Chautauqua Nursing and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF568Mar 27, 2026

  Based on interview and record review conducted during the survey the facility failed to ensure the individual financial record was available to the residents through quarterly statements and upon request for six (6) (Resident #18, #19, #136, #138, #164, and #167) of six (6) residents reviewed. Specifically, there was no evidence the facility provided quarterly statements to residents or their representatives and there was no evidence of receipted accounting records for personal fund transactions from the facility's store.The findings are: The policy and procedure titled Financial Affairs dated 10/2016 documented Residents may manage his/her personal financial affairs will be given at least a quarterly accounting of financial transactions made on his/her behalf. […]

• No harm, potential for more than minimal, widespreadF609Mar 27, 2026

  Based on interview and record review conducted during the survey the facility failed to ensure that all alleged violations involving abuse, neglect, mistreatment, including injuries of unknown source are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to administrator of the facility and to other officials (including to the State Survey Agency) for six (6) (Resident #18, # 19, #136, #138, #164, and #167) of six (6) residents reviewed. […]

• No harm, potential for more than minimal, widespreadF835Mar 27, 2026

  Based on interview and record review conducted during the survey the facility was not administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, the Administrator did not provide adequate oversight of the Business Office Manager to ensure adequate accounting and records of personal funds. Additionally, when there was reasonable suspicion of misappropriation of resident funds, it was not reported to the State Agency within the required timeframe.The findings are: REFER TO: F 568 - Accounting and Records of Personal Funds scope and severity F F 609 - Reporting Alleged Violations scope and severity F The policy and procedure titled… […]

• No harm, potential for more than minimal, isolatedF684Mar 27, 2026

  Based on observations, interviews, and record review conducted during the survey the facility failed to ensure residents receive treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for one (1) (Resident #7) of one (1) resident reviewed for non-pressure related skin concerns. Specifically, staff did not report, assess, and monitor a skin injury on the resident's right shin. The findings are:The policy and procedure titled Skin Observation dated 06/29/2019 documented to report findings of assessment to the unit manager/supervisor. The unit manager/supervisor will initiate and complete a weekly nursing status documentation. The unit manager/ supervisor will notify the provider and obtain orders for appropriate treatment. […]

• No harm, potential for more than minimal, isolatedF690Mar 27, 2026

  Based on observations, interviews, and record review conducted during a survey the facility failed to ensure that a resident with a suprapubic Foley catheter (a tube inserted directly into the bladder to drain urine) received appropriate treatment and services to prevent urinary tract infections for one (1) (Resident #10) of three (3) residents reviewed. Specifically, Resident #10's gravity drainage bag (used to collect urine) was not kept below the level of the resident's bladder.The findings are:The policy and procedure titled Catheter (Urinary & Suprapubic) Insertion and Removal last revised 08/2024 documented indwelling and intermittent catheters were utilized, when necessary, based on current professional standards of practice. […]