Childrens HC Org No Ca Saratoga Pediatric Subacute

In the surveyor’s words

From the most serious findings on record at Childrens HC Org No Ca Saratoga Pediatric Subacute, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF700Jul 23, 2024

  Based on observation, interview, and record review, the facility failed to follow their Bed/Side Rails policy for 20 of 22 residents (1, 2, 3, 4, 5, 6, 9, 11, 14, 16, 18, 23, 24, 25, 27, 181, 182, 184, 330, and 331) when they did not attempt alternative measures prior to applying bed side rails. This failure had the potential to place the residents at risk of entrapment and serious injury. Findings: During an observation in Resident 11's room on 7/15/24, at 10:19 a.m., Resident 11 was in bed with side rails up. Review of Resident 11's physician order, dated 2/7/23, indicated she had an order for Upper Side Rails. […]

• No harm, potential for more than minimal, widespreadF880Feb 3, 2023

  Based on observation, interview, and record review, the facility failed to ensure proper cleaning of suction canisters at the bedside for 25 of 25 residents who require suctioning, when the canisters were being emptied and rinsed with sterile water before being placed back into suction machine. This failure had the potential of spreading infectious agents from bodily fluids. Findings: During an interview on 1/4/23 at 9:35 a.m., with the minimum data set nurse (MDSN), she stated there were 25 residents who had a tracheostomy (trach, a surgically created hole into windpipe for an alternate way of breathing) who needed to be suctioned. […]

• No harm, potential for more than minimal, patternF656Feb 10, 2026

  Based on observation, interview, and record review, the facility failed to develop and implement specific, individualized and resident-centered care plans for the side or bed rails (adjustable rigid bars attached to the side of a bed) of twelve, (Residents 16, 19, 4, 27, 5, 1, 29, 6, 32, 14, 24 and 12), out of thirty-three residents in the facility, when these twelve residents who used side rails did not have specific, individualized and resident-centered care plans for their side rails. These failures had the potential for these residents to be at risk, for not being properly monitored and provided with the appropriate interventions with regards to their use of side rails, which could compromise their safety and quality care.Findings: 1. […]

• No harm, potential for more than minimal, patternF689Feb 10, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents' environment remained free of accident hazards to prevent avoidable accidents, in order to provide safe environment for residents when there were missing logs in their laundry dryer lint tray cleaning monitoring sheet for February 2026. These failures had the potential for causing fire accident that might result in injury and harm to the thirty-three residents residing in the facility.Findings: During the laundry room observation on 2/10/26 at 11:05 a.m., there were missing logs in the dyer lint tray cleaning monitoring sheet for February 2026, that included the removal of the dryer lint (a collection of fine fabric and yarn pieces that accumulate in a dryer's filter while clothes were being dried). […]

• No harm, potential for more than minimal, patternF812Jul 23, 2024

  Based on observation, interview, and record review, the facility failed to maintain sanitary conditions in the kitchen when: 1. Food was kept beyond their open and expiration dates, 2. Temperature logs for two refrigeration units had missing entries, 3. Five opened spice containers were without expiration dates, 4. Three cutting boards had deep cut marks on their surface, 5. Five red onions and four yellow onions were moldy, six potatoes were soft and wrinkled, and 6. A fan had dark particles on its fan blades and grills. These failures had the potential to cause food-borne illness for residents who received food from the kitchen. Findings: 1. […]