Berkshire Nursing & Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Sep 22, 2025

  Based on observation, record review, and staff interviews during an abbreviated survey (NY002604352) initiated on 09/03/2025, the facility failed to ensure residents received treatment and care according to professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for three (3) of (5) residents reviewed. Specifically, 1) Resident #1 had no bowel movements eight (8) consecutive days from (07/19/2025 through 07/26/2025 and again for nine (9) consecutive days from 07/28/2025 through 08/05/2025. 2) Resident #2 had no bowel movements for eight (8) consecutive days from (08/15/2025 through 08/22/2025 and again for (8) consecutive days from 08/24/2025 through 08/31/2025. […]

• Actual harm, isolatedF689Aug 20, 2024

  Based on observation, record review, and interviews during the Recertification Survey initiated on 8/14/2024 and completed on 8/20/2024, the facility did not ensure that each resident received adequate supervision and assistance devices to prevent accidents. This was identified for one (Resident #71) of eight residents reviewed for Accidents. Specifically, Resident #71 required the assistance of two staff members for bed mobility as per the Rehabilitation Department screening on 1/4/2024 and 4/4/2024. The resident's comprehensive care plan and nursing care instructions for the Certified Nursing Assistants were not updated to reflect the Rehabilitation Department's recommendations. […]

• No harm, potential for more than minimal, isolatedF645Feb 18, 2026

  Based on record review and interviews the facility did not ensure each resident received preadmission screening for individuals with a mental disorder. This was identified for one (1) (Resident #9) of 32 residents reviewed for Preadmission Screening and Resident Review (PASRR). Specifically, Resident #9 with diagnosis of schizophrenia (a chronic, severe brain disorder that distorts how a person thinks, feels, acts, and perceives reality) was originally admitted to the facility on [DATE]; there was no documented evidence that a Preadmission Screening and Resident Review was completed for Resident #9, prior to their admission to the facility. […]

• No harm, potential for more than minimal, isolatedF656Feb 18, 2026

  Based on observations, record review, and interviews during the recertification survey, the facility did not ensure that a comprehensive person-centered care plan was implemented for one (1) (Resident #13) of three (3) residents reviewed for skin integrity. Specifically, Resident #13 was assessed to have fragile skin and required use of the Geri sleeves according to the Comprehensive Care Plan. During multiple observations, Resident #13 was observed without the use of the Geri sleeves.The finding is: A facility policy and procedure titled Comprehensive Care Plan, last reviewed 06/2025, documented the Person-Centered Care Plan is developed to include information necessary to properly care for the residents. […]

• No harm, potential for more than minimal, isolatedF695Feb 18, 2026

  Based on observations, record review, and interviews, the facility did not ensure that each resident who needs respiratory care is provided care in accordance with the professional standards of practice and the comprehensive person-centered care plan. This was identified for one (1) (Resident #128) of four (4) residents reviewed for Respiratory Care. Specifically, Resident #128 indicated they use the Continuous Positive Airway Pressure machine (CPAP- a machine used for obstructive sleep apnea: a condition with temporary pauses in breathing during sleep) that was observed on their nightstand. Resident #128 did not have a physician's order or a Comprehensive Care Plan (CCP) with goals and interventions for the use of the Continuous Positive Airway Pressure machine. […]