Astoria Place Living & Rehab

In the surveyor’s words

From the most serious findings on record at Astoria Place Living & Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Aug 28, 2026

  Based on interview and record review the facility failed to monitor and supervise 1 of 3 residents (R2) reviewed for elopement. This failure resulted in R2, a cognitively impaired resident, identified as being at risk for elopement, exiting the facility unsupervised on [DATE]. R2 was found at a public laundromat unattended and confused.This was identified as an Immediate Jeopardy.V1 (Administrator), V2 (Director of Nursing) and V65 (Regional Director of Operations) were presented with the immediate jeopardy template on [DATE] at 4:00 PM. The immediate jeopardy began on [DATE] when R2 left the building unattended by staff.The facility presented a plan to remove the immediacy on [DATE]. The survey team reviewed the abatement plan and was unable to accept the plan to remove the immediacy. […]

• Immediate jeopardy, isolatedF684Aug 19, 2021

  Based on observation, interview and record review, the facility failed to follow their policies and ensure identification, monitoring, assessment, and treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . These failures resulted in R1 developing a left heel wound that progressed to [CONDITION(S)]. As result of the infection, R1 could not receive a prosthesis for the right leg. This failure also resulted in the delay of R1's placement on the Renal Transplant List due to an infection and open wound on the left heel. Doctor's current prognosis is to continue treatment as a palliative heel. This situation was identified as an immediate jeopardy on 4/26/2021. The administrator was notified on 08/12/2021. […]

• Actual harm, isolatedF697Apr 22, 2025

  Based upon observation, interview, and record review the facility failed to follow facility polices and procedures, failed to ensure that residents are assessed for signs/symptoms of pain, failed to obtain physician orders, failed to follow physician orders, and failed to ensure that physician orders are transcribed on the MAR (Medication Administration Record). The facility also failed to administer pain medication timely to three of four residents (R1,R2, R4) reviewed for pain. These failures resulted in R2 crying due to experiencing excruciating pain. Findings include: 1. R2 was admitted on [DATE] (9 months ago) with cervical radiculopathy (pinched or irritated nerve in the neck causing pain radiating into the chest or arm). […]

• Actual harm, isolatedF689Mar 27, 2025

  Based on interviews and record review, the facility failed to ensure the safety of one resident (R3) as two Certified Nurse Assistants prepared to transfer resident from chair to bed. This failure resulted in R3 falling and sustaining a laceration to the forehead requiring hospitalization and stitches. Findings include: R3 is [AGE] year old with diagnosis including but not limited to: history of falling, presence of artificial right hip joint, other osteoporosis and fracture of unspecified part of right femur. During investigation on 3/24/25 at 12:53 PM, R3 was observed lying in bed with a scar on her forehead. […]

• No harm, potential for more than minimal, widespreadF812Nov 22, 2024

  Based on observation, interview, and record review the facility failed to ensure prepared foods stored in the walk-in cooler were properly dated, labeled and discarded on the use by date. These failures have the potential to affect 154 residents in the facility who are receive an oral diet. Findings Include: On 11/19/24 at 9:08 AM during the initial kitchen tour in the kitchen with V23 (Cook), there was a food cart with trays of prepared foods such as ham sandwich, vanilla pudding, chocolate pudding, cups of fruits, and pitchers of lemonade. The prepared foods on the tray had no labels when they were prepared. The plastic cover covering the food cart had no label. V23 called V22 (Dietary Aide) and entered the main cooler. […]