Schenectady Center For Rehabilitation And Nursing

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews, the facility did not ensure the development and implementation of comprehensive person-centered care plans, that included measurable objectives and timeframes to meet the resident's medical, nursing, and mental and psychosocial needs for five(5) (Resident #s 35, 48, 146, 157, and 199) of 35 residents reviewed for comprehensive care plans. Specifically, (a.) for Resident #35 there was no documented evidence that there was a care plan in place related to the known contracture of Resident #35's right hand; (b.) for Resident #48, there was no comprehensive care plan addressing the use of oxygen, (c.) for Resident #146, on their care pan with the focus of nutrition problem or potential nutrition problem related to medical diagnosis, medicine usage, therapeutic diet, skin alterations, edema, obesity, a documented intervention was to follow weights as ordered. This intervention was not completed as ordered by the provider; and (d.) for Residents #157 and #199, 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 observations, record review, and interviews conducted during the recertification and abbreviated surveys (NY00596011; NY00596018; NY00594500), the facility did not ensure residents who were unable to carry out activities of daily living received the necessary services to maintain grooming and personal hygiene for three (3) of nine (9) residents (Resident #100, #218 and #250) reviewed. Specifically, (a.) Resident #100 was not showered per the facility schedule and as requested. (b.) Resident #'s 218 and 250 were not provided toileting checks or care in accordance with their plan of care. This is evidenced by: The facility's Policy and Procedure titled Activities of Daily Living Care and Support, revised 2/28/2025, documented: 1. ADL Activities of Daily Living care and support will be provided for residents who are unable to carry out ADLs independently, with the consent of the resident and in accordance with the resident's assessed needs, personal preferences, and individualized plan of care, that includes but is not limited to supervision and assistance with: a. Hygiene…

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 survey, the facility did not ensure ongoing provision of programs to support each resident and their choices of activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of one (1) (Resident #8) of three (3) residents reviewed. Specifically, Resident #8 (eight) did not consistently participate in meaningful, accommodating activities to maintain their highest practicable quality of life. This is evidenced by: The Policy titled Activity Programs, last revised 5/2019, documented the facility must provide, based on the comprehensive assessment, care plan, and the preferences of each resident, an ongoing program to support residents in their choices of activities, both facility sponsored group, individual activities, and independent activities designed to meet the interests of and support the physical, mental, and psychosocial wellbeing of each resident. The activity program consisted of individual, small and large group activities designed to meet…

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 at risk for pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote wound healing, and prevent new ulcers from developing for 1(one) of 6 (six) residents (Resident #35) reviewed for Pressure Ulcers. Specifically, for Resident #35 there was no documented evidence that preventative measures were taken to prevent skin breakdown due to their hand contracture. The is evidenced by: The facility policy titled Contracture Prevention dated 8/2020, documented that each resident must be assessed for need of contracture prevention procedures on admission and as needed. Additionally, hand rolls may be placed in any hand that the resident cannot move. These can be commercial rolls or wash clothes rolled up and should be removed daily during care. The hand should be cleaned and dried thoroughly and observed for any reddened or broken areas…

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 review, and interviews conducted during the recertification survey, the facility did not ensure that each resident received the necessary respiratory care and services that are in accordance with professional standards of practice, the resident's care plan and the resident's choice, for (two) 2 (Residents #48 and #163) of 3 (three) residents reviewed for oxygen administration. Specifically, a) Resident #48, the oxygen tubing was not dated and labeled to reflect when the tubing was changed; b) Resident # 163, nebulizer tubing was not dated and labeled to reflect when the tubing was changed, and the nebulizer mask was not stored per facility policy (in a plastic bag with the resident's name on it) when not in use. Resident #48 Resident #48 was admitted to the facility with the diagnoses of acute infarction of the intestine, hypertension, and hypoxemia. The Minimum Data Set (an assessment tool), dated 7/31/2025, documented that the resident could be understood by others and 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.

