Carthage Center for Rehabilitation and Nursing

In the surveyor’s words

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

• Actual harm, isolatedF684Jul 27, 2022

  Based on record review and interview during the abbreviated survey (NY 107), the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 3 of 3 residents reviewed (Residents #2, 6, and 11). Specifically: - Resident #2 had no ordered treatment to a left finger wound for 3 days, no ordered treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . - Resident #6 was admitted to the facility with a venous ulcer (wound resulting from poor blood flow) on the right lower leg. The wound was not thoroughly assessed by a qualified professional for 14 days after admission and treatment to the wound was not completed for 8 days. […]

• Actual harm, isolatedF686Jul 27, 2022

  Based on record review and interview during the abbreviated survey (NY 107), the facility failed to ensure residents received care, consistent with professional standards of practice, to prevent pressure ulcers and did not develop pressure ulcers unless the individuals condition demonstrated that they were unavoidable; and failed to ensure a resident with pressure ulcers received the necessary treatment and services, consistent with professional standards of practice, to promote wound healing, prevent infection, and prevent new ulcers from developing for 2 of 3 residents (Residents #4 and 5) reviewed. […]

• Actual harm, isolatedF695Apr 13, 2021

  Based on interview and record review during the abbreviated survey (NY 266) conducted 3/24/21 to 4/13/21, the facility did not ensure a resident who needs respiratory care was provided such care consistent with professional standards of practice for 1 of 3 residents (Resident #1) reviewed. Specifically, - Resident #1 was admitted to the facility with hospital discharge orders for a continuous positive airway pressure machine ([CONDITION(S)], device that administers air through the nose at a predetermined level of pressure) that was not implemented at the facility. - The resident did not receive [CONDITION(S)] for the 5 nights they were at the facility and experienced low oxygen levels and respiratory distress. […]

• No harm, potential for more than minimal, patternF804Jul 24, 2026

  Based on observations, record review, and interviews (QIES Intake 3038191), the facility failed to ensure residents were provided food and drink that was palatable, flavorful, and at an appetizing temperature for two of two meals (lunch meal on 07/21/2026 and breakfast meal on 07/23/2026) and for three of nine anonymous residents present at the resident group meeting. Specifically, the 07/21/2026 and 07/23/2026 meal trays included hot foods served below 130 degrees Fahrenheit, cold foods served above 49 degrees Fahrenheit, and some foods were not palatable; and three anonymous residents at the resident group meeting stated the hot food was served cold and meals were not appetizing. […]

• No harm, potential for more than minimal, patternF584Sep 26, 2024

  Based on record review, observation, and interviews during the recertification and abbreviated (NY00348460) surveys conducted 9/23/2024-9/26/2024, the facility did not ensure residents had the right to a safe, clean, comfortable, and homelike environment for 2 of 2 resident units (North and South units) reviewed. Specifically, the South unit common area had a stained carpet, four burned out lights, a broken light fixture, the unit shower was missing floor and wall tiles, and the dining room countertop was damaged; the North unit resident room [ROOM NUMBER] had a dirty floor mat that smelled of mildew and cobwebs on the wall. […]