Bishop Rehabilitation and Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, patternF554Jul 11, 2024

  Based on observation, record review, and interview during the extended recertification survey conducted 6/4/2024-7/11/2024, the facility did not ensure the resident's ability to safely self-administer medications was clinically appropriate for 5 of 5 residents (Residents #21, #64, #72, #207, and #239) reviewed. Specifically, Residents #21, #64, #72, and #207 had medications that were left in their room, with some being unidentified. Resident #239 was not observed by nursing staff to ensure their controlled substance, which was used to treat narcotic addiction, was taken as prescribed. There was no documented evidence these residents were assessed to determine their ability to safely self-administer medications or had physician orders for self-administration of medication. […]

• Immediate jeopardy, patternF697Jul 11, 2024

  Based on observation, record review, and interviews during the extended recertification survey conducted 6/4/2024-7/11/2024, the facility failed to ensure that pain management was provided to residents who required such services consistent with professional standards of practice for 3 of 7 residents (Resident #28, #37, and #64) reviewed. Specifically, -Resident #28's physician ordered pain cream was not administered as ordered and was documented as administered. -Resident #37 did not receive Lyrica (used to treat nerve and muscle pain) as ordered for 3 days; -Resident #64 was not aware of an as needed order for acetaminophen (pain reliever) and pain cream and was not offered the medications when in pain. […]

• Immediate jeopardy, patternF745Jul 11, 2024

  Based on observation, interview, and record review during the extended recertification and abbreviated (NY0033160) surveys conducted 6/4/2024-7/11/2024, the facility failed to provide medically related social services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for 5 of 5 residents (Resident #41, #126, #153, #235, and #250) reviewed. Specifically: - Resident #41 had an extensive mental health history, did not have person-centered mental health interventions, and was seen by a licensed psychologist and their recommendations were not implemented into the resident's plan of care. […]

• Immediate jeopardy, patternF773Jul 11, 2024

  Based on record review and interview during the extended recertification and abbreviated (NY00335379) surveys conducted 6/4/2024-7/11/2024, the facility failed to ensure the ordering physician was notified promptly when a laboratory result fell outside of clinical reference range for 3 of 3 residents (Residents #153, #260, and #529) reviewed. Specifically, - Resident #529 had abnormal laboratory results including a high white blood cell count, a low lymphocyte count, and high sodium, blood urea nitrogen, and blood urea nitrogen/creatinine ratio (indicating possible dehydration and infection) that were not reviewed by facility staff in a timely manner, and the medical provider was not notified in a timely manner of the abnormal lab results. […]

• Immediate jeopardy, patternF689Jan 19, 2023

  Based on observation, interview, and record review during the abbreviated survey (NY00308045) the facility failed to ensure the resident environment remained as free of accident hazards as possible and each resident received adequate supervision and assistance devices to prevent accidents for 1 of 5 residents reviewed (Resident #92). Specifically, on December 28, 2022, a cognitively impaired resident (Resident #92) with exit-seeking behaviors was able to leave the facility undetected. Staff were not immediately aware the resident was missing. The resident was last seen wearing a coat and hat at approximately 4:00 PM and was identified as missing at approximately 6:00 PM. Law enforcement was notified at approximately 6:45 PM. […]