Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
F242 in New York. Pick another state for the same tag.
No F242 citations were recorded in New York for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What New York surveyors wrote
F242 findings written in New York, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
G · Actual harm, isolatedAugust 26, 2014
Based on observation, record review, and interview conducted during the standard survey, it was determined the facility did not allow 1 sampled resident (Resident #5) and 3 residents outside the sample (Residents #30, 31, and 32) the right to exercise his or her autonomy related to smoking. Specifically, Residents #5, 30, 31 and 32 were not offered the opportunity to continue smoking during a transition to a totally smoke free facility after 4/1/2014. This resulted in actual harm that is not immediate jeopardy for Resident #5, and no actual harm with potential for more than minimal harm that is not immediate jeopardy for Residents #30 and 31.
Findings include:
1) Resident #5 had [DIAGNOSES REDACTED]. …
D · No harm, potential for more than minimal, isolatedSeptember 29, 2017
Based on observation and interview conducted during the recertification survey, the facility did not ensure residents had the right to make choices about aspects of his or her life in the facility that are significant to the resident for 2 of 3 meals observed. Specifically, residents waited an extended period of time for their meals.
Findings include:
The Resident Council Meeting Minutes documented on 7/24/2017, a resident voiced a concern about not being assisted at meals on time while other residents were served. By the time staff reach him it had been 20-30 minutes passed when other residents were served. …
B · No harm, potential for minimal, patternJuly 12, 2016
Based on observation, interview, and record review conducted during an Extended Survey completed 7/12/16, the facility did not ensure that the resident or their responsible party had opportunity to make choices about aspects of his or her life in the facility that are significant to the resident. One (Resident #114) of three residents reviewed for choices had an issue involving the facility did not actively seek information from the resident or responsible party regarding preferences. Specifically, waking and sleep routines.
The finding is:
1. Resident #114 has [DIAGNOSES REDACTED]. Review of the annual Minimum Data Set (MDS- an assessment tool) dated 2/22/16, the resident is severely cognitively impaired and sometimes understands, is rarely/ never understood. …
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