Chestnut Ridge Post Acute LLC

In the surveyor’s words

From the most serious findings on record at Chestnut Ridge Post Acute LLC, in the surveyor’s own words.

• Immediate jeopardy, widespreadF689Jun 25, 2021

  Based on observation, interview and record review, the facility failed to identify accident risks and implement interventions to prevent accidents and a hazardous environment for 89 of 89 (Residents 1 to 89) residents living in the facility, 22 staff working in the facility and an undetermined number of visitors by failing to ensure: 1. The facility had a functioning fire alarm system since 4/8/2021. The facility's Administrator 1 did not report the fire alarm system was out of service since 4/8/2021 (for more than 4 hours in a 24-hour period), to the Department of Public Health, as required in the National Fire Protection Association (NFPA) 101, Life Safety Code Requirements. 2. […]

• Immediate jeopardy, patternF755Aug 5, 2023

  Based on observation, interview, and record review, the facility failed to maintain a system-wide method of accountability for controlled medications (medication with a high risk of abuse or theft) and maintain a system to ensure accountability of controlled medications to track compliance with its policy on Controlled Substances. The Controlled Drug-Count Records (the title of the document the facility uses for the controlled medication reconciliation [a process of counting all the controlled medication in the medication cart between the nurse leaving and the nurse coming on duty to determine if there are any discrepancies]) were not signed by two nurses during shift change between 6/3/23 and 8/2/23 totaling 102 times, in accordance with the facility's policy and practice to have licensed… […]

• Immediate jeopardy, patternF550Oct 21, 2022

  Based on observation, interview and record review, the facility failed to ensure nine out of nine (Residents 79, 40, 292, 14, 42, 342, 87, 76, and 86) justice involved residents (residents currently in custody and held involuntarily through operation of law enforcement authorities in an institution, which is the responsibility of a governmental unit or over which a governmental unit exercises administrative control) residing in the facility were treated with respect and dignity and were able to exercise the same basic rights as all other residents in the facility in accordance to the facility's policy and procedure on Resident's Rights. […]

• Immediate jeopardy, patternF604Oct 21, 2022

  Based on observation, interview and record review, the facility failed to ensure that nine out of nine (Residents 79, 40, 292, 14, 42, 342, 87, 76, and 86) justice involved residents (residents currently in custody and held involuntarily through operation of law enforcement authorities in an institution, which is the responsibility of a governmental unit or over which a governmental unit exercises administrative control) residing in the facility were free from physical restraints with a locking device (any device attached or adjacent to the body that cannot be easily removed and restricts freedom of movement) for the purpose of discipline and not required to treat the resident's medical condition. […]

• Immediate jeopardy, isolatedF678Jan 2, 2026

  Based on observation, interview and record review the facility failed to ensure proper and effective Basic Life Support (BLS-the level of care provided to victims of life-threatening illnesses or injuries until full medical care is available, including recognition of cardiac arrest and activation of the emergency response system), that included cardiopulmonary resuscitation (CPR, an emergency procedure combining chest compressions and rescue breaths to circulate blood and oxygen when the heart stops or breathing ceases). […]