Based on record review and interviews during an abbreviated survey (Case # NY00289779), the facility did not inform the resident representative(s) when accidents occurred for one (1) (Resident #3) out of sixteen (16) sampled residents. Specifically, the facility did inform Resident #3's representative after the resident had an unwitnessed fall on 3/3/2022. The findings include: The Policy and Procedure (P&P) titled, Change in Condition Notification, dated August 2019, read in pertinent part, It is the policy of this facility to monitor residents for changes in their condition, to respond appropriately to those changes and to notify the physician and responsible party/family member of changes. In the event of a life-threatening change, the facility will initiate emergency care by calling 911 and provide appropriate emergency treatment until they arrive. Unless otherwise instructed by Resident's choice, the licensed nurse will notify the resident's next of kin / responsible person when the Resident is involved in any accident / incident, any accident / incident that results in injury…

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 record review and interviews during an abbreviated survey (Case #NY00278031) the facility did not ensure prompt efforts were made to resolve a grievance and keep the resident or resident representative appropriately apprised of progress towards resolution for one (1) resident (Resident #8) out of sixteen (16) sampled residents. Specifically, when a grievance was filed on behalf of Resident #8 on 6/14/2021, the facility did not complete a thorough investigation of the grievance and did not document that follow-up or resolution was ever provided to the resident and/or resident's spouse who filed the grievance. The findings include: The Policy and Procedure (P&P) titled Grievances, last revised April 2019, read in pertinent part, The facility will assist residents, their representatives, family members or advocates in filling a grievance/concern form when concerns are expressed. The facility will investigate and resolve grievances timely to ensure protection of resident rights. The procedure read in pertinent part, Any resident and/or their representative may file 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, record review and interviews during an abbreviated survey (Case #NY00276279), the facility did not ensure the resident environment remained as free of accident hazards as is possible for one (1) (Resident #7) out of sixteen (16) residents reviewed. Specifically, the facility did not ensure that Resident #7, a resident at risk for wandering and elopement, did not leave the facility. This is evidenced by: The Policy and Procedure (P&P) titled, Elopement Prevention, last revised June 2023, read in pertinent part, The facility strives to promote resident safety and protect the rights and dignity of the residents. The facility maintains a process to assess all residents for risk for elopement, implement prevention strategies for those identified as an elopement risk, institute measures for resident identification at the time of admission, and conduct a missing resident procedure. An elopement risk evaluation would be completed by the nursing staff on all residents on admission, readmission, quarterly, and upon change of condition. The initial resident assessment…

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 interview during a recertification survey, the facility did not ensure a resident requiring dialysis services received such services consistent with professional standards of practice for three (3) (Residents #73. #105, and #168) of three (3) residents reviewed. Specifically: for Resident #'s 73, the facility did not consistently provide an ongoing documented assessment of the resident's condition and monitoring for complications before and after dialysis treatments received at a certified dialysis facility. Specifically, for Resident #105, the facility did not ensure the resident received ongoing assessments and monitoring for complications before and after dialysis treatments and did not ensure there was ongoing communication and collaboration with the dialysis facility regarding dialysis care and services; for Resident #168, the facility did not ensure there was ongoing communication and collaboration with the dialysis facility regarding dialysis care and services and the facility…

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 during the recertification survey dated 03/27/23 through 04/05/23, the facility did not ensure food was stored, prepared, distributed, or served food in accordance with professional standards for food service safety in the main kitchen and six (6) of 6 kitchenettes. Specifically, in the main kitchen the automatic dishwashing machine was being utilized to wash dishes while the LED (liquid crystal display) thermometer on the dishwashing machine was not functioning, a test kit to measure the concentration of chemical sanitizer was not available, the gaskets on the 3 walk-in refrigerator doors had splits, the 2-bay sink faucet leaked, 2 fire extinguishers were soiled with food particles, and a pocketbook and sandals were stored with food (thickener). On the unit kitchenettes, ice machines, refrigerator door gaskets, and/or walls were soiled with food particles on the Birch (B) Unit, Cedar (C) Unit, Elm (E) Unit, Maple (M) Unit, Oak (O) Unit, and [NAME] (W) Unit; laminate was peeling on cabinetry exposing unsealed fiber board backing in…

