Elderwood at Hornell

In the surveyor’s words

From the most serious findings on record at Elderwood at Hornell, in the surveyor’s own words.

• Actual harm, isolatedF600Jul 6, 2026

  Based on observations, interviews, and record review, the facility failed to ensure a resident was free from physical abuse for one of four residents reviewed (Resident #60). Specifically, on 06/19/2026, facility staff used physical force to direct Resident #60 back to their room and intentionally restricted the resident's movement by preventing them from freely using their arms and moving away from staff for approximately 10 to 15 minutes after becoming agitated. Rather than implementing care planned behavioral interventions, staff continued restricting the resident's movement until they calmed, resulting in multiple bruises to both hands, wrists, left forearm, left upper arm, and a skin tear above the right elbow. […]

• No harm, potential for more than minimal, isolatedF609Jul 6, 2026

  Based on observations, interviews, and record review, the facility failed to ensure an alleged violation involving physical abuse was immediately reported to facility administration and to the State agency as required for one of four residents reviewed (Resident #60). Specifically, Resident #60 was physically restrained by three staff members on 06/19/2026. The allegation was not reported to facility administration until 06/24/2026, approximately five days later, when Support Aide #1 disclosed the incident during a certified nursing assistant training class. […]

• No harm, potential for more than minimal, isolatedF880Jul 6, 2026

  Based on observations, interviews, and record review, the facility failed to implement an infection prevention and control program designed to prevent the development and transmission of communicable disease and infection for two of two residents reviewed (Resident #11 and Resident #12). Specifically, Resident #11 required Enhanced Barrier Precautions (an infection prevention strategy requiring gowns and gloves during high-contact resident care activities) during wound care. Registered Nurse #1 failed to properly secure the required gown, allowed the gown to contact the wound area, and failed to change gloves and perform hand hygiene between providing care to two separate wounds. Resident #12 required Enhanced Barrier Precautions during wound care. […]

• No harm, potential for more than minimal, isolatedF656Feb 2, 2024

  Based on observations, interviews, and record review conducted during the Recertification Survey it was determined that for one (Resident #16) of three residents reviewed for activities of daily living, the facility did not develop and implement a plan of care for the resident that included measurable objectives and interventions to address the resident's medical and physical needs. Specifically, Resident #16 had multiple scratches and sores on their right arm that were self- inflicted and had accumulated over time. The resident's Comprehensive Care Plan did not include the skin issues, the behavior creating the issues or interventions. […]

• No harm, potential for more than minimal, isolatedF657Oct 7, 2021

  Based on observations, interviews and record reviews conducted during the Recertification Survey, it was determined that for 1 (Resident #69) of 1 resident reviewed the facility did not ensure that the care plan was implemented and/or revised if appropriate to reflect the resident's current condition. The issue involved the lack of care plan implementation or revisions for therapy recommended wheelchair positioning. This is evidenced by the following: Resident #69 is a [AGE] year-old resident with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]