Seneca Health Care Center

Based on interview and record review conducted during the Standard survey completed on 11/8/24, the facility did not ensure the resident has the right to exercise his or her rights as a resident of the facility and as citizen or resident of the United States for one (Resident #119) of one resident reviewed for voting. Specifically, Resident #119 was not afforded the right to vote in the November 2024 Presidential Election. The finding is: The policy and procedure titled Residents' Rights: Voting dated 10/2024 documented the facility affirm and support the right of residents to vote. The Activities Department, with the assistance of nursing, will evaluate the resident's voting ability and preferences upon admission and as needed. The resident's voting preferences will be documented on the care plan. Current regulations under Residents' Rights related to exercising the right as a citizen of the United States to vote, including the use of mail for mail-in or absentee ballots include exercise of rights: the resident has the right to exercise his or her rights as a resident of 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 interview conducted during the Standard survey completed on 11/8/24, the facility did not ensure residents had the right to choose activities, schedules, and health care consistent with their interests, assessments, and plan of care for two (Resident #3 and #119) of three residents reviewed for choices. Specifically, Resident #3 was provided bed baths instead of showers as planned and per their preference; Resident #119 was not provided with showers twice a week per their preference. The findings are: The policy and procedure titled Resident Preferences and Accommodation of Needs revised on 11/4/21, documented the resident has a right to reside and receive services in the facility with reasonable accommodations of individual needs, personal, and cultural, expect when the health or safety of the individual or other residents would be endangered. Residents will be offered the opportunity to participate in formulation of their plan of care, morning and bedtime routines 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 a Complaint investigation (#NY00351900) during the Standard survey completed on 11/8/24, the facility did not ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene for three (Resident #1, #16 and #96) of eight residents reviewed. Specifically, Resident #1 was observed with greasy hair, Resident #16 and Resident #96 were observed to have dried brown debris under their fingernails. The findings are: The policy and procedure titled Bathing and Grooming revised 2/2019, documented residents were bathed as often as necessary to maintain cleanliness. Tub baths or showers are given by all nursing personnel as scheduled/preferred. The policy and procedure titled Nail Care revised on 10/11 documented the purpose was to ensure cleanliness and to prevent infection. Routine nail care was to be done following a bath/shower whenever possible. 1. Resident #1…

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 11/8/24, the facility did not ensure that residents who had an indwelling (foley) catheter (tube inserted into the bladder to drain urine) received the appropriate care and services to manage catheters for two (Residents #27 & #53) of three residents reviewed. Specifically, there was a lack of a urology follow- up following a cystoscopy (diagnostic test to inspect the interior lining of the bladder and urethra), and a foley leg bag was not used during day time hours as planned (#53); and infection control practices were not maintained (#27 & #53). In addition, staff inaccurately documented the placement of the foley leg bag in the treatment record (#53). The finding is: The policy and procedure titled Process for Scheduling Outside Appointments, revised 6/24, documented the facility will assist the resident in gaining access to specialty providers per their preference and per provider recommendations when needed…

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 during the Standard survey started on 1/5/23 and completed on 1/12/23, the facility did not implement written policies and procedures for screening employees that would prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property. Specifically, the facility did not provide documentation that verified four (Employees A, B, C, D) of five employees reviewed who were hired in the last four months and were subject to the New York State Nurse Aide Registry had been screened through the New York State Nurse Aide Registry prior to their employment. The findings are: The facility's policy and procedure titled, Criminal Background Checks (Fingerprinting), revised 2/2022, documented that the facility does not employ or otherwise engage individuals who have a finding entered into the state nurse aide registry concerning abuse, neglect, exploitation, misappropriation of property, or mistreatment. Additionally, the facility will check the nurse aide registry and sex offender registry for all new hires, agency…

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 started on 1/5/23 and completed on 1/12/23 the facility did not ensure that the resident is free from physical restraints for the purposes of discipline or convenience, and that are not required to treat the resident's medical symptoms when the use of restraints is indicated, the facility must use the least restrictive alternative for the least amount of time and document ongoing re-evaluation of the need for restraints. Specifically, for one (Resident #122) of one resident reviewed there was no documentation identifying the medical symptom being treated and no signed physician's order for a trial of the seatbelt from 4/26/22 through 7/19/22. In addition, through observation the staff did not release the seat belt restraint every 2 hours and did not offer toileting on 1/10/23 and during meals on 1/6/23, 1/9/23, and 1/10/23 the seat belt was not released per the plan of care. The Minimum Data Set (MDS-a 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 observation, interview, and record reviews conducted during a Standard survey started on 1/5/2023 and completed on 1/12/23, 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 two (Residents #48, #65) of four residents reviewed for ADLs. Specifically, there was lack of hand hygiene and glove changes in between fecal incontinence care and perineum (genital area) care. In addition, the CNAs (certified nursing assistants) touched objects (residents' clothing, lift sling, gym mat and pillowcases) while wearing the same gloves used to provide incontinence care. The findings are: Review of the facility policy and procedure (P&P) titled Perineal Care dated 6/22 documented perineal care provided comfort. The procedure included: Wash hands, apply gloves; Wash perineal area from front to back to prevent contamination. Remove gloves, wash hands, and apply new gloves. 1. 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 interview and record review conducted during a complaint investigation (Complaint #NY00245489) during the Standard survey completed on 3/12/20, the facility did not ensure that all alleged violations of abuse including injuries of unknown origin are reported immediately in accordance with State Law through established procedures. One (Resident #101) of two residents reviewed for abuse reporting had an issue. Specifically, the facility did not report an allegation of abuse to the New York State Department of Health (NYS DOH) within the 2-hour required time frame. The finding is: A facility policy entitled Abuse Reporting and Facility Incident Reporting dated 7/2017 documented that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, and reasonable suspicion of a crime against a resident are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later…

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.