Chautauqua Springs Health Center

In the surveyor’s words

From the most serious findings on record at Chautauqua Springs Health Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF677Dec 14, 2022

  Based on observation, interview, and record review, the facility failed to ensure provision of safe and timely Activities of Daily Living (ADL) care for 2 of 2 resident hallways reviewed (100 Hall and 200 Hall). The findings include: 100 Hallway On 12/12/22 at approximately 10:52 AM, during the initial tour of the 100 hallway a strong odor similar to urine was noted. Several residents were noted sitting in wheelchairs in the hallway, but the majority of the residents remained in their beds in their rooms. A second tour of the hallway was completed on 12/12/22 at approximately 2:30 PM. […]

• No harm, potential for more than minimal, isolatedF686Jun 25, 2026

  Based on interviews and record review, the facility failed to ensure wound care services were provided for 1 of 5 residents sampled for wound care (Resident #160).The findings included:An interview was conducted with Resident #160's daughter on 6/25/26 at 10:00 AM. She explained that her mother was receiving home hospice services and was admitted to the facility on [DATE] for a 5-day respite care stay. She further explained the plan was for the facility to provide comfort measures for Resident #160's pain and anxiety along with physician ordered wound care. She stated she spoke with a nurse and found out Resident #160 had not received wound care since her admission. […]

• No harm, potential for more than minimal, isolatedF689Jun 25, 2026

  Based on observations, staff and resident interviews, and record reviews, the facility failed to ensure the resident environment remained free of accident hazards for 2 of 43 residents observed for accident hazards (Resident #103 & #129).The findings included:An observation was conducted of Residents #103 and #129 in their shared room on 6/23/26 at 2:50 PM. At this time, a roach-like insect was observed running under a case of bottled waters and other personal belongings on Resident #129's side of the room. Upon seeing this insect, Resident #129 propelled herself out of the room to speak to the Maintenance Assistant about the insect. […]

• No harm, potential for more than minimal, isolatedF880Jun 25, 2026

  Based on observations, record review, interviews, and facility policy review, facility staff failed to ensure proper protective measures were used for 1 of 1 resident sampled for contact isolation (Resident #158).The findings included:An observation was conducted on 6/24/26 at 8:40 AM of contact isolation signage present on Resident #158's room door. There was Personal Protective Equipment (PPE) in front of the room including isolation gowns, gloves and masks.Review of Resident #158's medical record revealed Resident #158 was admitted to the facility on [DATE] with medical diagnoses including Extended Spectrum Beta Lactamase (ESBL) resistance (a condition which makes a person resistant to antibiotic treatments). […]

• No harm, potential for more than minimal, isolatedF550Mar 13, 2025

  Based upon observations, interviews, and record review, the facility failed to promote dignity by not having a privacy cover for a foley catheter bag for 1 of 1 residents observed for dignity (Resident #43). The findings include: On 03/10/25 at 12:00 PM, an observation Resident #43's room was made from the hallway since the room door was opened. A foley catheter bag was observed hanging from the bed railing on the side of the bed facing the doorway. The foley catheter bag did not have a privacy cover and was noted to have approximately 300 ml of urine in the bag. Resident #43 was observed lying in bed with eyes closed, respirations even and unlabored at this time. On 03/10/25 at 03:41 PM, the catheter bag was once again observed from the hallway since the room door was open. […]