Central Park Rehabilitation and Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF812May 5, 2025

  Based on observations, record review, and interviews during the recertification and partial extended surveys conducted 4/28/2025 - 5/5/2025, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the main kitchen. Specifically, the main kitchen walk-in cooler was not maintained in appropriate operating condition and had an air temperature of 50 degrees Fahrenheit. Milk stored in the walk-in cooler was measured at 47.8 degrees Fahrenheit. Potentially hazardous foods (food that requires time/temperature control for safety to limit the growth of pathogens) were in the stand-up unit refrigerators on four (4) of four (4) units (1st, 2nd, 3rd, and 4th floor) and originated from the main kitchen walk-in cooler. […]

• Immediate jeopardy, isolatedF689Apr 13, 2022

  Based on observation, interview, and record review during the abbreviated survey (NY 923) the facility failed to ensure that the resident environment remains as free of accident hazards as possible each resident received adequate supervision and assistance devices to prevent accidents for 1 of 5 residents reviewed (Resident #6). Specifically, on March 19, 2022, a cognitively impaired resident with exit-seeking behaviors was able to leave the facility undetected. Staff were not immediately aware the resident was missing as staff on duty were unaware of the admission. Three hours after the resident was reported missing by their roommate, law enforcement was called and located the resident approximately 3 miles from the facility. […]

• Actual harm, isolatedF686Apr 13, 2022

  Based on interview and record review during the abbreviated survey (NY 789) conducted 4/6/2022, the facility failed to ensure residents with pressure ulcers received the necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing for 1 of 5 residents reviewed (Resident #1). Specifically: - When the resident's Stage II (partial thickness loss of skin layers) pressure ulcers to the right and left buttocks deteriorated (increased in size) and had drainage, there was no documented evidence the ordered treated of Z Guard (barrier cream) was assessed for continued appropriateness and the treatment order was not changed. […]

• No harm, potential for more than minimal, widespreadF585May 5, 2025

  Based on observations, record review, and interviews during the recertification survey conducted 4/28/2025-5/6/2025, the facility did not ensure a process was in place for residents to have their grievances addressed appropriately for 153 of 153 residents residing in the facility. Specifically, information on how to file a grievance and grievance forms were not available to the residents and the facility did not have a process for residents to file an anonymous grievance. Additionally, 14 of 14 anonymous residents present at the resident group meeting stated they did not know where to obtain grievances forms from or of their right to file anonymously; some residents present did not know who the grievance officer was. […]

• No harm, potential for more than minimal, patternF565May 5, 2025

  Based on interviews and record review during the recertification survey conducted 4/28/2025-5/5/2025, the facility did not ensure that views, grievances, or recommendations voiced by residents during Resident Council group meetings were considered or acted upon and responded to with a rationale for 14 of 14 anonymous residents present at the resident group meeting. Specifically, 14 of 14 anonymous residents present at the resident group meeting stated they did not receive responses to topics or concerns addressed in prior Resident Council meetings. Additionally, there was no documented evidence residents' voiced concerns were investigated, and rationales or responses were provided to the residents. […]