Canterbury Woods

In the surveyor’s words

From the most serious findings on record at Canterbury Woods, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF600Jan 8, 2025

  Based on observation, interview, and record review conducted during a Complaint investigation (Complaint #NY00362317) completed on an Extended Recertification survey with an exit date of 1/8/2025, the facility failed to protect the residents rights to be free from verbal and physical abuse by a Companion Aide for one (Resident #22) of six residents reviewed for abuse. Specifically, a Companion Aide was witnessed by facility staff being verbally and physically abusive towards Resident #22. The facility did not review/revise abuse processes/protocols since 2016. In addition, the facility did not consistently implement their protocols regarding Companion Aides. […]

• No harm, potential for more than minimal, patternF607Jun 2, 2023

  Based on interview and record review conducted during the Standard survey completed on 6/2/23, the facility did not implement written policies and procedures for screening employees that would prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property for four (Employees A, B, D, and F) of six agency employees reviewed who were hired in the last four months and were subject to the New York State Nurse Aide Registry. Specifically, the facility did not ensure prospective employees were screened through the New York State Nurse Aide Registry prior to their employment. This affected two (North Unit and West Unit) of two resident units. The findings are: 1a. […]

• No harm, potential for more than minimal, patternF812Jun 2, 2023

  Based on observation, interview, and record review conducted during a Standard survey completed 6/2/23, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, one of one main kitchen had issues with multiple food items in the walk-in coolers and a reach-in cooler that had been removed from the original (mother) container or had been opened and were not dated with the date opened. The reach-in freezer in the kitchen had loose French fries, onion rings and many crumbs of debris on the bottom. In addition, one of one servery, Cook #1 was observed serving food without changing gloves during the entire meal service. […]

• No harm, potential for more than minimal, isolatedF609Jan 8, 2025

  Based on interview, and record review conducted during a Complaint investigation (Complaint #NY00362317) completed on an Extended Recertification survey with an exit date of 1/8/2025, the facility did not ensure that all alleged violations involving abuse, neglect, and 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 and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures for one (Resident #22) of six reviewed. […]

• No harm, potential for more than minimal, isolatedF686Jan 8, 2025

  Based on observation, interview and record review conducted during the Extended Recertification survey completed on 1/8/25, the facility did not ensure that a resident with pressure ulcers (ulcers on the skin due to prolong pressure) received necessary treatment and services, consistent with professional standards of practice, to promote healing, and prevent infection for one (Resident #13) of one resident reviewed. Specifically, there were lack of consistent weekly pressure ulcer assessments and ongoing monitoring for Resident #13's left heel and left buttock pressure ulcers, the assessments did not consistently include staging, measurements of size (length x width x depth), or a description of the wounds. […]