Astoria Skilled Nursing and Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Oct 20, 2025

  THE FOLLOWING SURVEY FINDINGS PERTAINS TO AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, review of weather information at www.timeanddate.com, review of the police report, review of the facility's Self-Reported Incident (SRI) investigation, resident representative interview, staff interview, and facility policy review, the facility failed to provide adequate interventions and supervision to prevent the elopement of a severely cognitively impaired resident. […]

• Immediate jeopardy, isolatedF600Jun 12, 2024

  Based on medical record review, interviews with staff and family, review of facility investigative information and review of the facility policies titled Abuse, Neglect, Exploitation or Misappropriation-Reporting and Investigating, and Abuse, Neglect, Exploitation and Misappropriation Prevention Program the facility failed to ensure all residents were free from incidents of resident-to-resident sexual abuse. This resulted in Immediate Jeopardy and the potential for actual physical and psychosocial harm beginning on 03/26/24 at approximately 3:00 P.M. when Resident #61 (a female resident), who was severely cognitively impaired was found naked in the facility spa room with Resident #4 (a male resident), who was dressed. On 03/26/24 at approximately 8:00 P.M. […]

• Immediate jeopardy, isolatedF684Jun 12, 2024

  Based on closed medical record review, interviews with staff and family, review of a local Fire Department Patient Care Record, review of hospital records, review of facility investigation information, and review of facility policy and procedures, the facility failed to ensure all residents received adequate and timely care and treatment to meet their total care needs. This resulted in Immediate Jeopardy and subsequent actual harm/death beginning at [DATE] at approximately 4:30 A.M. […]

• Immediate jeopardy, isolatedF695Jul 29, 2021

  Based on medical record review and staff interviews, the facility failed to provide interventions to prevent a resident from disconnecting her ventilator (a mechanical device required for the breathing) and removing her [CONDITION(S)] (tube inserted through the neck into the trachea to allow a person to breath). This resulted in Immediate Jeopardy for one resident (Resident #67) when she disconnected the ventilator and removed her [CONDITION(S)] on [DATE] and expired. This affected one resident (Resident #67) of four residents (#7, #29, #59, and #67) reviewed for ventilator/[CONDITION(S)] care. The facility census was 65. On [DATE] at 12:31 P.M. […]

• Actual harm, isolatedF689Nov 5, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on closed medical record review, review of a facility investigation, employee file review, manufacturer guideline review, policy review and interview, the facility failed to ensure Resident #100 was transferred safely with a mechanical (Hoyer) sling lift resulting in a fall with major injury.Actual harm occurred on 09/11/25 when Resident #100, who was dependent on two staff members and the use of a mechanical sling lift with transfers, sustained a fall and a right hip fracture when being transferred from his bed to wheelchair with only the assistance of one staff member, Certified Nursing Assistant (CNA) #50 and the Hoyer lift. […]