Cortlandt Healthcare

In the surveyor’s words

From the most serious findings on record at Cortlandt Healthcare, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF657Oct 15, 2025

  Based on record review and interviews conducted during the abbreviated survey (2632359) the facility did not ensure that the resident's care plan was reviewed and revised timely for 1 (one) of 3 (three) residents (Resident #1) reviewed for falls. Specifically, Resident #1's care plan was not updated after a fall on 7/18/2025 to reflect a new intervention until 07/21/2025. The 09/18/2025 Facility Falls-Clinical Protocol policy documented the staff and practitioner will begin to try to identify possible causes within 24 hours of the fall. The staff and physician will identify pertinent interventions to try to prevent subsequent falls. […]

• No harm, potential for more than minimal, isolatedF880Mar 3, 2025

  Based on observation, interview, and record review conducted during the recertification survey from 2/25/2025 to 3/3/2025, the facility did not ensure infection prevention was maintained. This was evident for 1 (1st Floor) of 3 resident units. Specifically, Housekeeper #3 was observed in a contact/droplet precaution room without the required personal protective equipment. The findings are: On 2/26/2025 at 12:12 PM, Resident #50 and #52 were observed out of bed and in room [ROOM NUMBER] on the 1st Floor. A Enhanced Barrier Precaution sign was posted on the wall in the hallway to the left of entryway to the room. A Contact/Droplet Precaution sign was posted on the door. Housekeeper #3 was observed wearing N95 mask and mopping the floor in room [ROOM NUMBER]. […]

• No harm, potential for more than minimal, isolatedF755Oct 10, 2024

  Based on record reviews and interviews conducted during an abbreviated survey (NY00351622), the facility did not ensure timely removal of discontinued medications from the narcotic cabinet. This was evident for 1 (Resident #1) out of 3 Residents reviewed for medications. Specifically, Resident #1's Oxycodone-Acetaminophen (Percocet) tablet 5-325 mg-controlled medication was discontinued as per prescriber's order on 07/11/2024. The controlled medication remained in the medication cabinet/room and narcotic records were still available from 7/11/2024 to 8/18/2024. […]

• No harm, potential for more than minimal, isolatedF760Oct 10, 2024

  Based on record reviews and interviews conducted during an abbreviated survey (NY00351622), it was determined that the facility did not ensure residents were free from medication errors. This was evident for 1 (Residents #1) out of 3 residents reviewed for medication administration. Specifically, Licensed Practical Nurse #10 administered a Narcotic Drug Oxycodone-Acetaminophen (Percocet) tablet 5-325 mg 1 tablet to Resident #1 without an order on 08/18/2024. The findings are: The facility policy titled Administering Medications dated 4/2019 documented the individual administering medications checks the physician order/label three times to verify the right resident right medications, right dosage, right time, and right method (route) of administration before giving medication. […]

• No harm, potential for more than minimal, isolatedF561Oct 18, 2023

  Based on observation, interview and record review during the recertification survey conducted from 10/12/23 to 10/20/23, the facility did not ensure that each resident had the right to make choices about aspects of their life in the facility that were significant to the resident for 1 of 3 residents (Resident #21) reviewed for choice. Specifically, Resident #21 was not provided a choice regarding whether to receive a bed bath or shower and the resident was not provided the opportunity to participate in activities they enjoyed including going to the public library. Findings include: Resident #21 had diagnoses including diabetes (uncontrolled blood sugar), generalized muscle weakness, and cervicalgia (neck pain). […]