Bushwick Center for Rehabilitation and Health Care

In the surveyor’s words

From the most serious findings on record at Bushwick Center for Rehabilitation and Health Care, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 7, 2023

  Based on observation, interview, and record review conducted during the recertification survey from 7/31/2023 to 8/7/2023, the facility did not ensure food was prepared in accordance with professional standards of food safety. This was evident during the Kitchen observation. Specifically, staff were observed not performing hand hygiene during food preparation. The findings are: A facility policy titled Personal Hygiene dated 6/2019 documented when to wash hands: immediately before engaging in food preparation, including working with exposed food, clean equipment, or service utensils, after handling soiled equipment, during food preparation, and as often as necessary to remove soil and contamination and to prevent cross contamination when changing tasks, after engaging any other activity… […]

• No harm, potential for more than minimal, patternF584Aug 7, 2023

  Based on observations, interviews and record review conducted during the Recertification and Complaint (NY00317743) Survey from 07/31/2023 thru 08/07/2023, the facility did not ensure the resident's right to a safe, clean, comfortable, and homelike environment. This was evident for 4 Units (Units 2N, 3N, 4L, and 4N) of 6 Units. This was evident during environmental observation. Specifically, 1) Unit 3N was observed with missing closet doors, resident room furniture with broken paneling, a torn and stained mattress cover, dining room chair missing an armrest, mildew stains on the shower chair, missing ceiling tiles in the shower, loose shower room faucet, and stained blood pressure (BP) machines and feeding pump poles, and 2) Units 2N, 4L, and 4N were observed with walls with peeling paint… […]

• No harm, potential for more than minimal, patternF657Aug 7, 2023

  Based on observation, record review, and interviews conducted during the Recertification survey, the facility did not ensure that the comprehensive care plans (CCP) were reviewed and/or revised after each assessment and as needed. This was evident for 2 (Resident #13 and #47) of 38 total sampled residents. Specifically, 1) Resident #13's CCP related to risk for infection related to indwelling catheter, constipation related to bowel obstruction, alteration in physical function related to traumatic spinal cord injury, paraplegia, bladder spasm, ostomy appliance related to bowel obstruction, and impaired gastrointestinal function related to constipation were not reviewed upon assessment, and 2) Resident #47's CCP related to alteration in physical function, and bowel incontinence related to… […]

• No harm, potential for more than minimal, patternF658Aug 7, 2023

  Based on observations interview and record review, during a recertification survey on 07/31/2023- 08/07/2023 the facility did not ensure that services provided met professional standards of practice. This was evident for 2 (Resident #190 and #89) of 2 residents reviewed for feeding tube. Specifically, 1) Gastrostomy Tube (GT) placement and residuals were not checked prior to the administration of GT medications for Resident #190, and 2) Gastrostomy Tube (GT) placement and residuals were not checked prior to the administration of GT medications for Resident #89. The findings are: 1) Resident # 190 had diagnoses of gastrostomy status and dysphagia. The Minimum Data set 3.0 (MDS) assessment dated [DATE] documented Resident #190 was severely cognitively impaired. […]

• No harm, potential for more than minimal, patternF689Aug 7, 2023

  Based on observation, record review, and interviews conducted during the Recertification and Complaint survey from 07/31/2023 through 08/07/2023, the facility did not ensure residents were adequately supervised to prevent smoking accidents. This was evidenced for 3 of 3 residents reviewed for Smoking (Resident #s 61, 71 and 163). Specifically, 1) Resident #71 was observed smoking unsupervised, 2) Resident #163 was observed smoking unsupervised, and 3) Resident #61 was observed smoking unsupervised. The findings are: The facility policy titled Smoking Program dated 10/2022 documented all smoking in the facility will be supervised and permitted only in designated areas and at designated times. […]