Cayuga Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jan 24, 2025

  Based on record review and interviews during the recertification and abbreviated (NY00341003) surveys conducted 1/16/2025-1/24/2025, the facility failed to ensure the residents' environment remained free of accident hazards for one (1) of three (3) residents (Resident #171) reviewed. Specifically, Resident #171 had a physician order for a regular dysphagia (difficulty swallowing) pureed texture diet and was served and fed ground vegetables, began to cough, and was sent to the hospital. Additionally, staff education was not initiated timely after the incident. This resulted in Immediate Jeopardy past non-compliance to Resident #171 and placed all residents on modified consistency diets at risk for serious injury, serious harm, serious impairment, or death. […]

• Actual harm, isolatedF686Mar 18, 2021

  Based on observation, interview, and record review during the abbreviated survey (NY 019), the facility failed to ensure residents received care consistent with professional standards of practice to prevent pressure ulcers for 1 of 3 residents (Resident #1) reviewed. Specifically, Resident #1 developed a pressure ulcer on the posterior (back) right thigh caused by a cast. The pressure ulcer was not assessed timely after being identified, a treatment was not ordered or implemented timely, and when the pressure ulcer worsened, the orthopedic surgeon and wound specialist were not notified for intervention timely. The resident was subsequently admitted to the hospital for incision and drainage (a surgical procedure used to release pus or pressure under the skin), wound V.A.C. […]

• No harm, potential for more than minimal, patternF684Jan 24, 2025

  Based on observation, record review, and interviews during the recertification survey conducted 1/16/2025-1/24/2025, the facility did not ensure residents received treatment and care in accordance with professional standards of practice 1 of 1 resident (Resident #49) reviewed. Specifically, Resident #49 was administered 14 doses of expired levetiracetam (seizure medication) from 1/10/2025 to 1/17/2025. Findings include: The facility policy, Medication Administration, revised 9/2019 documented the individual administering the medication should verify the medication selected for administration was the correct medications based on the medication order and the medication label. […]

• No harm, potential for more than minimal, patternF584Jun 8, 2023

  Based on observation, record review, and interview during the recertification survey conducted 6/1/23-6/8/23, the facility did not ensure residents had the right to a safe, clean, comfortable, and homelike environment for 2 of 3 resident units (Unit 2 including resident rooms 203, 214, 217, the second floor lounge area near the elevator, dining room, nursing station, tub room near room [ROOM NUMBER], soiled utility room across from the nursing station, the central shower room, the hallway to the ramp lounge; Unit 3 including resident room [ROOM NUMBER], and the hallway near emergency exit stairwell #2). […]

• No harm, potential for more than minimal, patternF883Jun 8, 2023

  Based on record review and interview during the recertification survey conducted 6/1/23-6/8/23, the facility did not ensure each resident was offered influenza and/or pneumococcal immunizations and received education regarding the benefits and potential side effects of the immunizations for 3 of 5 residents (Residents #79, 102, and 416) and 6 of 11 staff (licensed practical nurse [LPN]#10, recreation aide #20, nurse practitioner [NP] #25, resident helper #26, certified nurse aide [CNA] #28, and dietary aide #30) reviewed. […]