Elizabeth Seton Children's Center

In the surveyor’s words

From the most serious findings on record at Elizabeth Seton Children's Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Aug 4, 2023

  Based upon observation, interview, and record review conducted during the recertification survey on 7/31/2023 - 8/4/2023, the facility did not ensure that foods were stored, prepared, distributed, and served in accordance with professional standards for food service safety. Specifically, 1. unwrapped, uncooked ground beef was stored in a walk-in refrigerator, 2. an unsecured chest freezer located in a hallway near the kitchen contained foods intended for consumption by residents which were not labeled with expiration dates or use by dates, and 3. A dietary staff member was observed checking food temperatures prior to meal service and did not properly sanitize the thermometer. […]

• No harm, potential for more than minimal, isolatedF689Aug 7, 2025

  Based on observation, interview, and record review conducted during the recertification and abbreviated surveys (NY00381153/462978) from 7/31/25 to 8/7/25, the facility did not ensure each resident received adequate supervision and assistance to prevent accidents for one of two residents (Resident #119) reviewed for accidents. Specifically, staff did not perform a time out to double check if all strap eyelets were secured on the mechanical lift hooks prior to raising the lift up and Resident #119 slid out of the sling and dropped to the floor.Findings include:Resident #119 had diagnoses including cerebral palsy, seizure disorder, dependence on respirator, tracheostomy, and gastrostomy. […]

• No harm, potential for more than minimal, isolatedF880Aug 7, 2025

  Based on observation, record review and interviews during the recertification survey from 7/31/25 to 8/7/25, the facility did not ensure that staff maintained an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 6 residents (Resident #72) reviewed for infection control. Specifically, Resident #72 was on contact precautions until 8/1/25 and a housekeeper was observed doing a terminal cleaning of Resident #72's room and did not use the proper personal protective equipment while removing a privacy/cubicle curtain. […]

• No harm, potential for more than minimal, isolatedF684Mar 17, 2025

  Based on observations, record reviews and interviews completed during an abbreviated survey (NY00349237), the facility did not ensure that a resident received treatment and care in accordance with their comprehensive person-centered care plan. Specifically Resident #1 had a care plan in place, that documented that they required 2 staff members to provide all care. On 7/23/2024 a single Certified Nurse Aide provided care singlehandedly to Resident #1. The finding is: The facility policy titled Lifting and transferring a Child revised on 11/2024 documents that all lifting, and transfers are conducted by trained direct care staff and or clinical staff and or trained family members. […]

• No harm, potential for more than minimal, isolatedF600Jul 5, 2024

  Based on record review and interviews conducted during an abbreviated survey (NY00345276) on 6/20/24, the facility did not ensure residents rights to be free from physical for 1 (Resident #1) of 3 residents reviewed for abuse. Specifically, on 6/12/24, two facility staff (Certified Nurse Aide #1 and Speech Therapist #2) witnessed an alleged staff to resident abuse involving Registered Nurse #7 and Resident #1. Registered Nurse #7 was witnessed screaming 25year olds don't behave this way-cut it out and holding Resident #1's hands down in their lap with closed hands over forearms. In an interview with Certified Nurse Aide #1 they stated they heard raised voices and saw Registered Nurse #7 loudly saying stop, are you a baby? Both witnesses did not report the incident on 6/12/24. […]