White Plains Center For Nursing Care, L L C

Based on observation and interview conducted during a Recertification Survey the facility did not ensure food was stored in accordance with professional standards for food service safety. Specifically, undated and unlabeled food items were observed in multiple freezers and refrigerator/s. The findings are;The facility policy Food Dating and Labeling dated 01/01/2023 documented all dining services employees shall enforce food safety by properly dating and labeling of all food items. Upon delivery all food items must be labeled with date received. In addition to food products being dated upon delivery, items will be dated when container is opened if not used in entirety.During an initial tour/observation of the kitchen on 09/09/2025 at 8:28 AM the refrigerator in the main kitchen contained a package of sliced cheese and a large container of applesauce that were not dated or labeled. The meat freezer contained unlabeled and undated chicken (two packages), rib meats, two sleeves of hamburger meat, a pork loin and pork chops. An adjacent freezer had undated and unlabeled packages of…

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 recertification survey indicated that the facility did not provide residents with a clean, comfortable, and homelike environment. Specifically, multiple resident rooms showed signs of maintenance issues, including spackle and chipped paint, stained and sticky floors, an unpleasant odor, missing blinds, cabinets with chipped paint, black streaks on doors, and a white tint on a window. Furthermore, there was damage to the left armrest of Resident #74's wheelchair, and the wheelchair/seat cushion were soiled with white particles. The findings include:The Maintenance Policy last revised 10/2024 documented the purpose was to establish procedures for reporting, prioritizing, and resolving maintenance and repair needs in the facility, ensuring a safe and well-maintained environment for residents, staff, and visitors.The Wheelchair and Geri-Chair Cleaning Policy last revised 9/2025 documented the purpose is to remove dirt and dust for the purpose of infection control, 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 observation, record review and interviews during the recertification survey the facility did not ensure care was provided in a manner to maintain dignity and privacy for one (1) of (2) two residents (Resident #4) reviewed for dignity. Specifically, Resident #4 was observed undressed in bed with their body fully exposed and visible from the hallway. The findings include:The policy and procedure titled Resident Dignity and Privacy Policy last revised 03/17/2025, documented assist residents in grooming with full respect for their privacy and dignity. Visual privacy during activities of daily living care should be maintained at all times.Resident #4 was admitted to the facility with diagnoses including hemiplegia, aphasia and non-Alzheimer's dementia. The 07/13/2025 Minimum Data Set (resident assessment) documented Resident #4 had severely impaired cognition received substantial staff assistance with toileting hygiene, rolling left to right and showers/baths and was dependent on staff with chair to bed transfers. The 10/06/2019 comprehensive care plan titled Preferences…

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 recertification survey the facility did not ensure the residents right to personal privacy, including the right to promptly receive a package delivered to the facility for the resident, including those delivered through a means other than a postal service for one (1) of three (3) residents (Resident #33) reviewed for choices. Specifically, 1) the facility did not promptly deliver a package within 24 hours to Resident #33 after it had been shipped to and received by the facility.The findings include:The undated policy and procedure titled Mail Delivery documented the facility will ensure that all mail and packages are delivered to the appropriate recipient in a timely, correct and efficient manner. Resident #33 was admitted to the facility with diagnoses including peripheral vascular disease, heart failure and diabetes mellitus.The 06/11/2025 Minimum Data Set (resident assessment) documented Resident # 33 had intact cognition.During observation and interview 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.

Based on observation, record review and interviews during the recertification survey the facility did not ensure that needed equipment was provided to assure that residents with limited range of motion and mobility maintained or improved function based on the residents' clinical condition for one (1) of (4) residents (Resident # 50) reviewed for position and mobility. Specifically, Resident #50 was observed on three occasions without the use of a physician prescribed left elbow extension splint and left-hand roll. The findings include:The policy and procedure titled Use of Positioning Devices for Residents last revised 01/2025, documented proper use of positioning devices is essential to support resident independence and mobility. Nursing staff are responsible to implement care plans, perform skin assessment, apply and monitor devices, document care provided. Resident #50 was admitted to the facility with diagnoses including cerebrovascular accident, hemiplegia and non-Alzheimer's dementia.The comprehensive care plan titled Contractures/Actual last updated on 11/15/2023 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.

