Chautauqua Guest Home #2

In the surveyor’s words

From the most serious findings on record at Chautauqua Guest Home #2, in the surveyor’s own words.

• Actual harm, isolatedF697Sep 18, 2025

  Based on record review, staff interviews, and policy review the facility failed to provide or offer as needed (PRN) pain medication in a timely manner, non-medication pain relief, and/or notify the resident's physician of new onset and increased pain for 1 of 3 residents reviewed for pain after a fall (Resident #14). Despite Resident #14 reporting increased amounts of pain to her leg, the facility failed to provide her with additional medication or request the physician review her medication orders. The facility learned Resident #14's pain occurred due to a fracture of the femoral neck (hip fracture). The facility reported a census of 38 residents. […]

• No harm, potential for more than minimal, patternF812Sep 18, 2025

  Based on observations, staff interviews, Certified Dietary Manager (CDM) interview, facility policy review, and review of the 2022 United States (US) Food and Drug Administration (FDA) Food Code, the facility failed to prevent soiled gloves coming into contact with food during food preparation, failed to serve milk below 40-degrees Fahrenheit, failed to ensure kitchen fans and shelves are free of dust, failed to cover the garbage, and failed to date stored food when opened and free of fuzzy growth. The facility reported a census of 38 residents. Findings include:During an initial kitchen tour on 9/15/25 at 9:15 AM observed the following:a. […]

• No harm, potential for more than minimal, patternF570Mar 17, 2022

  Based on resident record reviews, staff interviews, and policy review, the facility failed to ensure all resident's personal fund accounts, including savings accounts, that the facility manages had a surety bond in place to cover the total amount. The facility reported a census of 41 residents. Findings include: The untitled document dated 3/14/22 provided by the facility documented that the facility managed 21 residents' personal fund's accounts. The 21 accounts combined equaled $9,327.09, of the 21 accounts 8 of the accounts also had money in their own individual savings account and total money in the savings accounts equaled $8,052.00 of the $9,327.09. […]

• No harm, potential for more than minimal, isolatedF550Mar 17, 2022

  Based on observation and staff interviews the facility failed to talk with residents for whom they are providing assistance rather than conducting social conversations with other staff. A facility staff member also failed to speak with residents politely, respectfully, and communicate personal information in a way that maintains confidentiality for 2 of 3 meals observed. The facility reported a census of 41 residents. Findings include 1. During an observation on 3/14/22 at 11:58 AM, Staff D, Certified Nurses Aide (CNA), while assisting Resident #25 with their meal service, remarked that the food was not lasagna and laughed. Staff D then commented it's supposed to be a brownie or cookie or something and laughed again. […]

• No harm, potential for more than minimal, isolatedF567Mar 17, 2022

  Based on resident's record review and staff interviews the facility failed to keep 3 of 3 residents reviewed (Resident #6, #34, and #91) personal funds in an interest bearing account for funds that exceeded one hundred dollars ($100). The facility reported a census of 41 residents. Findings include: The record review of an untitled document dated 3/14/22 provided by the facility revealed that the facility managed 21 resident account funds. The form documented 8 of the 21 accounts received interest, however 3 of the accounts that exceeded the $100 amount were not receiving interest. During an interview on 3/16/22 at 2:08 PM Staff E explained that she was not aware that the three (3) accounts over $100 needed to receive interest. […]