Fordham Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Fordham Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Apr 22, 2022

  Based on observation, record review and interviews during an abbreviated and Partial Extended Survey (NY 473), the facility failed to protect resident's rights to be free from sexual abuse and psychosocial harm using the reasonable person concept. The facility did not ensure each resident was free from abuse for 1 out of 6 residents (Resident # 1). Specifically, on 4/18/22 at approximately 11:30 PM, CNA #1 observed LPN #1 in the room of Resident #1 who was diagnosed with dementia and severely impaired cognition. CNA #1 observed LPN #1 naked from the waist down, with pants at the ankles and Resident #1 was observed lying across the bed naked from the waist down, not wearing disposable brief or underwear. […]

• Actual harm, isolatedF600Aug 31, 2022

  Based on observation, record review and interviews during an abbreviated survey (NY00297413), the facility did not ensure that a resident was free from physical abuse. This was evident in 1 out of 5 residents sampled for abuse (Resident #2). Specifically, on 06/13/2022 at 8:07 AM, the facility's surveillance video recording showed Certified Nursing Assistant (CNA) #1 roughly slapped Resident #2's hand, grabbed and pushed Resident #2 causing Resident #2 to fall to the floor on their left side. Resident #2's body struck the wall in the dining room. Resident #2 was transferred to the hospital and underwent Percutaneous Pinning (a pin or wire pushed through the skin and into the bone) to the left hip. Resident #2's primary diagnosis was Left femoral Neck Fracture. […]

• No harm, potential for more than minimal, patternF812Oct 28, 2024

  Based on observations, record review, and interviews conducted during the Recertification Survey from [DATE] to [DATE], the facility did not ensure infection control practices were followed. This was evident during the Dining Task for 1 of 5 dining rooms. Specifically, 1. The kitchen did not ensure that food items were discarded by the use/expiration date. This was evident for the Kitchen Task. 2. Certified Nursing Assistant #8 did not perform hand hygiene in between residents while assisting multiple residents with hand hygiene prior to lunch being served this was evident for the 5th floor. […]

• No harm, potential for more than minimal, isolatedF689Aug 21, 2025

  Based on observation, interviews, and record review conducted during an Abbreviated Survey (2582483), the facility did not ensure a resident received adequate supervision and assistance consistent with the resident's needs to prevent accidents. This was evident for one (1), (Resident #2) out of five (5) residents reviewed and sampled. Specifically, during a review of the facility's surveillance video footage dated from 07/10/2025 at 07:58 PM to 07/12/2025 at 03:29 PM, showed on 07/10/2025 from 08:36 PM to 08:42 PM for six minutes, Resident #2 entered and exited Resident #1's room unsupervised. Three other residents reside in the room with Resident #2 (Resident #3, Resident #4, and Resident #5). […]

• No harm, potential for more than minimal, isolatedF561Oct 28, 2024

  Based on record review and interview conducted during the Recertification and Abbreviated Survey (NY00354048) from 10/21/2024 to 10/28/2024, the facility did not ensure that it promoted and facilitated resident self-determination through the support of residents choice for 1 (Resident #190) of 2 residents reviewed for Choices out of 38 sampled residents. Specifically, the preferred number of showers per week were not obtained and not provided in accordance with Resident #190's wishes. […]