Briarcliff Manor Center For Rehab And Nursing Care

In the surveyor’s words

From the most serious findings on record at Briarcliff Manor Center For Rehab And Nursing Care, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Sep 29, 2023

  Based on interviews, and record review during an abbreviated survey (NY00324542), the facility failed to ensure that residents were free of significant medication errors for 2 of 5 residents (Resident #1 and Resident #2) reviewed for anti-seizure medications. Specifically, Resident #1 had a physician's order for Vimpat (controlled antiseizure medication) 200 milligrams (mg) 1 tab every 12 hours at 9AM and 9PM daily, and over three days in 08/2023 and four days in 09/2023. A total of 12 doses of Vimpat were not administered to Resident #1. Resident #2 had a physician's order for Keppra (anti-seizure medication) 1000 mg 1 tab every 12 hours at 9AM and 9PM daily, and over six dates a total of 7 doses of Keppra were not administered to Resident #2. […]

• Actual harm, isolatedF600Jun 20, 2025

  Based on observation, interview, and record review conducted during the abbreviated survey (NY00383393), the facility did not ensure a resident remained free from physical abuse. This was evident for one (1) (Resident #1) of four (4) total sampled residents. Specifically, Resident #1 reported they were hit in their groin by Certified Nurse Aide #3 on 6/11/2025 at approximately 1:30 AM. This resulted in psychosocial harm that did not rise to level of Immediate Jeopardy. The findings are: The facility policy titled Abuse Prevention & Reporting, dated 1/3/2025, documented any employee involved in abuse will be disciplined appropriately. Resident #1 had diagnoses of hydrocephalus (fluid on the brain) and major depressive disorder. […]

• No harm, potential for more than minimal, patternF689Aug 10, 2026

  Based on record review and interviews conducted during the survey, the facility failed to ensure that each resident received adequate supervision/assistance to prevent accidents for two (2) of seven (7) residents (Residents #1 and #12) reviewed for abuse. Specifically, 1) Resident #1 required 2-person assistance with bed mobility and toileting, however the facility did not provide 2-person assistance per the care plan and Resident #1 alleged they were turned roughly and pushed against the side rail of their bed, and 2) Resident #12 required 2-person assistance with showers however the facility did not provide 2-person assistance per the care plan and Resident #12 alleged their head jerked backwards when the head of the shower bed slipped from the certified nurse aide's hands. […]

• No harm, potential for more than minimal, patternF725Feb 2, 2024

  Based on observation, interviews and record review conducted during the recertification and abbreviated survey (00325156) from 1/28/24 to 2/2/24, the facility did not ensure that sufficient nursing staff was consistently provided to meet the needs of residents on all shifts. Specifically, 1) multiple residents reported during confidential interviews and the group meeting (Resident Council) a of lack of staff to respond to call bells and provide assistance with activities of daily living; 2) multiple nursing staff members reported a lack of sufficient staffing; and 3) analysis of the actual staffing schedule showed that on multiple occasions during the month of January 2024, the facility was below the minimum levels documented on the Facility Assessment. […]

• No harm, potential for more than minimal, patternF812Feb 2, 2024

  Based on observations and interviews conducted during the recertification survey from 1/28/24-2/2/24, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. Specifically, the metal shelves in a deep freezer that stores food was peeling, there was unlabeled and undated roast beef in a large metal pan located in the walk in refrigerator, there was 20 pounds of undated ground beef in the walk in freezer, the metal shelves in the reach in refrigerator had brownish crusty peelings where desserts, juices, and sandwiches were stored, a metal container in the reach in refrigerator containing mixed fruit was not completely covered, the cook on the tray line was not wearing a beard covering, one food… […]