Ark Healthcare & Rehabilitation at St. Camillus

In the surveyor’s words

From the most serious findings on record at Ark Healthcare & Rehabilitation at St. Camillus, in the surveyor’s own words.

• Immediate jeopardy, isolatedF605Jun 23, 2026

  Based on record review, facility documentation review, observation of facility video, and staff interviews for one of three residents (Resident #1), reviewed for accidents, the facility failed to ensure a resident with dementia that was dependent for personal care and mobility and had no physician orders for opioids was free from exposure to opioids. The resident was identified unresponsive to verbal or tactile stimulation with pinpoint pupils, and was transferred to the hospital where he/she was diagnosed with suspected opioid intoxication, received Narcan, and had two (2) laboratory tests that were positive for opioids, resulting in a finding of Jeopardy. […]

• Actual harm, isolatedF689Oct 18, 2024

  Based on a review of clinical records, facility documentation, and interviews for one (1) of three (3) residents (Resident #1) reviewed for accidents, the facility failed to ensure that staff provided the resident with the required assistance with bed mobility and as a result, Resident #1 fell out of bed and sustained a left femur (thigh bone) fracture. The finding includes: Resident #1 had diagnoses of Parkinson's, dementia, abnormalities of gait and mobility and generalized muscle weakness. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1's Brief Mental Interview (BIMS) score of six (6) indicative of severely impaired cognition, was always incontinent of bowel and bladder, and was dependent with bed mobility and Activities of Daily Living (ADLs). […]

• No harm, potential for more than minimal, patternF677Apr 27, 2026

  Based on clinical record review, observations, facility documentation, facility policy, and interviews for 1 of 2 residents (Resident #23) reviewed for Activities of Daily Living (ADLs), the facility failed to ensure a resident was provided and or offered showers. The findings include: Resident #23 was admitted on [DATE] with diagnoses that included depression and schizophrenia.The admission MDS assessment dated [DATE] identified Resident #23 had moderately impaired cognition, had not exhibited refusal of care, and required moderate assistance with bathing. […]

• No harm, potential for more than minimal, patternF812Apr 27, 2026

  Based on a tour of the Dietary Department, observations, review of facility documentation, facility policy, and interviews the facility failed to ensure food temperatures were consistently obtained and logged prior to serving meals, refrigerator and freezer temperatures were consistently monitored and documented, dishwasher temperatures were consistently monitored and documented prior to washing dishes, sanitizer solution was consistently tested and logged prior to use to disinfect pots and pans and kitchen surfaces per manufacturer recommendations, and dietary staff wore a beard guard when preparing and serving food. The findings include: A tour of the Dietary Department on 4/20/26 at 8:00 AM with the Food Service Director (FSD) identified the following:1. […]

• No harm, potential for more than minimal, patternF887Apr 27, 2026

  Based on clinical record reviews, review of the facility Infection Control Program, facility documents facility policy and interviews, the facility failed to provide education regarding the Covid Vaccine to staff members offering to provide the vaccine or inform where staff could obtain a Covid vaccination, and the facility failed to ensure documentation of screening residents for the eligibility to receive the Covid vaccine was completed, and residents and responsible parties received copies of Covid Vaccination educational materials prior to deciding to vaccinate or decline vaccination. […]