Aurelia Osborn Fox Memorial Hospital

In the surveyor’s words

From the most serious findings on record at Aurelia Osborn Fox Memorial Hospital, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 22, 2025

  Based on record review and interview conducted during a recertification and complaint (Case # NY00345612) survey from [DATE] to [DATE], the facility failed to ensure residents were free from neglect for one (1) (Resident #109) of 23 residents reviewed. Specifically, Resident #109 was assessed by physical therapy on [DATE] as having total dependence on staff and required maximum assistance of two (2) staff members for bed mobility. As a result of the facility's lack of communication for updating the care plan to incorporate the physical therapy assessment, Resident #109 rolled out of bed and suffered a fractured (broken) hip while receiving care from one (1) staff member on [DATE] at 5:05 PM. […]

• No harm, potential for more than minimal, widespreadF725Apr 22, 2025

  Based on observation, record review, and interviews conducted during a recertification survey, the facility did not ensure the provision of sufficient nursing staff to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident throughout the facility. Specifically, residents were not assisted with care when requested, staff complained of not able to complete all the required tasks assigned and provide resident care, and the staffing sheets provided while on site did not accurately reflect the needs of the facility population. This is evidenced by: Facility Assessment The facility assessment dated ,d+[DATE] documented that the staffing plan was based on the resident population and their needs for care and support. […]

• No harm, potential for more than minimal, widespreadF761Apr 22, 2025

  Based on observation, record review, and interviews conducted during the recertification survey, the facility did not ensure drugs and biologicals were labeled and stored in accordance with professional standards of practice for two (2) (Unit 100 and Unit 300) of two (2) Medication Rooms; and three (3) (Unit 100, 200 and 300) of three (3) Medication Carts reviewed. Specifically, (a.) two medications had expired; (b.) one open bottle of tuberculin Purified Protein Derivative (PPD) solution had expired; (c.) one Humalog Kwik pen had an illegible open date; (d.) four open inhalers had no open or expiration date; one unopened inhaler had an open date; (e.) one bottle of eye drops had no open and or expiration date (f.) two bottles of eye drops had open and or expiration date discrepancies;… […]

• No harm, potential for more than minimal, widespreadF804Apr 22, 2025

  Based on observations, record reviews, and interviews during the recertification survey, the facility did not ensure that food was prepared by methods that conserved the food ' s nutritive value, flavor and appearance and were palatable for 18 (Resident #s 1, 2, 4, 9, 21, 23, 31, 32, 39, 48, 59, 63, 64, 68, 90, 91, 92, and 94) of 22 residents who were reviewed for palatable and attractive food and drink. Specifically, (a.) During an interview during Resident Council held on [DATE], six (6) residents complained that the food was inedible and cold, that drinks were warm, vegetables were hard and under cooked, and that the meat was tough. […]

• No harm, potential for more than minimal, widespreadF880Apr 22, 2025

  Based on observation, record review, and interviews conducted during the recertification survey, the facility did not ensure they established and maintained an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for five (5) (Resident # ' s 21,35,92, 95, and 99) of 15 residents reviewed for infection control. Specifically, (a.) Resident #s 21, 35, 92, and 95 had wounds that required dressing changes and were not placed on Enhanced Barrier Precautions; and (b.) for Resident #99, infection control practice was not maintained during a dressing change and skin treatment. […]