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, manufacturer's directions review, and staff interview during the recertification survey, the facility did not prepare food in accordance with professional standards for food service safety. The safe and sanitary operation of a professional kitchen is to include particular methods of operation. Specifically, the concentration of quaternary ammonium compound chemical sanitizing rinse (QAC) was less than that required by the manufacturer, and food temperature thermometers were not in calibration. This is evidenced as follows. The kitchen was inspected on 10/27/2020 at 10:19 AM. The concentration of QAC used in the sanitizing rinse sink, and the third sink, was found to be between 0 and 150 parts per million (ppm) when measured at 66 degrees Fahrenheit (F). The manufacturer's label directions stated the concentration is to be between 150 ppm and 400 ppm when the solution is measured between 65 F and 75 F. One of 2 food temperature thermometers, the thermometer used in checking the temperature of the sample of QAC, was found not in calibration when tested in 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 record review and interviews during the recertification survey, the facility did not ensure to immediately inform the resident; consult with the resident's physician; and notify, consistent with his or her authority, the resident representative for 1 (Resident #117) of 6 residents reviewed for unnecessary medications. Specifically, the facility did not notify the Medical Doctor (MD) when the resident missed multiple doses of insulin. This is evidenced by: Resident #117: Resident #117 was admitted with diagnoses of diabetes with diabetic neuropathy, end-stage renal disease (ESRD) on dialysis, and congestive heart failure (CHF). The Minimum Data Set (MDS - an assessment tool) dated 9/25/20 documented the resident was cognitively intact. Medical Doctor orders documented Admelog Insulin 100Units /milliliter: inject 3 units by subcutaneous route 3 times daily at 7:30 AM, 11:30 AM and 5:00 PM. A HbA1c (a blood test that measures the average level of glucose in the blood for the past 3 months) dated 6/3/20, was 10.7 indicates that blood sugar is not well controlled and can lead 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.

Based on observations, interviews and record reviews during a recertification survey the facility did not ensure summaries of the baseline care plans were provided to the resident and the residents representative for 4 (Residents #'s 12, 66, 113, and #407) of 21 residents reviewed. Specifically, the medical record did not contain evidence that the summary was given to the resident and resident representative, if applicable. This is evidenced by: A facility policy titled Care Plans - Baseline last reviewed 1/2020 documented; the facility will provide the resident and representative if applicable with a written summary of the baseline care plan by completion of the comprehensive care plan. Facility will document and record receipt of information by family, whether in the form of a copy of signed acknowledgement or note within resident's clinical record. Resident #66: Resident #66 was admitted with diagnosis of vascular dementia and protein-calorie malnutrition. The Minimum Data Set (MDS- an assessment tool) dated 9/9/20 documented the resident was moderately cognitively impaired. 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, record review and interviews during the recertification survey the facility did not develop and implement a comprehensive person-centered care plan for each resident, consistent with the residents rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 4 (Resident #'s 12, 53, 87, and 117) of 35 residents reviewed for comprehensive care plans (CCPs). Specifically, for Resident #12, the facility did not ensure the CCP for mood state and psychotropic drug use was person centered and included non-pharmacological interventions, for Resident #53, the facility did not ensure that the residents CCP reflected that she was to be ambulated on the unit, for Resident #87, the facility did not ensure the CCP for position/mobility's intervention for a multipodus splint to the left ankle/foot was applied while in bed, and for Resident #117, the facility did not develop a CCP…