Based on record review and staff interview during the Recertification Survey the facility did not ensure that they adequately maintained an infection control program designed to provide a safe and sanitary environment for one (1) of two (2) residents (Resident #3) reviewed for pressure ulcers and that a Legionella sampling and water management plan for its potable water system was adopted and implemented. Specifically, (1) Registered Nurse #3 touched surfaces and then without performing hand hygiene handled guaze that was used to clean Resident #3's wound and (2) the facility did not provide a water management and sampling plan at the time of survey. The findings include: The infection and prevention control program policy dated 02/20/2025 documented the facility will establish and maintain an infection prevention and control program under which it prevents, identifies, reports, investigates, and controls the spread of infections and communicable diseases in the facility. (1) Resident # 3 was admitted with diagnoses including but not limited to hypertension, hyperlipidemia, 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 observation, record review and interview conducted during the recertification survey the facility did not ensure infection control prevention practices were maintained to prevent development and transmission of communicable diseases and infection for all residents. Specifically, there was no documented evidence of COVID-19 education, COVID-19 vaccination administration and/or COVID-19 declination for two (2) of ten (10) staff (Certified Nurse Aide #20 and Licensed Practical Nurse #21) reviewed for COVID-19 vaccination. The findings are:Review of staff immunization records revealed there was no documented evidence that Certified Nurse Aide #20 and Licensed Practical Nurse #21 were offered the COVID-19 vaccination, COVID-19 vaccination education, and that COVID-19 vaccination consent or declination had been signed. During an interview on 09/10/2025 at 12:07 PM the Director of Nursing stated they started obtaining consent/s for the COVID-19 vaccination last fall. They stated they also provided COVID-19 vaccination education and had staff sign declinations. They stated they…

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, interview, and record review, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. Specifically, 1. Two heavily soiled circulation fans were in use, one in a food production area and one at the clean side of the dishwasher, 2. a. kitchen staff used their bare hand to retrieve a piece of aluminum foil that had fallen into a pan of chicken and gravy, and b. a soiled and peeling food cart was in use for holding cooked foods, 3. 1 of 3 nourishment refrigerators contained multiple unlabeled and expired food items, 4. a. For 2 of 2 microwaves for use on the resident units ([NAME] and Maple Avenue), there were no thermometers available to check food temperatures and b. for 1 of 2 microwaves (Maple Avenue) there were no procedures/guidance posted and no thermometer available to ensure monitoring for safe food temperatures, and 5. Dietary staff did not follow safe food handling procedures while…

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 from 11/28/23 to 12/4/23, the facility did not ensure residents had the right to a dignified existence in a manner and in an environment that promoted maintenance or enhancement of quality of life for 1 of 5 residents (Resident #46) reviewed for dignity. Specifically, Resident #46 had a sign next to their bed stating walk me every day. Findings include: Resident #46 was admitted with diagnoses including but not limited to malignant neoplasm of the lung and acquired absences of the larynx. The annual Minimum Data Set (MDS) dated [DATE] documented Resident #46 had moderately impaired cognition and required limited assistance of one staff for ambulation. During observations on 11/28/23 at 3:09 PM, 11/30/23 at 1:00 PM and 12/1/2023 at 10:56 AM, the wall next to near the bed of Resident #46 had a sign which documented walk me every day and included a picture of staff assisting with ambulation. During an interview on 12/1/2023 at 3:28…

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 from 11/28/23 to 12/4/23, it was determined the facility did not ensure maintenance services necessary to maintain a safe, clean, comfortable and homelike environment were provided for 1 of 1 resident (Resident #40) reviewed for environment. Specifically, Resident #40's room had an accordion style bathroom door that was falling off the track. The findings are: The policy titled Maintenance effective 10/2017, documented to ensure that necessary work was completed on a timely basis and that appropriate records of all work were maintained. The maintenance logbook dated 7/10/2022, documented room [ROOM NUMBER]/216 toilet door was still broken. The maintenance logbook dated 3/17/2023, documented room [ROOM NUMBER]-bathroom door was broken and falling down. During observations on 11/28/2023 at 12:55 PM and 11/30/2023 at 12:51 PM, the bathroom door on the side of room [ROOM NUMBER] was broken and hanging off the track.…

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 during the recertification survey from 11/28/23 to 12/4/23, the facility did not ensure a dependent resident was provided with appropriate treatment and services to maintain or improve their mobility for 1 of 1 resident (Resident #65) reviewed for Activities of Daily Living (ADLs). Specifically, nursing staff did not ensure Resident #65's progressive mobility was maintained in accordance with the providers orders and professional standards. The findings are: Resident #65 was admitted to the facility with diagnoses including but not limited to intracerebral hemorrhage, epilepsy, and chronic obstructive pulmonary disease. A review of the quarterly Minimum Data Set (MDS- a resident assessment tool), dated 10/1/23, documented Resident #65 was severely cognitively impaired, had impairment of both upper and both lower extremities, and required assistance for mobility and transferring. A current provider order initiated 3/1/23 document Resident #65 was to be out of…

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 a recertification survey, it cannot be ensured that the facility stored food in resident refrigerators according to professional standards for food safety to prevent foodborne illness. Specifically, foods stored in 2 of 3 unit refrigerators (First and Second Floors) were not labeled with the resident's name or the date the item was brought to the facility. The findings are: Review of the facility policy titled, Use and Storage of Food Brought to Residents by Visitors, dated 8/2019 showed that food brought in for a resident is to be labeled by nursing staff with the resident's name, room number, and date the item was brought to the facility. Furthermore, cooked or prepared food brought to the facility is to be discarded after 72 hours by the nursing staff. 1. The first-floor resident pantry refrigerator on the [NAME] Unit was observed with RN #1 on 10/8/2020 at 12:05PM and contained several items brought in from outside the facility. Three…

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.