Aliya on 87TH

In the surveyor’s words

From the most serious findings on record at Aliya on 87TH, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Apr 18, 2024

  Based on interviews and record reviews the facility (A) failed keep one resident [R1] head of the bed elevated, and failed to provide one to one feeding assistance, (B) failed to follow their code blue policy to call 911, R1 was unresponsive and having difficulty breathing, (C) failed to notify the physician in a timely manner of an acute change in condition, and failed provide an accurate report to the physician, (D) failed to relay STAT (immediate) laboratory and diagnostic test results to the physician. These failures resulted in R1 higher level of care being delayed, R1 experiencing an acute change in condition and subsequently expiring on [DATE] in the facility. This was identified as an Immediate Jeopardy which began on [DATE]. […]

• Actual harm, isolatedF677Apr 10, 2026

  Based on interview and record review the facility a.) failed to provide a proper transfer for a dependent resident that required a two person assist with a mechanical lift, b.) failed to communicate a resident's mode of transfer to a new employee and c.) failed to educate a staff of how to properly transfer a resident. This failure resulted in one (R4) resident sustaining an impacted transverse fracture of the right humeral neck and the greater tuberosity during the resident transfer from the wheelchair to the bed.Findings Include:R4 was admitted to the facility on [DATE] with diagnosis not limited to Dementia, Anxiety Disorder, Peripheral Vascular Disease, Gastrostomy, Hyperlipidemia, Major Depressive Disorder, Hemiplegia and Hemiparesis Following Cerebral Infarction Affecting Right… […]

• Actual harm, isolatedF686Feb 10, 2026

  Based on observation, interview, and record review, the facility failed to follow its skin care prevention policies and procedures and failed to implement the resident's comprehensive care plan to prevent skin breakdown and wound development. This failure affected one (R1) of two residents reviewed for wound management and prevention, in a total sample of 35 residents. As a result of the facility's failure to provide timely and appropriate preventive skin care and incontinence management, R1 experienced a decline in skin integrity, evidenced by the development of a new Stage 2 pressure ulcer/injury and moisture-associated skin damage (MASD).Findings Include:On 2/4/26 at 11:09 a.m., R149 stated her roommate (R1) has not been changed since 4:00 a.m. […]

• Actual harm, isolatedF689Jan 22, 2026

  Based on observation, interview and record review, the facility failed to implement care planned, fall risk interventions for a high fall risk resident (R2); failed to provide 2 person assist during activities of daily living (ADL) care for a dependent resident in bed (R2); and failed to notify the practitioner of the nurse's assessment of a resident's pain post fall incident for one resident (R2) in the total sample of 8. These failures affected R2 who suffered a fall in the facility on 1/4/2026 from the bed to the floor sustaining a 3 centimeter left head laceration and exhibiting pain signs immediately post fall with the nurse's palpation of R2's left leg which was not communicated to the practitioner; and after increased pain signs, R2's left hip X-ray was performed on 1/6/2026 showing… […]

• Actual harm, isolatedF689Dec 12, 2025

  Based on interviews and record reviews, facility failed to follow their policy to ensure residents are free from accidents and hazards by planning for preventative strategies and facilitate as safe as an environment as possible for one (R4) out of three residents reviewed accidents and hazards in a sample of four. This failure resulted in R1 sustaining an acute subdural hematoma to the left frontotemporal region of her head.Finding include:R4's Minimum Data Sheet Section C (12/8/2025) documents in part: R4 has a Brief Interview of Mental Status (BIMS) of 10. […]