Campbell Hall Rehabilitation Center Inc

In the surveyor’s words

From the most serious findings on record at Campbell Hall Rehabilitation Center Inc, in the surveyor’s own words.

• Immediate jeopardy, widespreadF689Dec 22, 2024

  Based on observation, record review, and interview during the recertification, abbreviated (NY00359302), and extended surveys from 12/15/2024 to 12/22/2024, the facility failed to provide adequate supervision to prevent accidents related to smoking for 6 of 6 residents (#2, #6, #9, #29, #41 and #54) identified as smokers. Specifically, Resident #41 was a known smoker in a non-smoking facility and the facility failed to complete safety assessments or develop and implement a plan of care to ensure their safety, when it was known that the resident continued to smoke outside of the facility. On 11/1/2024 a fire was started on the outside patio when Resident #41 threw a cigarette butt into dry leaves. There were no facility staff supervising the resident during this smoking activity. […]

• Actual harm, isolatedF686Dec 10, 2025

  Based on observations, record reviews, and interviews conducted during the recertification survey, the facility failed to ensure that one (1) of five (5) residents (Resident # 106) reviewed for pressure ulcers received the necessary care and services to promote healing. Specifically, Resident #106 who was dependent for bed mobility was identified as having a Stage 2 pressure on the sacrum during an assessment by Registered Nurse Supervisor #1 on 10/16/2025. A wound consult was ordered which was not initiated until 11/05/2025. There was no documented evidence of wound assessments from 10/16/2025 to 11/05/2025. The first wound consult identified two (2) Stage 3 pressure ulcers on the right and left buttock. […]

• Actual harm, isolatedF689Jul 22, 2024

  Based on record review and interviews during an abbreviated survey (NY00340632, NY00340457) the facility did not ensure the resident environment was free of accident hazards and that each resident received adequate supervision to prevent accidents for 1(Resident #1) out of 3 residents reviewed for accidents. Specifically, on 4/28/2024 at 5:45 AM Resident #1 is seen on video surveillance walking with their cane and pushed open the locked inner lobby door with their body. Licensed Practical Nurse #1 was seen coming from outside the facility, passed through the outer lobby door and pushed the inner lobby door against Resident #1, which caused Resident #1 to fall to the floor. Subsequently, Resident #1 sustained a bloody nose, black right eye, and a bruised left ankle. […]

• No harm, potential for more than minimal, widespreadF725Dec 10, 2025

  Based on observation, record review and interviews, conducted during the Recertification and Abbreviated surveys (2622355, 2622747) the facility did not ensure that sufficient staff was available to meet the needs of all residents. Specifically, actual staffing levels were below facility assessment desired levels on eleven of ninety shifts as documented on the daily staffing sheets. Residents remained in bed and did not receive showers as planned (See F677) and were not available for activities (See F679). Interviews with staff, residents and family members reported low staffing and care not being completed. […]

• No harm, potential for more than minimal, widespreadF725Aug 5, 2025

  Based on record review and interview conducted during the recertification from 7/29/25 to 8/5/25, the facility did not ensure there was sufficient nursing staff to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, the staffing schedule from 6/27/25 through 8/4/25 documented the facility did not consistently provide adequate staffing on all units/shifts to meet the needs of the residents on 34 of the 39 days reviewed. The findings included: The Facility Wide Assessment updated 5/23/25 documented: Day shift and evening shifts one registered nurse weekdays and weekends, five licensed practical nurses weekdays and four weekends, twelve certified nurse aides weekdays and ten weekends. […]