Four Seasons Nursing and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF725Mar 3, 2026

  Based on observation, record review, and interviews, the facility failed to ensure sufficient nursing staff were available to provide nursing and related services to assure resident safety to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident. Specifically, review of the weekend staffing and the Payroll Based Journal Staffing Data Report revealed low weekend staffing.The facility Payroll Based Journal Staffing Data Report for the Quarter 4 2025 dated July 1 - September 30 documented that excessively low weekend staffing triggered on the report. The facility Payroll Based Journal Staffing Data Report for the Quarter 1 2026 dated October 1 - December 30 also documented that excessively low weekend staffing triggered on the report. […]

• No harm, potential for more than minimal, widespreadF812Jan 25, 2022

  Based on observations, record review, and staff interviews conducted during the Recertification survey (TQIS11), the facility did not ensure that food was stored in safe and sanitary manner to prevent food contamination. Specifically, the emergency food storage area was observed with rodent droppings on the elevated plastic stands, the food boxes, and on the plastic covering wrapped around the boxes. In addition, a mouse was observed coming out of an open cereal box. This was evident during the Kitchen Observation facility task. […]

• No harm, potential for more than minimal, widespreadF925Jan 25, 2022

  Based on observation, record review and staff interview conducted during the recertification survey (TQIS11), the facility did not maintain an effective pest control program so that the facility is free of pests and rodents. Specifically, a mouse was observed in the emergency food storage area. In addition, mouse droppings were observed on food boxes and the plastic stands. This was evident for the Kitchen Observation facility task. The finding is: The facility policy titled Pest Control Program and Exterminating Policy and Procedure effective 9/1/2016 documented the facility will maintain a robust and comprehensive pest control and maintenance program to control pests, insects and rodents in the facility and its environments. […]

• No harm, potential for more than minimal, patternF609Feb 15, 2024

  Based on record review and interviews conducted during the Recertification and Abbreviated Survey (NY00325860, NY00304996) from 02/08/2023 - 02/15/2023, the facility failed to ensure that all alleged violations involving abuse were reported immediately, but not later than 2 hours after the allegation of abuse was made, to the administrator of the facility and to the State Survey Agency. This was evident in 4 residents (#57, #133, #150 and #165) of 38 total sampled residents. Specifically, 1.) On 10/05/2023, Resident #57 alleged they were hit by another resident. The facility reported the allegation to the New York State Department of Health on 10/11/2023. Additionally, The Administrator was made aware of the allegation on 10/10/2023. […]

• No harm, potential for more than minimal, patternF812Feb 15, 2024

  Based on observations, interviews, and record review conducted during the Recertification survey from [DATE] to [DATE], the facility did not ensure food was stored in accordance with professional standards for food service safety. This was evident during kitchen observation and in 1 (7th floor) of 6 pantries. Specifically, 1) the kitchen walk-in refrigerator contained expired food items, and 2) the 7th floor pantry contained expired milk and undated, unlabeled food. The findings are: The facility policy titled Food Storage dated ,d+[DATE] documented perishable food items opened or prepared shall clearly be marked at the time of preparation and shall be discarded 48 hrs after the date opened. […]