Garden Gate Health Care Facility

In the surveyor’s words

From the most serious findings on record at Garden Gate Health Care Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF804Mar 19, 2025

  Based on observation, interviews, and record review conducted during the Standard survey completed on 3/19/25, the facility did not ensure that food and drink was palatable, attractive and at a safe and appetizing temperature for five (B Unit dining room, D Unit dining room, C Unit hallway, A Unit hallway, and Main dining room) of five test trays. Specifically, food and beverages during meals were served at suboptimal temperatures and were not palatable. Residents #38, #54, #60, #79, #87, #92, #101, #104, #118, #120, #127, #143, #145, and #173 were involved. Residents attending the resident council meeting also expressed concerns about food and food temperatures. […]

• No harm, potential for more than minimal, patternF812Mar 19, 2025

  Based on observations, interviews, and record review conducted during a Complaint (NY00353368) investigation during the Standard survey completed on 3/19/25, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen. Specifically, the kitchen had unlabeled and undated food items stored in the freezer and coolers. The main kitchen coffee maker was not functioning and kitchen equipment was not cleaned after previous use. There was food and trash debris on the kitchen and dish washing room floors; there were un-covered meal trays with un-eaten food on open carts, on top of tray caddies, on the counters in the main dining room and hallway adjacent to the main dining room. […]

• No harm, potential for more than minimal, patternF880Mar 19, 2025

  Based on observation, interview and record review conducted during a Standard Survey completed 3/19/25, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and a comfortable environment, to help prevent the development and transmission of communicable diseases and infections for one of one facility. Specifically, staff were not wearing face masks in resident care areas and were not immunized with the Influenza vaccine and New York State had declared Influenza Prevalent. The finding is: The policy titled Influenza (Seasonal/H1N1) Program - Employees/ Volunteers/Students documented, employees, volunteers and students are provided with influenza immunization, based on availability, unless medically contraindicated. […]

• No harm, potential for more than minimal, isolatedF677Mar 19, 2025

  Based on observation, interview, and record review conducted during the Standard survey completed on 3/19/25, the facility did not ensure that residents who were unable to carry out activities of daily living, received the necessary services to maintain good grooming and personal hygiene for two (Residents #6 and #63) of eight residents reviewed for activities of daily living. Specifically, Resident #6 had a moderate amount of chin and upper lip hair and Resident #63 had long fingernails on both hands with dark brown debris underneath on multiple observations. Staff did not offer or provide shaving or nail care during care observations. […]

• No harm, potential for more than minimal, isolatedF684Mar 19, 2025

  Based on observation, interview, and record review conducted during the Standard survey completed on 3/19/25 the facility did not ensure that residents receive treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for one (Resident #120) of three residents reviewed for nutrition. Specifically, weekly weights recommended by the dietician were not obtained consistently by the dietician as planned and Resident #120 had a continued weight loss. The finding is: The policy titled Weight Monitoring revised 5/2013 documented a weight record is used to facilitate monitoring of changes in weights on a weekly or monthly basis. […]