Eastchester Rehabilitation and Health Care Center

In the surveyor’s words

From the most serious findings on record at Eastchester Rehabilitation and Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Mar 3, 2026

  Based on observation and interviews, the facility did not ensure that food was stored in accordance with professional standards for food service safety. Specifically, prepared and frozen foods were not labeled and dated appropriately. This was evident during the kitchen observation. The findings are: The facility policy and procedure titled, Dating and Labeling, last revised 01/20/2026, documented kitchen will assume food safety by maintaining proper dates and labels on all food items including ready to eat food products. Additionally, products in storage should be labeled with the date the package was opened and expiration date. The facility is to allow for 48 hours for leftovers and ready to use food items after opening and discard all foods that expire immediately. […]

• No harm, potential for more than minimal, patternF882Jan 10, 2024

  Based on record review and interviews conducted during the Recertification survey from 1/03/2024 to 1/10/2024, the facility did not ensure the Infection Preventionist completed specialized training. This was evident during infection control review. Specifically, the Infection Preventionist did not complete specialized training in infection prevention prior to being hired as the facility's Infection Preventionist. The findings are: The facility policy titled Infection Preventionist dated 11/2023 documented the Infection Preventionist completed specialized training in infection prevention and control. There was no documented evidence the Infection Preventionist received specialized training on facility infection prevention and control. […]

• No harm, potential for more than minimal, isolatedF568Oct 8, 2021

  Based on record review and staff interviews conducted during the Recertification survey, the facility did not ensure that individual financial records were available to the resident through quarterly statements. Specifically, a resident did not consistently receive quarterly statements from 01/01/2021 to 10/07/2021. This was evident for 1 out of 1 resident reviewed for Personal Funds out of a sample of 33 residents. (Resident #20). The finding is: The facility policy Resident Funds with an effective date of 10/01/2018 and revised 09/2021 contained no reference to the provision of quarterly statements. Resident #20 was admitted to the facility with diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF570Oct 8, 2021

  Based on record review and staff interviews conducted during the Recertification survey, the facility did not ensure that a surety bond or similar protection with the amount equal to at least the current total amount of resident's funds was maintained. Specifically, the surety bond held by the facility did not cover the total amount of resident personal funds deposited with the facility. This was evident for 72 of 151 residents who maintained personal funds accounts at the facility. The findings are: On 10/08/2021 at 1:17 PM, the Administrator presented a surety bond with an effective date of 01/31/2021 and termination date of midnight 01/31/2022 in the amount of $100,000. […]

• No harm, potential for more than minimal, isolatedF655Oct 8, 2021

  Based on record review and interviews conducted during the Recertification survey the facility did not ensure that baseline care plans were developed within 48 hours and a written summary provided to the resident or the resident's representative. This was evident for 3 out of 33 residents reviewed. (Residents # 158, #83, & #131) The findings included but were not limited to: The facility policy titled Care Planning dated 01/2021 documented that the facility develops a Baseline Care Plan within 48 hours based on initial admission/readmission assessments. 1. Resident # 158 was admitted into the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The Admission Minimum Data Set (MDS) assessment dated [DATE] documented the resident had severely impaired cognition. […]