Auburn Rehabilitation & Nursing Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jan 7, 2025

  Based on observations, record review, and interviews during the recertification and abbreviated surveys (NY00364436) conducted 1/2/2025 -1/7/2025, the facility did not ensure residents received adequate supervision to prevent accidents for 1 of 4 residents (Resident #276) reviewed. Specifically, Resident #276 did not have their hydrocollator pack (a device that heats cloth pads filled with a soft clay to provide moist heat therapy) monitored during therapy, causing a blister to their shoulder. This resulted in harm to Resident #276 that was not Immediate Jeopardy. Findings include: The updated facility policy, Applying a hydrocollator Pack, documented the hydrocollator was placed in the pocket of the terry cloth covering, then three (3) double-layer terry cloth towels were applied. […]

• No harm, potential for more than minimal, widespreadF888Apr 28, 2022

  Based on observation, interview and record review during the abbreviated survey, the facility failed to develop and implement policies and procedures to ensure that all staff were fully vaccinated for COVID-19 and include a process for ensuring the implementation of additional precautions, intended to mitigate the transmission, and spread of COVID-19, for all staff who are not fully vaccinated for 2 of 4 staff reviewed. Specifically, the facility permitted certified nurse aide (CNA) #16 to return to work unvaccinated, there were no measures in place for CNA #16 and temporary nurse aide (TNA #17) to mitigate the transmission and spread of COVID-19 and both staff were observed to be incorrectly wearing a face mask or not wearing a face mask at all. […]

• No harm, potential for more than minimal, patternF584Jan 7, 2025

  Based on observations, record review, and interviews during the recertification and abbreviated surveys (NY00356805) conducted 1/2/2025-1/7/2025, the facility did not ensure residents had the right to a safe, clean, comfortable, and homelike environment for 4 of 4 resident halls (North, West, East, and South). Specifically, there was a strong urine smell on North, West, East, and South halls; there was food and debris on the floor in the Northwest common area; Resident room [ROOM NUMBER] was unclean with food debris and spots on the floor and floor mats; and Resident #16 wanted a chair in their room and did not have one. Findings include: The facility policy, Damp Mopping, dated 3/12/2020, documented all areas were maintained in a clean and pleasant manner. […]

• No harm, potential for more than minimal, patternF677Jan 7, 2025

  Based on observations, record review, and interviews during the recertification and abbreviated (NY000325307, NY00035605, and NY000359258) surveys conducted 1/2/2025-1/7/2025, the facility did not ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 4 of 5 residents (Residents #4, #24, #27, and #178) reviewed. Specifically, Resident #4 was not provided oral care; Resident #24 was not shaved as planned; Resident #27 was not provided toenail care as planned; and Resident #178 was not showered, shaved, or groomed as planned. […]

• No harm, potential for more than minimal, patternF761Jan 7, 2025

  Based on observations and interviews during the recertification survey conducted 1/2/2025-1/7/2025, the facility did not ensure drugs and biologicals were labeled and stored in accordance with currently accepted professional principles and includes the expiration date when applicable for 1 of 2 medication carts and 1 of 1 treatment cart on the East Hall. Specifically, the East Hall medication cart was left unsecured; contained an expired insulin pen and an insulin pen without an opened or expired/discard date for Resident #27; and an insulin pen without any resident identifiers or opened/discharge date . Additionally, the East Hall treatment cart was left unsecured and contained medications and scissors. […]