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, record review and interviews during the recertification survey, the facility did not ensure residents were given the appropriate treatment and services to maintain or improve his or her ability to carry out the activities of daily living including functional communication systems for 2 (Resident #'s 58 and 190) of 2 residents reviewed for communication. Specifically, for Resident #58, the facility did not ensure the resident, whose primary language was not English, was consistently provided a functional communication system to independently and effectively communicate his/her needs and for Resident #190, the facility did not ensure the resident's hearing aids and glasses were applied daily. This is evidenced by: Resident #58: Resident #58 was admitted to the facility with the diagnoses of cerebral infarction, hypertension, and diabetes. The Minimum Data Set (MDS - an assessment tool) dated 8/29/20, documented the resident had moderately impaired cognition and could rarely/never understand other and could rarely/never make self understood. 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, record review and staff interviews during a recertification survey, the facility did not ensure residents who were unable to carry out activities of daily living received the necessary services to maintain personal hygiene for one (Resident #103) of three residents reviewed for Activities of Daily Living. Specifically, for Resident #103, the facility did not ensure the resident, who was unable to carry out activities of daily living, received hair/scalp care to maintain good personal hygiene. This is evidenced by: The Policy and Procedure titled ADL- Bath (Shower) last revised 7/2019, documented it was the policy of the facility to shower the resident to cleanse and refresh the resident, observe the skin, and to provide increased circulation. Resident #103: The resident was admitted to the facility with the diagnoses of dementia, heart disease with heart failure, and chronic obstructive pulmonary disease. The Minimum Data Set (MDS - an assessment tool) dated 9/23/20, documented the resident…

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, record review and interviews during the recertification survey, the facility did not ensure that residents who require dialysis receive such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 2 of two (Resident's #58 & 192) reviewed. Specifically for Resident #192, the facility did not ensure accurate monitoring of the residents fluid intake per the Medical Doctor (MD) ordered fluid restriction and for Resident #58, the facility did not ensure there was documentation of ongoing communication and collaboration with the dialysis facility regarding dialysis care and services. This is evidenced by: Resident #192: Resident #192 was admitted with diagnoses of End-Stage Renal Disease on dialysis and hypertension. The Minimum Data Set (MDS - an assessment tool) dated 10/13/20 documented the resident had intact cognitive skills. Comprehensive Care Plans (CCPs) documented the following; - Dialysis dated 3/7/19, documented the resident was on strict intake and output…

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, record review, and interviews during a recertification survey the facility did not ensure that its medication error rates were not 5 percent or greater. Specifically, for 30 medication administration opportunities there were 12 errors resulting in a medication error rate of 40%. This is evidenced by: A Policy and Procedure titled Medication Administration with a date last revised of 12/2019, documented medications are to be administered within one hour of their prescribed time. It documented, if a drug is withheld, refused, or given at a time other than the scheduled time, the individual administering the medication shall initial and circle the Medication Administration Record (MAR) space provided for that drug and dose and the individual administering the medication will record the date and time the medication was administered. Finding #1: During a medication pass observation on 10/28/20 at 9:53 AM, Resident #75 had a Physician's (MD) order to administer potassium chloride (a potassium supplement) 10 miliquivilent once daily with food. Licensed Practical…

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, record review and interviews during the recertification survey, the facility did not ensure it established and maintained 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 2 (Resident #'s 42 &165) of 4 wound dressings observed, and for 2 of 4 units. Specifically, for Resident #42, the facility did not ensure that infection control measures and hand hygiene were used during a dressing change, that medications were handled with gloves, and that ointments stored in the multi resident use medication cart were stored in a manner that prevented cross contamination, for Resident #165, the facility did note ensure a bedside table was sanitized after contaminated items were placed on it. This is evidenced by: Resident #42: Resident #42 was admitted with diagnoses of a right heel pressure ulcer, peripheral vascular disease, and Parkinson's Disease. The Minimum Data Set (MDS - an assessment tool) dated 7/31/20…

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.