Champlain Valley Physicians Hosp Med CTR S N F

In the surveyor’s words

From the most serious findings on record at Champlain Valley Physicians Hosp Med CTR S N F, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF600Jan 17, 2025

  Based on record review and interviews during the recertification and abbreviated survey (Case #s NY00346121, NY00366317, and NY00365618), the facility did not ensure the resident's right to be free from abuse and neglect for 3 (Resident #s 1, 14, and 23) of 4 residents reviewed for abuse and neglect. Specifically, (a.) for Resident #1, a staff member grabbed their forearm and removed their call light on 6/23/2024; (b.) for Resident #14, a bed bolster was not in place when one staff member assisted in the resident's care when the resident required two staff, resulting in a fall on 12/22/2024; (c.) for Resident #23, a staff member grabbed their hand resulting in a skin tear. […]

• No harm, potential for more than minimal, patternF812Oct 14, 2022

  Based on observation and interviews during the recertification survey dated 10/11/2022 through 10/14/2022, the facility did not ensure food was stored, prepared, distributed or served in accordance with professional standards for food service safety in the main kitchen. Specifically, a toxic vapor-emitting fly strip was found in the dishwashing machine area; brooms and dust bins were stored in the cafeteria preparation area; and the floor mixer, bake shop table mixer, microwave oven, can opener holders, bake shop sugar bin, refrigerator door gaskets, cooking line floor under equipment, floor at entrance to the walk-in freezer, and fire extinguishers were soiled with food particles, food splatters, or a grease build-up. […]

• No harm, potential for more than minimal, patternF867Oct 14, 2022

  Based on observation, record review and interviews during the recertification survey on 10/11/2022 through 10/14/2022 the facility did not ensure that the Quality Assurance Performance Improvement Program (QAPI) developed and implemented appropriate plans of action to correct identified quality deficiencies and regularly reviewed, analyzed, and acted on available data to make improvements related to F656; Development and Implementation of Comprehensive Care Plans, and F697; Pain Management. Specifically, the facility did not ensure that the approved Plan of Correction (POC) for F 656, and F 697 cited during the Recertification Survey completed on 12/19/2019 were implemented, resulting in the same deficiencies being issued during the current survey. […]

• No harm, potential for more than minimal, isolatedF609Jan 17, 2025

  Based on record review and interviews during a recertification and abbreviated survey (Case #NY00366317), the facility did not ensure that all alleged violations involving abuse were reported immediately, but no later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse, to the Administrator of the facility and to the State Survey Agency for 1 (Resident #23) of 4 residents reviewed. Specifically, an allegation of physical abuse observed by staff on 12/25/2024 at 2:00 AM was not reported to the New York State Department of Health within 2 hours after the allegation was made. […]

• No harm, potential for more than minimal, isolatedF610Jan 17, 2025

  Based on record review and interviews during the recertification and abbreviated survey (Case #NY00366317), the facility did not ensure the resident's right to be free from further potential abuse, neglect, exploitation, or mistreatment while an investigation was in progress for 1 (Resident #23) of 4 residents reviewed for abuse and neglect. Specifically, Certified Nurse Aide #3 was not removed immediately from resident's care when there was an allegation of physical abuse to prevent further abuse from occurring. […]