of food borne illnesses.Items will be placed in the refrigerator 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 observations, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for one (1) (Resident #48) of one (1) resident reviewed, the facility did not ensure the interdisciplinary team determined the Resident's right to self-administer medications was clinically appropriate. Specifically, Resident #48 was observed to have a bottle of antifungal powder at their bedside and the Resident stated they had been self-administering the medication. There were no medical orders in place for the powder, for the resident to self-administer or to keep medications at the bedside, and no comprehensive care plan was in place to address the self-administration of medications. This is evidenced by:Resident #48 had diagnoses including diabetes, chronic obstructive pulmonary disease (a disorder that restricts air flow in the lungs), and heart failure. The Minimum Data Set (a resident assessment tool), dated 08/27/2025, documented the resident was cognitively intact. During an observation and interview on 08/27/2025 at 9:17 AM, a bottle of miconazole…

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 a Recertification Survey from 08/25/2025 to 08/29/2025, for two (2) (Residents #25 and #30) of two (2) residents reviewed, the facility did not ensure the residents' right to privacy and the confidentiality of their personal and medical records was maintained. Specifically, a computer stationed in a hallway by a resident's room was observed open, exposing Resident #25's personal and medical information, and there were no staff members present to secure the information for nine (9) minutes and a computer was observed open, exposing Resident #30's personal information and medication administration record and there were no staff members present to secure the information for several minutes. The findings are:The facility Workstation Security Policy, dated September 2013, included a laptop computer qualified as a workstation, and all staff should lock their computer when left unattended for any period of time. 1. Resident #25 had diagnoses 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 observations, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for one (1) (Residents #12) of one (1) resident reviewed, the facility did not ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene. Specifically, for multiple days, Resident #12 was observed with dark brown debris underneath their fingernails and was observed eating food with their hands. This is evidenced by the following:The facility policy Care of Finger and Toenails, dated October 2023, documented in part the purpose of this procedure is to clean the nail bed, keep nails trimmed, and prevent infections. Nail care is to be completed/offered on shower days and as needed. Nail care includes cleaning and regular trimming. Length of nails/trimming is based on resident preference. Resident #12 had diagnoses that included vascular dementia, anxiety, and depression. The Minimum Data Set (a resident assessment tool), dated 07/16/2025, 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 observations, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for one (1) (Resident #4) of one (1) resident reviewed, the facility did not ensure a resident with pressure ulcers received necessary treatment and services consistent with professional standards of practice to promote healing, prevent infection, and prevent new ulcers from developing. Specifically, a nurse was observed performing wound care to Resident #4's right heel pressure ulcer, did not follow the medical orders in place for the wound treatment, and did not change gloves or perform hand hygiene in between removing the old dressing and applying the new dressing. This is evidenced by: Review of the facility Wound Care Policy and Procedure, last updated June 2022, included the person performing wound care should remove soiled gloves after removing an old dressing and put on a new pair of gloves before applying a new dressing according to the physician order. Resident #4 had diagnoses that included dementia, dysphagia (impaired ability to swallow), 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 observations, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for two (2) (Hallway A Medication Cart and Hallway B Medication Cart) of two (2) medication carts and one (1) of one (1) Medication Storage Room, the facility did not ensure all drugs and biologicals were stored in locked compartments in accordance with State and Federal laws and did not ensure an account of all controlled drugs was maintained. Specifically, medication carts were left unlocked and unattended on multiple occasions, medications stored on top of a medication cart were left unattended, and a narcotic log was missing several nurse signatures to verify the accuracy of the narcotic count at shift change. The findings are:Review of the facility Medication Storage Policy and Procedure, last revised May 2023, included all medications will be stored within a locked medication room, cart, boxes, or refrigerators, and the handoff/sign off of keys will be conducted between each shift. Review of the facility policy Medication Administration, last revised…

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, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for one (1) (Resident #4) of two (2) residents reviewed, 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. Specifically, a nurse was observed removing an old dressing from a wound and applied a clean dressing without changing gloves. Additionally, staff was observed handling soiled and potentially contaminated laundry wearing gloves and no gown to protect clean laundry from potential contamination and themselves from potential exposure. The findings are:The facility Wound Care Policy and Procedure, dated June 2022, included wounds should be treated and cared for in a manner which prevents infection, gloves should be removed and hand hygiene performed after removing an old dressing, and new gloves should be applied before applying a new dressing. The 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.

Based on observation, interview, and record review conducted during a Recertification Survey completed on 7/13/22, the facility did not ensure that for two (Resident #7 and Resident # 10) of two residents reviewed, each resident had the right to receive visitors of their choosing at the time of their choosing and in a manner that does not impose on other residents. Specifically, the facility had posted visiting hours, limited the number of visitors per resident, and required advanced scheduling of visitors. This is evidenced by the following: The Center for Medicare and Medicaid Services issued QSO-20-39 NH, revised on 3/10/22, documented facilities must allow indoor visitation at all times and for all residents as permitted under the regulations. While previously acceptable during the Public Health Emergency, facilities can no longer limit the frequency and length of visits for residents, the number of visitors, or require advance scheduling of visits. Additionally, the document included that facilities may ask about a visitors' vaccination status, however, visitors are 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews conducted during the Recertification Survey completed on 7/13/22, it was determined that for one (Resident #32) of five residents reviewed, the facility did not ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition. Specifically, Resident #32 did not receive the assistance with eating per their Comprehensive Care Plan (CCP). This is evidenced by the following: Resident #32 had diagnoses including vascular dementia, dysphagia, and left-hand arthritis. The Minimum Data Set Assessment, dated 6/15/22, documented that the resident had severely impaired cognition and required supervision and one-person physical assist for eating. The current CCP and the Certified Nursing Assistant (CNA) [NAME] (drives daily care) for eating revealed Resident #32 required assistance with feeding, and staff were to alternate liquids and solids, cut up food into bite size pieces, and assist with finger…

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 completed on 7/13/22, it was determined that for one (Residents #7) of 37 residents reviewed for food allergies and one (Resident #15) of one resident reviewed for preferences, the facility did not ensure that food was provided that accommodated resident allergies, intolerances, and preferences. Specifically, Resident #7's lunch tray that was ready to be served prior to Surveyor intervention, contained seafood that Resident #7 had a noted allergy to, and Resident #15 was not care planned for or offered a diet specified by their religious preference. The findings are: 1.Resident #7 had diagnoses including Parkinson's disease, muscle weakness, and Type 2 diabetes. The Minimum Data Set (MDS) assessment dated [DATE], documented Resident #7 was cognitively intact and required supervision and set-up help for eating. The Comprehensive Care Plan (CCP) last reviewed 7/7/22, documented that Resident #7 was at risk for allergic…

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, interviews, and record reviews conducted during a Recertification Survey and complaint investigation (#NY00282014), completed on 7/13/22, it was determined that the facility did not establish and consistently maintain an infection control program designed to prevent the development and transmission of disease and infection. Specifically, for one (Resident #19) of two residents reviewed for wound care the facility staff did not complete appropriate hand hygiene and glove changes to maintain a clean environment, for one (Resident #27) of two residents reviewed for urinary catheters (catheter inserted directly into the bladder to drain urine into a drainage bag) staff did not ensure the catheter tubing and drainage bag did not touch the ground or was positioned properly to avoid infections, and for one of one glucose monitoring observations staff did not disinfect a glucometer (machine used for testing blood glucose) after use and prior to storing with clean supplies. This is evidenced by the following: 1. Resident #19 had diagnoses that included 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.