Elderwood at North Creek

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF584Sep 20, 2024

  Based on observation and interviews conducted during the recertification survey, the facility did not provide effective housekeeping and maintenance services on 2 of 2 resident units (A and B wings) and the building exterior. Specifically, floors, walls, ceilings, sinks, and building exterior were not clean and/or maintained. This is evidenced by: During observations on 9/16/2024 at 1:50 PM, the following areas on the A-Wing unit were soiled or in disrepair: Door jams casings were chipped. Walls were cracked at the baseboards. The wall was cracked in the corridor below the window air-conditioner. Air vents were dirty and grimy. Ceiling tiles were not in place, and the suspended ceiling metal grid was or discolored or damaged. The corridors floors were dirty, grimy, and sticky. […]

• No harm, potential for more than minimal, patternF761Sep 20, 2024

  Based on observation, record review, and interviews conducted during a recertification survey, the facility did not ensure drugs and biologicals were labeled and stored in accordance with professional standards of practice. Specifically, opened insulin had no open and/or expiration dates written on them. This was evident for 2 of 2 medication carts reviewed on Units A and B in the facility for medication storage. This is evidenced by: The facility's Policy and Procedure, titled Medication Label and Container Requirements, last modified [DATE] did not address labeling multi-use medications with expiration dates. […]

• No harm, potential for more than minimal, isolatedF695Sep 20, 2024

  Based on observations, record review, and interviews conducted during the recertification survey, the facility did not ensure that each resident received the necessary respiratory care and services that were in accordance with professional standards of practice, for 3 (Resident #'s 28, 34, and 59) of 3 residents reviewed for oxygen administration. Specifically, (a.) for Residents #s 28, 34, and 59, their supplemental oxygen tubing were not dated and labeled to reflect when the tubing were changed. (b.) Resident #28's portable oxygen tank was empty. This is evidenced by: A review of the facility's policy and procedure (P&P) titled Oxygen Therapy, Concentrator, last revised on 3/26/2018, documented that oxygen would be administered by licensed nurses with a physician's order. […]

• No harm, potential for more than minimal, isolatedF812Sep 20, 2024

  Based on observation and staff interview during the recertification survey, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the main kitchen. Specifically, equipment and floors were not clean, and equipment and walls were not in good repair. This is evidenced by: During observations in the main kitchen on 9/16/2024 at 11:14 AM, the following areas were soiled with food particles or a black build-up: The 3 upright freezers were soiled with food particles. Two drawers in the preparation area were soiled with food particles. The preparation area floor was soiled with a black build-up. […]

• No harm, potential for more than minimal, isolatedF814Sep 20, 2024

  Based on observation and interviews during the recertification survey, the facility did not dispose of garbage and refuse properly for 3 of 3 dumpsters. Specifically, dumpsters were not kept closed, and the dumpster area was not clean. This is evidenced by: During observations on 9/16/2024 at 1:02 PM, the top cover to one garbage dumper was open with refuse inside, the side door to a second dumpster was open with refuse inside, and refuse was on the ground in front of the third dumpster. During an interview on 9/18/2024 at 10:46 AM, Administrator #1 stated the facility staff would be re-educated on keeping the dumpsters closed and to always place the garbage inside. 10 New York Codes, Rules, and Regulations 415.14(h)