Crown Heights Center for Nursing and Rehabilitatio

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF584Dec 19, 2024

  Based on observation, record review, and interview conducted during the Recertification Survey from 12/12/2024 to 12/19/2024, the facility did not ensure the residents' right to a safe, clean, comfortable, and homelike environment was maintained. Specifically multiple observations were made of resident rooms were observed with wood furniture scratched veneer, missing key holes, missing handles to dressers or wall cabinets, bedside tables were observed with missing paint on the lower leg areas. 2.) resident rooms were observed with mismatched paint, holes in dry wall and duct tape on the floor, missing tile and/or grimy tile. […]

• No harm, potential for more than minimal, patternF609Dec 19, 2024

  Based on observation, record review and staff interview during the Recertification /Complaint survey (NY00334742) conducted between 12/12/2024 and 12/19/2024, the facility did not ensure that all alleged violations involving abuse and injury of unknown origin were reported immediately to the New York State Department of Health, but not later than 2 hours after the alleged abuse and injury were observed. Specifically, (1) an injury of unknown origin found on resident #251's forehead was not reported; (2) Resident-Resident physical abuse resulting to injury involving 3 residents was not reported (Residents #214, #268, and #589); and (3) Injury of unkown origin found on Resident #24's toes was not reported. […]

• No harm, potential for more than minimal, patternF610Dec 19, 2024

  Based on observation, record review and staff interview during the Recertification/Complaint survey (NY00334742) conducted between 12/12/2024 and 12/19/2024, the facility did not ensure that all allegations of abuse and injury of unknown origin were thoroughly investigated. Specifically, (1) Injury of unknown origin observed on Resident #251 was not thoroughly investigated and (2). Resident-to-resident altercation involving Residents #214, #268 and #589 was not thoroughly investigated. This was evident for 1 of 3 complaint investigations and for 3 of 3 residents reviewed for Accidents out of 38 total sampled residents. […]

• No harm, potential for more than minimal, patternF812Dec 19, 2024

  Based on observations and staff interviews conducted during the Recertification Survey from 12/12/2024 to 12/19/2024, the facility did not ensure that food was stored, prepared, distributed and served in accordance with professional standards of food service safety. Specifically, 1) staff was observed not wearing beard guard on multiple occasions or hair restraints appropriately in the kitchen. 2) the dry storage room was observed with an open box of beverage and food thickener was observed opened on two occasions and was noted with a paper cup in the open box while on the shelf. This was observed during the Kitchen facility task. […]

• No harm, potential for more than minimal, patternF812Nov 1, 2022

  Based on observations, interviews, and record review conducted during the Recertification survey from [DATE] to [DATE], the facility did not store food in accordance with professional standards for food service safety. This was evident during kitchen observation. Specifically, expired chocolate cake mix was observed in the kitchen's Dry Storage Room (DSR). The findings are: On [DATE] at 09:29 AM, a tour of kitchen was conducted and the DSR was observed with 2 boxes containing six 5lb boxes of chocolate cake mix on the shelf. The boxes had expiration dates of [DATE] and [DATE]. On [DATE] at 10:30 AM, an interview was conducted with Dietary Aide (DA) who stated they are responsible for the DSR and last rotated items in [DATE]. […]