Conesus Lake Nursing Home, LLC

In the surveyor’s words

From the most serious findings on record at Conesus Lake Nursing Home, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Apr 23, 2025

  Based on observation, interviews, and record review conducted during a Recertification Survey from 04/17/2025 to 04/23/2025, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infections for two (2) (Residents #12 and #25) of eight (8) residents reviewed. Specifically, Resident #12 received wound care by staff who were not wearing the appropriate personal protective equipment (PPE- equipment such as gown, gloves and/or facemask worn to minimize exposure to infectious diseases). […]

• No harm, potential for more than minimal, isolatedF580Apr 23, 2025

  Based on observations, interviews and record reviews conducted during a Recertification Survey from 04/17/2025 to 04/23/2025, for one (1) (Resident #15) of one (1) resident reviewed, the facility did not ensure the resident's physician was notified immediately when there was a need to alter treatment significantly (discontinuing an existing form of treatment due to adverse consequences). Specifically, Resident #15 had complained of nostril pain while receiving a prescribed nasal spray four times daily and refused the medication repeatedly. There was no documented evidence that the physician or medical team was notified. […]

• No harm, potential for more than minimal, isolatedF759Apr 23, 2025

  Based on observations, interviews, and record review conducted during a Recertification Survey from 04/17/2025 to 04/23/2025, for two (2) (Resident #33 and Resident #36) of eight (8) residents reviewed, the facility did not ensure a medication error rate of five percent or less. There were two (2) medication errors for 25 opportunities resulting in a medication error rate of eight (8) percent. Specifically, during an observation of medication administration Resident #33 and Resident #36 were administered the incorrect medication. […]

• No harm, potential for more than minimal, isolatedF812Dec 1, 2023

  Based on observation, interview, and record review conducted during a Recertification Survey conducted 11/27/23 to 12/1/23, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, one of one kitchen had unclean appliances and all units had foods either unlabeled, undated, or outdated. The findings are: Review of the undated facility policy and procedure (P&P) Food Storage documented sufficient storage facilities will be provided to keep foods safe, wholesome, and appetizing. Foods will be stored in an area that is dry, clean, and free from contaminants. […]

• No harm, potential for more than minimal, isolatedF607Dec 29, 2021

  Based on record review and interview conducted during the Standard Recertification Survey completed on 12/29/21, it was determined that for one (Employee #3) of five employee files reviewed, the facility did not implement written policies and procedures to prevent abuse, neglect, exploitation, and misappropriation of resident property related to screening prospective employees. Specifically, a nurse aide registry abuse screening was not completed for an individual prior to hire. The findings are: On 12/28/21 at 1:36 p.m. the Surveyor reviewed documentation related to five recently hired employees. The files included that employee #3 was hired as the Activities Director on 9/30/21. […]