Cooperstown Center for Rehabilitation and Nursing

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jun 28, 2023

  Based on interviews and facility record review during an abbreviated survey (Case #NY00317139), the facility failed to ensure each resident received adequate supervision to prevent accidents for 1(Resident #1) of 3 reviewed for elopement. Specifically, on 5/22/2023, the facility did not follow their process for elopement when Resident #1, who was moderately cognitively impaired left the building without a Leave of Absence Pass. Resident #1 was last seen by Licensed Practical Nurse #2 on 5/22/2023 approximately 3:00 PM, and identified as missing by Certified Nurse Aide (CNA) #1 on 5/22/2023 at 3:00 PM. The facility did not activate their Code Gray (missing person alert). […]

• Immediate jeopardy, isolatedF609Mar 17, 2023

  Based on record review and interviews during an abbreviated survey (Case #NY00311601), the facility failed to ensure an alleged violation involving abuse was reported immediately, but not later than 2 hours after the allegation was made, if the events that cause the allegation involve abuse, to the administrator of the facility and to other officials (including to the State Survey Agency) in accordance with State law through established procedures for 1 (Resident #1) of 3 residents reviewed. […]

• No harm, potential for more than minimal, patternF725May 2, 2024

  Based on observations, record reviews, and interviews during the recertification and abbreviated survey (Case # NY00318691), the facility did not ensure sufficient nursing staff to provide nursing services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for all residents in the facility. Specifically, call lights were not answered timely to meet the needs of residents, with multiple residents stating there were long waits for call lights, and there were 34 falls documented for the month of April 2024. This is evidenced by: The Facility Assessment, last updated 3/01/2024, documented the facility capacity was 174 residents with an average daily census range of 163-170 residents. […]

• No harm, potential for more than minimal, patternF761May 2, 2024

  Based on observation, record review, and interviews conducted during the recertification survey, the facility did not ensure drugs and biologicals were labelled and stored in accordance with professional standards of practice. Specifically, (a.) opened medications had no open and/or expiration dates; (b.) controlled substances were not kept secured in a double locked cabinet; (c.) expired medications were present; and (d.) medications were left on top of medication cart unattended. This was evident for 3 out of 10 medication carts reviewed, and for 2 out of 5 medication storage rooms reviewed. This is evidenced by: The facility's Medication Administration Policy and Procedure, effective 12/2019 documented, the expiration date on the medication label must be checked prior to administering. […]

• No harm, potential for more than minimal, patternF584Mar 8, 2022

  Based on observation and staff interview during the recertification survey dated 2/28/2022 through 3/8/2022, the facility did not provide effective housekeeping and maintenance services. Specifically, the facility did not ensure that on four (4) of 4 resident units observed, the walls, ceilings, and floors were clean and/or in good repair. This is evidenced as follows: During observations on 03/04/2022 at 10:05 AM, the floor linoleum was separating forming a gap revealing the subfloor in resident rooms #A221, #A227, #A255, #A279, #B136, #D103, #D130, #D179, #D259, and Salon/Barber room #C208A. The floor was soiled with ground-in dirt in resident rooms #A255, #B102, and #D130 and the corridors next to walls on the [NAME] Glen unit, Country Meadows unit, and [NAME] unit. […]