Elmhurst Care Center, Inc,

In the surveyor’s words

From the most serious findings on record at Elmhurst Care Center, Inc,, in the surveyor’s own words.

• Actual harm, isolatedF600Sep 9, 2022

  Based on observation, interviews, and record review during an abbreviated survey (NY00298029), the facility failed to protect a resident from abuse. This was evident for 1 of 3 residents sampled for abuse (Resident #2). Specifically, on 06/24/2022 at 08:50 AM Housekeeping Staff (HKS) #1 reported that he/she observed Certified Nurse Assistant (CNA) #2 hitting Resident #2 with a hanger while they were in the resident's room. CNA #2 then wheeled Resident #2 to the dining room and twisted the Resident #2 's right arm behind the wheelchair and the Resident #2 yelled out. A Nursing Progress Note of 06/24/2022, documented that Resident #2 was observed with a bruise to the left hand. This resulted in actual harm to Resident #2 that was not Immediate Jeopardy. […]

• No harm, potential for more than minimal, patternF584Jul 3, 2024

  Based on observation and interview during the Recertification survey, the facility did not ensure that housekeeping and maintenance services were maintained. Specifically: 1) Seating furniture in resident room and in the common area were stained, soiled and faded. 2) Holes in the ceiling and walls in the staff bathroom and clean linen closet. 3) Dining room tables were wobbly. 4) Dining room walls and ceiling with dried food particles and stains. 5) Missing window panels. 6) Mechanical lifts, scales layered with accumulation of dust and dirt. 7) Wheelchairs with torn armrest and torn back sides. 8) Window blinds missing vertical panels. This was evident for three (3) of (6) six resident units. (units 4, 5 and 6). […]

• No harm, potential for more than minimal, patternF725Jul 3, 2024

  Based on record review and interviews conducted during the Recertification and Abbreviated survey (NY00342009) from 6/26/24 to 7/03/24, the facility did not ensure that there was sufficient nursing staff to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, 1) the facility reported short staffing on weekends confirmed by a review of the Daily Staffing and the Payroll Based Journal (PBJ) Staffing Data Report, and 2) multiple nursing staff members reported a lack of sufficient staffing. The findings include but are not limited to: The Facility Staffing policy reviewed March 2024 documented it is the policy of this facility to provide sufficient staffing to meet the needs of all residents. […]

• No harm, potential for more than minimal, patternF732Jul 3, 2024

  Based on observations and interviews conducted during the Recertification Survey from 06/26/2024 to 07/03/2024, the facility did not ensure that the nurse staffing information was posted appropriately. Specifically, the posting of daily nurse staffing information was not posted in a prominent area which was readily accessible to residents and visitors. The findings are: The facility policy and procedure titled Staff Posting Policy reviewed March 2024 documented the daily nursing patterns will be posted daily and updated by shifts in front of the nursing supervisor's office to ensure prominent placement to allow accessibility to all residents and visitors of the facility. […]

• No harm, potential for more than minimal, patternF640Sep 27, 2022

  Based on record review and staff interview conducted during the Recertification survey from 9/19/22 to 9/27/22, the facility did not ensure that the Minimum Data Set (MDS) 3.0 Assessments were electronically transmitted to the Centers of Medicare/Medicaid Services Data System (CMSDS) within 14 days of completion. Specifically, thirty two (32) Resident MDS Assessments triggered as being over 120 days old. This was evident for, but not limited to, Resident # 51; Resident #34; Resident #13; Resident #10; Resident #12; and Resident # 48. […]