Ferncliff Nursing Home Co Inc

In the surveyor’s words

From the most serious findings on record at Ferncliff Nursing Home Co Inc, in the surveyor’s own words.

• Actual harm, isolatedF600Nov 14, 2025

  Based on observation, interview and record review during an abbreviated survey (# 2658277), the facility failed to ensure residents were free from physical abuse by a staff member for one (1) of three (3) residents (Resident # 1) reviewed for Abuse. Specifically, on 10/13/2025, Resident #1 who had severe cognitive impairment was slapped in the face by Licensed Practical Nurse #3 after an argument between Resident #1 and Licensed Practical Nurse #3 over a piece of cake. Subsequently, Resident #1 sustained redness and swelling to their right cheek and was crying. Resident #1 was led to their room by Certified Nurse Aide #1 where they consoled them and encouraged the resident to relax. […]

• No harm, potential for more than minimal, patternF725Feb 27, 2025

  Based on observations, record review, and interviews conducted during the recertification and abbreviated (NY00368899) surveys from 2/20/25 to 2/27/25, 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) on sixty-nine (69) of ninety-six (96) shifts the facility did not provide the minimum number of staff documented in the facility Minimum Staffing Standard Matrix, and on nine (9) of thirty-two (32) night shifts the facility did not provide the minimum number of staff documented in the general staffing plan in the Facility Assessment, and several staff stated resident's care and resident's meals were delayed when they were short staffed, 2)… […]

• No harm, potential for more than minimal, patternF812Feb 27, 2025

  Based on observation and interview conducted during the recertification survey from 2/20/25 to 2/27/25, the facility did not ensure specific food items were maintained in accordance with professional standards for food safety and infection control prevention. Specifically, opened and not dated potentially hazardous foods were observed in one of the refrigerators and the dry pantry, and 3 of 4 dietary aides were observed wearing disposable gloves for meal service and did not change gloves after touching other non-meal service objects. The findings are: The facility policy last revised on 1/2025, 'Production, Purchasing, Storage: Food and Supply Storage' included documentation procedure to cover, label and date unused portions and open packages, using Medvantage/Freshdate labeling system. […]

• No harm, potential for more than minimal, patternF689Jan 29, 2025

  Based on record reviews and interviews, conducted during an abbreviated survey (NY00355382 and NY00362103), the facility did not provide adequate supervision/monitoring to prevent accidents for 2 of 3 residents (Resident #1 and #3) reviewed. Specifically, on 9/3/2024 Resident reported they were bumped by the elevator door [NAME] exiting and reported pain 3 out of 10 to their right hip. 2) On 9/30/2024 while exiting the core elevator on the 4th floor, the elevator door closed hitting Resident #1's right hip causing pain and discomfort. 2) On 11/25/2024, Resident #3 was found inside of the facility housekeeping closet on the 4th floor. Facility investigation revealed the housekeeping door was unsecure due to the striker plate being broken. […]

• No harm, potential for more than minimal, patternF686Mar 29, 2024

  Based on observations, record review, and interviews conducted during the recertification survey from 3/13/24 to 3/29/24, the facility did not ensure 4 of 6 residents (Residents #432, #218, #48, and #54,) reviewed for pressure ulcers, received care and services to promote healing and to prevent new pressure ulcers from developing. Specifically, (1) Resident #432 acquired a stage 4 sacral pressure ulcer at facility and treatments were not completed as ordered. (2) Resident #218 was observed 4 times without a pillow under their right elbow and their right elbow stage 4 pressure ulcer had re-opened, (3) Resident #48 was admitted with moisture associated skin damage to the right sacrum which developed into an deep tissue injury and an unstageable wound, and (4) Resident #54's sacral pressure… […]