Apex Rehabilitation & Care Center

In the surveyor’s words

From the most serious findings on record at Apex Rehabilitation & Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 16, 2025

  Based on observations, record review, and interviews conducted during the Recertification survey initiated on 4/8/2025 and completed on 4/16/2025, the facility did not follow proper sanitation practices to prevent the outbreak of foodborne illness and did not store and prepare food in accordance with professional standards for food service safety. This was identified during the Kitchen Task. Specifically, during the kitchen observation on 4/8/2025, the final rinse cycle temperature of the high-temperature dishmachine was observed to be below 180 degrees Fahrenheit. The dietary staff did not operate and monitor the dishmachine temperatures for the rinse cycle as per the manufacturer's recommendation to ensure proper sanitization of the dishes. […]

• No harm, potential for more than minimal, patternF686Apr 16, 2025

  Based on observations, record review, and interviews during the Recertification Survey initiated on 4/8/2025 and completed on 4/16/2025, the facility did not ensure that each resident received care, consistent with professional standards of practice, to prevent Pressure Ulcers. This was identified for two (Resident #152 and Resident #132) of four residents reviewed for Pressure Ulcers. Specifically, 1) Resident #152 with multiple pressure ulcers utilized an air mattress as a care plan intervention. During multiple observations, the adjustable weight setting for the air mattress, which is meant to correspond to the resident's weight, was not set accurately. 2) Resident #132 utilized an air mattress according to their plan of care. […]

• No harm, potential for more than minimal, patternF835Apr 16, 2025

  Based on record review and interviews during the Recertification Survey and Abbreviated Survey (Complaint # NY 00359457) initiated on 4/8/2025 and completed on 4/16/2025, the facility was not administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, facility administration did not ensure Medication/Treatment Nurse #1, Medication/Treatment Nurse #2, Medication/Treatment Nurse #3, Medication/Treatment Nurse #4, and Medication/Treatment Nurse #6 had approved limited permit or a current New York State Registered Nurse license to work at a health care facility as Registered Nurses. […]

• No harm, potential for more than minimal, patternF839Apr 16, 2025

  Based on record review and interviews during the Recertification Survey and Abbreviated Survey (Complaint# NY 00359457) initiated on [DATE] and completed on [DATE], the facility did not ensure professional staff were licensed, certified, or registered in accordance with applicable State laws. This was identified for five (Medication/Treatment Nurse #1, Medication/Treatment Nurse #2, Medication/Treatment Nurse #3, Medication/Treatment Nurse #4, and Medication/Treatment Nurse #6) of six employees reviewed for Licensure and Certification. […]

• No harm, potential for more than minimal, patternF584Feb 14, 2024

  Based on observations, records review, and interviews during Recertification Survey and Abbreviated Survey (NY 00319371) initiated on 2/6/2024 and completed on 2/14/2024, the facility did not ensure that a clean, comfortable, and homelike environment was maintained for each resident. This was identified for four (Resident #146, Resident #85, Resident #104, and Resident #93) of four residents reviewed for Environment. Specifically, 1) Resident #146's room was observed on 2/6/2024 and 2/7/2024; the room furniture and the sink vanity were not in good repair with detached base molding, missing drawers, and rusty exposed metal parts. 2) Resident #85's room was observed on 2/6/2024 and 2/7/2024. […]