Bainbridge Nursing & Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF761Jul 23, 2025

  Based on observation, record review, and interviews during the Recertification Survey conducted from 07/16/2025 to 07/23/2025, the facility did not ensure medications and biologicals were stored in accordance with currently accepted professional principles. This was evident for 1 (5th floor) of 5 units observed. Specifically, during observation on the 5th Floor, a box filled with medications labeled with residents' names were found stored under the table at the nurse's station. These medications were not secured and were accessible to unlicensed staff and residents. […]

• No harm, potential for more than minimal, isolatedF657Jul 23, 2025

  Based on observation, record review, and interviews during the Recertification survey conducted from 07/16/2025 to 07/23/2025, the facility failed to ensure that residents' comprehensive care plans were reviewed and revised by the interdisciplinary team after each assessment and as needed. This was evident for 1 (Resident #43) of 3 residents reviewed for Dental. Specifically, Resident #43's the Comprehensive Care Plan for oral/dental conditions was not reviewed and revised quarterly after each assessment. […]

• No harm, potential for more than minimal, isolatedF812Jul 23, 2025

  Based on observation, record review, and interviews during the Recertification Survey conducted from 07/16/2025 to 07/23/2025, the facility did not ensure that all potentially hazardous foods were stored, prepared, distributed, and served in accordance with professional standards of food safety. This was evident for 1 (Unit 1) of 5 units observed. Specifically, the dairy refrigerator in Unit 1 was observed to be above 40 F and the items inside of it, including multiple cartons of milk, sandwiches, and cheese, were not immediately disposed of.The findings include:The facility policy titled Food Storage-Potentially Hazardous Food which was last revised on 05/01/2025 documented that it is the facility's policy to ensure the safe storage of potentially hazardous foods to prevent foodborne… […]

• No harm, potential for more than minimal, isolatedF609Apr 11, 2023

  Based on interviews and record review conducted during the Recertification/Complaint survey (NY00291223) from 4/3/2023 to 4/11/2023, the facility did not ensure all alleged violations involving injuries of unknown source were reported immediately, but not later than 2 hours after the allegations were made to the New York State Department of Health (NYSDOH). This was evident for 1 (Resident # 58) out of 3 residents reviewed for Abuse. Specifically, the facility did not report Resident #58's right hip fracture to the NYSDOH within 2 hours. […]

• No harm, potential for more than minimal, isolatedF657Apr 11, 2023

  Based on observation, record review, and interviews conducted during a Recertification survey from 4/3/23 through 4/11/23, the facility did not ensure a resident's Comprehensive Care Plan (CCP) was reviewed and revised by the interdisciplinary team to reflect changes in the resident's needs. This was evident in 1 out of 1 resident(s) reviewed for Urinary Catheter out of 38 total sampled residents (Resident # 154). Specifically, Resident # 154's CCP was not reviewed and revised to reflect that the resident performs self-catheter care. […]