Brothers of Mercy Nursing & Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF836Jan 16, 2026

  Based on observation, interview, and record review during the Standard survey completed on 01/16/2026, the facility did not operate and provide services in compliance with all applicable Federal, State, and local laws, regulations, and codes. Specifically, the facility was not in compliance with Section 915 of the 2020 Fire Code of New York State, which requires carbon monoxide detection in buildings with fuel-burning appliances and on-going preventative maintenance of carbon monoxide detectors. […]

• No harm, potential for more than minimal, isolatedF689Aug 21, 2026

  Based on observation, interview and record review conducted during a survey, the facility failed to ensure that each resident received adequate supervision and assistive devices to prevent accidents for one (Resident #1) of three residents reviewed for accidents. Specifically, the facility did not ensure that Resident #1, who was severely cognitively impaired and at risk of elopement, was adequately supervised to prevent them from accessing the maintenance workshop (a non-resident care area).The findings include:The facility policy and procedure titled Elopement Prevention last revised 10/2025, documented to prevent elopement a risk assessment is completed on admission, at the initial care plan meeting, quarterly thereafter and as prompted. […]

• No harm, potential for more than minimal, isolatedF609Jun 5, 2026

  Based on interview and record review conducted during the survey, the facility failed to ensure that all alleged violations involving abuse or mistreatment are reported immediately but not later than 2-hours after the allegation is made if the events that cause the allegation involve abuse, to the Administrator of the facility and to other officials (including to the State Survey Agency) for one (Resident #2) of three residents reviewed. Specifically, an allegation of staff to resident physical abuse or mistreatment was not reported to the New York State Department of Health within the required two-hour timeframe. […]

• No harm, potential for more than minimal, isolatedF610Jun 5, 2026

  Based on interview and record review conducted during a survey, the facility failed to ensure that all alleged violations of abuse or mistreatment were thoroughly investigated for two (Residents #1 and #2) of three residents reviewed. Specifically, there was lack of evidence that thorough investigations were completed into allegations of a missing personal item (Resident #1) and physical abuse/mistreatment by a staff member (Resident #2). The findings include:A policy titled Freedom from Abuse, Neglect and Exploitation, Incident Reporting dated 01/2026 documented the facility does not condone any form of resident/patient abuse, neglect, exploitation or mistreatment. […]

• No harm, potential for more than minimal, isolatedF550Jan 16, 2026

  Based on interview and record review the facility did not ensure that each resident was treated with respect and dignity, cared for in a manner and in an environment that promotes maintenance or enhancement of their quality of life, recognizing each resident's individuality for three (3) (Resident #1, #32 and #59) of five (5) residents reviewed for dignity. Specifically, residents were treated disrespectfully and without dignity when a staff member spoke in an unprofessional manner (#32 and #59) while their room. Additionally, Resident #1 did not receive timely assistance with toileting resulting in them having an incontinence episode that was upsetting to them. […]