Caton Park Rehabilitation and Nursing Center, LLC

In the surveyor’s words

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

• Actual harm, isolatedF689Apr 26, 2022

  Based on observation, interviews and record review conducted during an abbreviated survey (NY 057), the facility failed to ensure that the resident environment remains as free from accident hazards as is possible, and each resident receives adequate supervision and assistance devices to prevent accidents. This was evident in 1 out of 3 residents sampled (Resident #1). Specifically, on 03/10/2021 at approximately 7:10 AM, Resident #1 fell from the Hoyer lift (a patient lift used to transfer patients) while Certified Nursing Assistant (CNA) #1 and CNA #2 were transferring the resident from bed to wheelchair. Resident #1 sustained non-displaced fractures of the left first and second ribs and a head wound on the scalp. […]

• No harm, potential for more than minimal, patternF656May 8, 2026

  Based on record review and interview, the facility failed to ensure that a comprehensive person-centered care plans for each resident was developed and implemented, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs. This was evident for one (1) resident (Resident #22) of five (5) residents reviewed for Accidents, one (1) resident (Resident #9) of two (2) residents reviewed for Respiratory Care, one (1) resident (Resident #101) of five (5) residents reviewed for Unnecessary Medications, and one (1) resident (Resident #6) of one (1) resident reviewed for Dental Care, and out of 27 total sampled residents. […]

• No harm, potential for more than minimal, patternF725May 8, 2026

  Based on observation, record review, and interviews, the facility failed to ensure sufficient nursing staff was provided to meet the residents' needs in a manner that promotes each resident's rights, physical, mental, and psychosocial well-being, as determined by resident assessments and individual plans of care. Specifically, 1). Review of the actual staffing schedules dated from 10/01/25 to 12/31/25 revealed that staffing assignments were consistently less than the projected staffing needs specified in the Facility Assessment for Certified Nursing Assistants and Licensed Nursing Staff, and 2.) the facility Payroll Based Journal (Quarter 1 2026 (October 1 - December 31) also triggered for excessively low weekend staffing. […]

• No harm, potential for more than minimal, patternF880May 8, 2026

  Number of residents sampled:Number of residents cited:Based on observation and interviews, the facility failed to ensure infection control practices and procedures were maintained to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections. This was evident in two (2) medication rooms (Unit 2 and Unit 3) of three (3) medication rooms observed during the Medication Storage and Labeling task and the Central Supply room. […]

• No harm, potential for more than minimal, patternF640Aug 10, 2022

  Based on record review and interviews conducted during the recertification survey, the facility did not ensure Minimum Data Set 3.0 (MDS) assessments were electronically transmitted in a timely manner. This was evident for 5 of 14 residents reviewed for the Resident Assessment task (Resident #4, 13, 8, 17, 9). Specifically, a quarterly assessment was not transmitted within 14 days after the completion date. The findings are: The facility policy titled Resident Assessment using the MDS dated [DATE] with revision on 08/09/2022 documented MDS Assessments will be transmitted to CMS within 14 days after completion by MDS coordinator/designee and a monthly validation report will be downloaded from MDS to ensure that all MDS transmissions have been received by CMS . 1. […]