Astoria Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Astoria Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF623Feb 4, 2022

  Based on interviews and record reviews, the facility failed to provide written notification of Transfer/Discharge to Resident Representatives and failed to notify the Office of the State Long-Term Care Ombudsman of a resident transfer for four (Resident #420, Resident #81, Resident #66, and Resident #114) of five residents sampled for hospitalization s. Findings included: 1. A review of Resident #66's Medical Record revealed that Resident #66 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of Resident #66's Progress Notes, dated 10/19/2021 at 04:54 PM, revealed that Resident #66 was sent to the hospital on 10/19/2021 due to a possible stroke. […]

• No harm, potential for more than minimal, widespreadF625Feb 4, 2022

  Based on record reviews, interviews, and review of facility policy, the facility failed to provide written notification of the Bed Hold Policy to Resident Representatives for four (Resident #420, Resident #81, Resident #66, and Resident #114) of five residents sampled for hospitalization s. Findings included: 1. A review of Resident #66's Medical Record revealed that Resident #66 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of Resident #66's Progress Notes, dated 10/19/2021 at 04:54 PM, revealed that Resident #66 was sent to the hospital on 10/19/2021 due to a possible stroke. […]

• No harm, potential for more than minimal, widespreadF812Feb 4, 2022

  Based on observations, record review, and interview, the facility failed to store food in accordance with professional standards for food service safety related to ensuring foods in the walk-in cooler and dry storage room were labeled, dated, and discarded by the use by date. Findings included: On [DATE] at 10:40 a.m., an initial tour of the kitchen was conducted with the Certified Dietary Manager (CDM) and the Registered Dietitian (RD). The following was observed in the walk-in cooler: an opened bag of shredded cheese undated; a carton of milk with a use by date of [DATE]; two red and white containers of specialty salads with carrot raisin written on the container with a use by date of [DATE]; two red and white containers of specialty salads with carrot raisin written on the container… […]

• No harm, potential for more than minimal, patternF644Mar 26, 2024

  Based on interview and record review, the facility failed to revise the Level I Pre-Admission Screening and Resident Review (PASARR) with a newly identified diagnosis and failed to resubmit for a PASARR Level II review for four residents (#54, #20, #70, and #61) of 37 residents reviewed. Findings included: 1. Review of the Admission Record revealed Resident #54 was originally admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses to include unspecified dementia, cognitive communication deficit, and unspecified psychosis not due to a substance or known physiological condition. On 1/29/24 the diagnosis of adjustment disorder with mixed anxiety and depressed mood was added. […]

• No harm, potential for more than minimal, patternF656Mar 26, 2024

  Based on observations, interviews and record review the facility failed to develop comprehensive care plans for three residents (#71, #75 and #77) related to advanced directives out of forty four residents sampled, and one resident (#59) related to identifying the target behaviors exhibited out of five residents sampled for unnecessary medications. Findings included: 1. Review of Resident #71's Admission Record revealed an admitted [DATE] and that she was a hospice patient. Resident #71's medical diagnoses included encephalopathy, multiple myeloma in remission, and anxiety disorder. […]