Delaware Oaks Center for Rehabilitation and Nursin

In the surveyor’s words

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

• Actual harm, isolatedF684May 11, 2022

  Based on interview and record review conducted during an Abbreviated survey (Complaint #NY 468) completed from [DATE] through [DATE], the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for one (Resident #1) of eleven residents reviewed for quality of care. Specifically, there was a delay in notification to the physician when Resident #1 had a significant change in their health status which included a blood sugar of 31 (normal 60- 110) and unresponsiveness. […]

• No harm, potential for more than minimal, widespreadF925Aug 9, 2024

  Based on observation, interaview and record review conducted during a Standard survey completed on 8/9/24, it was determined that the facility did not ensure that they maintained an effective pest control program so that the facility is free of pests and rodents. Specifically, two (Units 2 & 3) of two Resident Units and the Main Kitchen had issues with insects including house flies, spiders, and fruit flies. The findings are: The policy and procedure titled Pest Control dated January 2024 documented the facility would maintain an effective pest control program. The policy and procedure documented the facility maintains an ongoing pest control program to ensure the facility is free of insects. […]

• No harm, potential for more than minimal, widespreadF812Mar 24, 2023

  Based on observation, interview, and record review conducted during a Standard survey completed 3/24/23, 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 issues: dirty hoods over the ovens/stoves; the light over the stove was out, pipes along the ceiling had a build- up dust; the griddle was soiled with a thick layer of black a greasy dried substance; the wall next to the griddle and behind the ovens/stoves and floor under the ovens/stove were soiled with a black greasy substance; floors throughout the kitchen were soiled with debris black greasy substance; the ice cream freezer had ice build-up; garbage cans were over- flowing with garbage and had no lids. […]

• No harm, potential for more than minimal, patternF584Aug 9, 2024

  Based on observation, interview, and record review conducted during Complaint investigations (#NY00336247 and #NY00319578) during a Standard survey completed on 8/9/24 the facility did not ensure that housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior were provided for one (Unit 3) of two resident units. Specifically, the facility roof was in disrepair and actively leaking resulting in stained and wet ceiling tiles. Additionally, there were walls and floors in disrepair, urine odors, a soiled privacy curtain and a broken window. The findings are: The policy and procedure titled Maintenance Service dated 1/24 documented that maintenance service shall be provided to all areas of the building, grounds, and equipment. a. […]

• No harm, potential for more than minimal, patternF919Mar 24, 2023

  Based on observation, interview, and record review during the Standard survey completed on 3/24/23, the facility did not maintain the resident call bell system in working order. Specifically, call bells in resident rooms, resident bathrooms and shower rooms did not activate the call light above the residents' room doors and did not activate the master station located at the Nurses' Station. This affected one (2nd floor) of two resident units. This involves Residents #35, 59 and 54. The finding is: The policy and procedure titled, Answering the Call Light reviewed 2/2023, documented a general guideline was to report all defective call lights to the nurse supervisor promptly and nursing must notify maintenance department of the defective call light. […]