Chestnut Ridge NSG & Rehab CTR

In the surveyor’s words

From the most serious findings on record at Chestnut Ridge NSG & Rehab CTR, in the surveyor’s own words.

• Immediate jeopardy, widespreadF600May 3, 2023

  Based on record review, resident, family and staff interviews, and review of policy titled ''Abuse Neglect and Exploitation policy'', the facility failed to maintain an environment free from verbal, sexual, and/or physical abuse for four residents (R) R#11, R#12, R#18, and R#28) of 31 sampled residents. The facility failed to ensure the residents were protected after allegations of abuse by suspending alleged perpetrators of abuse during each investigation of alleged abuse and failed to thoroughly investigate and report potential allegations of abuse. […]

• Immediate jeopardy, widespreadF609May 3, 2023

  Based on record review, resident, family and staff interviews, and review of the policy titled Abuse Neglect and Exploitation policy and Accidents and Supervision, Investigation, and Reporting, the facility failed to ensure the immediate reporting of verbal, sexual, and/or physical abuse for three of 31 sampled residents (R) (R#11, R#18, and R#28). Specifically, the facility failed to ensure allegations of physical and verbal abuse for R#11 and R#28 were reported to the Abuse Coordinator, and an allegation of physical abuse was reported timely to the State Survey Agency (SSA) for R#18. […]

• Immediate jeopardy, widespreadF610May 3, 2023

  Based on record review, resident, family and staff interviews, and review of the policy titled Abuse Neglect and Exploitation policy, the facility failed to ensure allegations of verbal, sexual, and/or physical abuse were thoroughly investigated for four of 31 sampled residents (R) (R#11, R#12, R#18, and R#28). Specifically, resident and staff interviews were not conducted during investigations into the allegations to determine if abuse occurred, and the facility failed to identify potential perpetrators of abuse. […]

• Immediate jeopardy, widespreadF835May 3, 2023

  Based on record review, interviews, and review of the policy titled Abuse Neglect and Exploitation, the facility failed to ensure administration provided oversight and monitoring related to the prevention, reporting and investigation of abuse. Four of 31 sampled residents (R) (R#11, R#12, R#18, and R#28) reported allegations of abuse and these allegations were not reported and/or investigated per facility policy. In addition, the Administration failed to ensure residents were appropriately protected from further potential abuse after the allegations. […]

• No harm, potential for more than minimal, widespreadF730Feb 2, 2025

  Based on staff interviews, record review, and review of the facility's policy titled Competency of Nursing Staff, the facility failed to conduct annual performance reviews to ensure competency for the Certified Nursing Assistants (CNAs) employed by the facility. The census was 135. Findings include: Review of the undated facility's policy titled Competency of Nursing Staff revealed the Policy Statement: Licensed nurses and nursing assistants employed by the facility will participate in facility-specific, competency - based staff development and training program and demonstrate competencies and skill sets necessary to care for the needs of residents, as identified through resident assessments and described in the plan of care. Policy Interpretation and Implementation: Number 5. […]