Fulton Commons Care Center Inc

In the surveyor’s words

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

• Immediate jeopardy, patternF600Jan 10, 2022

  Based on observations, interviews and record reviews during an abbreviated survey (Complaint # NY 991) completed on 1/10/22, the resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation as defined in this subpart. This includes but is not limited to freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat the resident's medical symptoms. Specifically, after Resident #1, with intact cognition, reported on 12/25/21 to a Registered Nurse supervisor (RNS#1) that LPN#1 inappropriately touched resident #1. LPN#1 continued to work at the facility. On 1/3/22 Resident #2 with intact cognition reported that on 1/2/22 LPN#1 exposed their genitals to Resident#2. […]

• Immediate jeopardy, patternF608Jan 10, 2022

  Based on observations, interviews and record reviews during an abbreviated survey (Complaint # NY 991) completed on 1/10/22, the facility failed to report crimes against a resident or individual receiving care from the facility within prescribed timeframes to the appropriate entities, consistent with Section 1150B of the Act. In addition, the facility failed to report immediately, but not later than 2 hours after forming the suspicion, if the events that cause the suspicion result in serious bodily injury, or not later than 24 hours if the events that cause the suspicion do not result in serious bodily injury. Specifically, after Resident#1, with intact cognition, reported on 12/25/21 to a Registered Nurse supervisor (RNS#1) that LPN#1 inappropriately touched resident #1. […]

• Actual harm, isolatedF689Apr 2, 2025

  Based on observation, record review and interviews conducted during an abbreviated survey (NY00369337) the facility did not ensure each resident received adequate supervision consistent with resident's needs to prevent accidents. This was evident for one (1) (Resident #1) of three (3) residents reviewed for accidents. Specifically, Resident #1 was assessed to be at high risk for falls upon admission. Resident #1 sustained multiple falls (10 falls between 12/10/2024 and 12/17/2024 and four (4) falls between 12/31/2024 and 1/9/2025) while in the facility. On 12/17/2024, the resident sustained a fall resulting in an injury to the left eye and was transferred to the hospital. […]

• No harm, potential for more than minimal, patternF725Dec 23, 2024

  Based on record review and interviews during the Recertification Survey initiated on 12/15/2024 and completed on 12/23/2024, the facility did not ensure sufficient nursing staff were available to provide nursing services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This was identified for seven of seven units reviewed for the Sufficient Nursing Staffing Task. Specifically, 1) a review of the Payroll-Based Journal (PBJ) Staffing Data Report Quarter Three, 2024 (April 1- June 30) indicated excessively low weekend staffing and One Star Staffing Rating 2) a review of the daily staffing sheets revealed the facility did not provide sufficient numbers of Certified Nursing Assistants as indicated in the Facility Assessment. […]

• No harm, potential for more than minimal, patternF656Nov 28, 2023

  Based on observation, record review and interviews during the abbreviated survey (NY00307264), the facility did not ensure that each resident had a Comprehensive Care Plan (CCP) developed that included measurable objectives and interventions to meet the resident's medical and nursing needs to attain or maintain the resident's highest practicable well-being. This was identified for 2 of 3 residents (Resident #2 and Resident #3) reviewed for falls. Specifically, Resident #2 experienced multiple falls and there was no CCP developed with goals and interventions to address the falls, and Resident #3 had multiple falls without goals or interventions to address the falls. The findings are: Resident #2 had diagnoses including Alzheimer's Disease, Hypertension and Cerebral Infarction. […]