Concourse Rehabilitation and Nursing Center, Inc

In the surveyor’s words

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

• Actual harm, isolatedF689Apr 12, 2024

  Based on observation, record review, and interviews conducted during a Recertification and Abbreviated survey (NY00331425) from 4/6/2024 to 4/12/2024, the resident received inadequate supervision to prevent an accident. This was evident for one (Resident #80) of three residents reviewed for accidents out of 38 total sampled residents. Specifically, the plan of care did not clearly indicate Resident #80 required 2-person assistance with activities of daily living. Subsequently, Resident #80 fell and sustained a left distal femoral neck fracture (thigh bone broken at the knee) when Certified Nursing Assistant #1 rolled the resident on their side during care without a 2nd staff member's assistance. This resulted in actual harm to Resident #80 that was not immediate jeopardy. […]

• No harm, potential for more than minimal, widespreadF577Apr 12, 2024

  Based on observation, record review, and interviews conducted during the recertification survey from 4/6/2024 to 4/12/2024, the facility did not ensure the results of the most recent facility survey were posted in a place readily accessible to residents, and family members and legal representatives of residents. This was evident for 12 of 12 residents (Resident #s 5, 11, 41, 64, 77, 129, 146, 188, 203, 209, 215, and 295) during the Resident Council Meeting. Specifically, there were no observations of posted survey results in the facility. The findings are: During the Resident Council Meeting on 4/8/2024 at 10:30 AM, Resident #s 5, 11, 41, 64, 77, 129, 146, 188, 203, 209, 215, and 295 stated they were not aware of the location of the facility's posted survey results. […]

• No harm, potential for more than minimal, isolatedF609Apr 12, 2024

  Based on observation, record review, and interviews conducted during a Recertification and Abbreviated (NY00331425) survey from 4/7/2024 to 4/12/2024, the facility did not ensure all alleged violations involving abuse were reported to the New York State Department of Health immediately or within 2 hours after the allegation was made. This was evident for 2 (Resident #80 and #119) of 38 total sampled residents. Specifically, 1) Resident #80 had a fall resulting in a fracture that was not reported to the New York State Department of Health, and 2) Resident #119 had an unwitnessed fall resulting in a fracture that was not reported to the New York State Department of Health. […]

• No harm, potential for more than minimal, isolatedF655Apr 12, 2024

  Based on record review and interviews conducted during a Recertification survey from 4/7/2024 to 4/12/2024, the facility did not ensure that the baseline care plan was developed within 48 hours of a resident's admission and the resident and/or their representative were provided with a written summary of the baseline care plan. This was evident for 1 (Resident # 10) of 38 total sampled residents. Specifically, the baseline care plan was not completed within 48 hours of Resident #10's admission to the facility and a copy was not provided to Resident #10. […]

• No harm, potential for more than minimal, isolatedF656Apr 12, 2024

  Based on record review and interviews conducted during the Recertification survey from 4/7/2024 to 4/12/2024, the facility did not ensure that a person-centered comprehensive care plan was developed and implemented to address the resident's medical, physical, mental, and psychosocial needs. This was evident for 1 (Resident #24) of 38 total sampled residents. Specifically, a comprehensive care plan was not developed and implemented for Resident #24's use of antipsychotic medication. The findings are: The facility policy titled Comprehensive & Interim Care Plan dated 8/10/2023 documented that a care plan is developed for each resident's problem, with a measurable goal and interventions necessary to achieve the goal. […]