D'Youville Senior Care

In the surveyor’s words

From the most serious findings on record at D'Youville Senior Care, in the surveyor’s own words.

• Actual harm, patternF692Mar 11, 2022

  Based on record review and staff interview, the facility failed to maintain acceptable parameters of nutritional status by providing adequate interventions to maintain usual body weight and prevent significant weight loss or gain, for 6 Residents (#1, #40, #127, #178, #121 and #27) out of a total sample of 36 residents. Findings include: Review of the facility policy titled, Weight Monitoring, last revised 6/2021, indicated the following: *All residents/patients will be weighed within 24 hours of admission or re-admission, then daily times 3 days. […]

• Actual harm, isolatedF689Apr 13, 2023

  Based on observations, record review and interviews, the facility failed to 1. prevent a fall that resulted in facial fractures for Resident (#137) and 2. implement chair sensors for safety for Resident (#64) out of a total sample of 37 Residents. 1. For Resident #137, the facility failed to provide the required two person assist with a transfer, resulting in a fall with facial fractures. Findings include: Review of the facility policy titled Fall Prevention/Reduction Program dated and revised on 2/2023 indicated the following: *The falls prevention/reduction program is designed to ensure a safe environment for all residents based on identified risk factors with continuous assessment and evaluation to maintain their safety, comfort, mental and physical wellbeing, with the respect to… […]

• No harm, potential for more than minimal, patternF695Apr 15, 2026

  Based on observations, interviews and record review, the facility failed to ensure that respiratory care and services, consistent with professional standards of practice, were provided for four Residents (#175, #139, #93 and #143) out of a total sample of 40 Residents. Specifically,For Resident #175 the facility failed to a). ensure that they obtained physician's orders for the use of CPAP (continuous positive airway pressure, used to treat obstructive sleep apnea) and b). store the CPAP mask and tubing in a bag.For Resident #139, Resident #93, and Resident #143, the facility failed to ensure the respiratory equipment was maintained in a sanitary condition. Specifically, the oxygen concentrators used to administer continuous oxygen had filters covered with a thick layer of dust. […]

• No harm, potential for more than minimal, patternF761Apr 15, 2026

  Based on observation, interview and record review the facility failed to ensure staff stored drugs and biologicals in accordance with State and Federal requirements. Specifically,1. For Resident #69 the facility failed to ensure medications were not stored at the bedside. 2. For Resident #175 the facility failed to ensure medications were not stored at the bedside.3a. The facility failed to ensure the treatment cart on the Sweet Land Unit was locked.3b. The facility failed to ensure the medication carts on the Sweet Land Unit, Short Term Rehab Unit and Wannalancit Unit were secured.Findings include: Review of the facility policy titled Medication Storage in the Facility Bedside Medication Storage, dated 2024, indicated All nurses and aides are required to report to the charge nurse on… […]

• No harm, potential for more than minimal, patternF880Apr 15, 2026

  Based on observation, record review and interview, the facility failed to 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 diseases and infections. Specifically,The facility failed to implement Enhanced Barrier Precautions (EBP) for five residents (#2, #48, #143, #33, and #183) out of a total of 69 residents who required the use of EBP.The facility failed to follow proper infection control practices for shared medical equipment, a). Nursing Staff failed to disinfect the blood pressure cuff between uses on the Sweet Land Unit and [NAME] Unit, and b). […]