Delmar Center for Rehabilitation and Nursing

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF725Jan 23, 2025

  Based on observation, record review, and interviews during a recertification and abbreviated survey (Case #s NY00358820 and NY00359065), the facility did not ensure the provision of sufficient nursing staff to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident throughout the facility. Specifically, the facility's staffing minimum staffing levels were not met each day from 1/12/2025 through 1/17/2025 per facility assessment and New York State Nursing Home Minimum Staffing and Direct Resident Care. This is evidenced by: Upon entrance to the facility on [DATE] there were 118 residents residing on 3 units. […]

• No harm, potential for more than minimal, widespreadF726Jan 23, 2025

  FACILITY Sufficient and Competent Nurse Staffing 01/13/25 11:37 AM [NAME] O2 cannula not in nose. 2.5L NC on concentrator. Problems at nighttime getting help. + cough. Usually takes 10-15 minutes to get help. Only one person works at night. 01/17/25 11:23 AM Interview with Deprincess Golden Staffing coordinator Given numbers on PBJ that were less than 8h in the building. 7/4 7.5h - looked at punch sheets and stated that the RN was present for 7:05 to 3:04. Asked if took a lunch break would that be a 7.5h day. […]

• No harm, potential for more than minimal, widespreadF880Jan 23, 2025

  Based on observation, record review, and interviews during the recertification survey the facility did not provide a safe, sanitary and comfortable environment to help prevent the development and transmission of communicable diseases and infections; and maintain an infection prevention and control practices designed to help prevent the development and transmission of communicable diseases and infection for all resident's and staff on 4 of 4 units. Specifically, (a.) during general observations staff were observed not putting on and taking off Personal Protective Equipment or practicing hand hygiene while entering and exiting residents' rooms with Transmission and Enhanced Barrier Precautions; (b.) for Resident #218, oxygen tubing was observed lying on the floor; (c.) Resident #17 was… […]

• No harm, potential for more than minimal, patternF726Mar 13, 2026

  Based on record review and interview conducted during a survey, the facility did not ensure licensed nurses and Certified Nurse Aides had the specific competencies and skills necessary to care for resident's need. Specifically, (a.) Resident #63's herpes zoster eye disease (shingles of the eyelid) was resolved and their order for Enhanced Barrier Precautions was discontinued instead of contact precautions; (b.) Licensed Practical Nurse #2 was unaware of medication shortened expiration dates and was not able to demonstrate insulin Kwik pen administration; (c.) Licensed Practical Nurse #1 was unable to identify which resident in a shared room was on Enhanced Barrier Precautions and was unable to verbalize the difference in other types of infection control precautions; and (d.) Infection… […]

• No harm, potential for more than minimal, patternF550Jan 23, 2025

  Based on record review and interview during the recertification survey, the facility did not ensure each resident was treated with respect and dignity and cared in a manner and in an environment that promoted maintenance or enhancement of their quality of life for 4 (Resident #s 13, 17, 62, and 364) of 40 residents reviewed. Specifically, [a.] Resident #13 was unable to attend activities of their choice as their wheelchair was not able to fit through the interior doorways to the activities room, which caused the resident to feel excluded, [b.] Resident #17 expressed feeling like a burden and was uncomfortable asking for help because of staff ' s unprofessionalism, [c.] Resident #62, was observed on 1/13/2025 at 11:40 AM with matted, greasy hair, fully clothed, and was malodorous. […]