Ghent Rehabilitation & Nursing Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jun 15, 2026

  Based on observation, record review, and interviews during the survey, the facility failed to ensure the resident's environment remained free of accident hazards as is possible. This was identified for one (Resident #1) of 20 residents reviewed. Specifically, Resident #1 was injured from their bed's installation hardware (bolt for a bed rail, which is an adjustable metal or rigid plastic bar that attach to the bed) that protruded beyond its frame. On 05/22/2026, Resident #1 sustained a cut to their right lower leg from the hardware on the bed while Registered Nurse #1 assisted the resident into bed. Resident #1 required hospitalization and 16 staples. This resulted in actual harm to Resident #1 that was not Immediate Jeopardy. […]

• Actual harm, isolatedF686Oct 27, 2022

  Based on record review and interview during an abbreviated survey (Case #NY 095), the facility did not ensure that a resident with a pressure ulcer received the necessary treatment and services consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 (Resident #2) of 3 residents reviewed. Specifically, for Resident #2, who was assessed as at risk for pressure ulcer development and had 2 pressure injuries (PIs) on their left foot on admission, the facility did not ensure that it recognized, assessed, and addressed an open area on the right buttock that was observed by the Physical Therapy Assistant (PTA) on [DATE] and reported to a licensed practical nurse (LPN). […]

• Actual harm, isolatedF760Oct 27, 2022

  Based on record review and interview during an abbreviated survey (Case # NY 332), the facility did not ensure that residents were free of any significant medication errors for 1 (Resident # 3) of 3 residents reviewed. Specifically, for Resident #3 who had chronic [CONDITION(S)], the facility did not ensure the resident received [MEDICATION(S)] for treating/preventing blood clots from 1/12/2022 to 1/17/2022, when the order for the medication was entered incorrectly as one-time only by the provider. Subsequently, on 1/18/2022, the resident had a change in mental status and was sent to the hospital where they were diagnosed with stroke due to [CONDITION(S)] (formation of a blood clot) and required medical and surgical interventions. […]

• Actual harm, isolatedF689Feb 16, 2021

  Based on observation, interview, and record review during an abbreviated survey (Complaint #NY 951), the facility did not ensure each resident received adequate supervision to prevent accidents for 1 (Resident #1) of 7 residents reviewed for elopement. Specifically, the facility did not reassess Resident #1 for elopement risk and supervision needs, and did not provide adequate supervision after the resident, who had impaired cognition, attempted to leave the facility through an alarmed egress door on 1/30/21. Additionally, on 1/30/2021, after the alarm on the egress door was silenced, staff did not properly reset the door alarm. On 1/31/21 Resident #1, who was last seen at 4:00 AM, left the facility undetected by staff. At 5:50 AM the resident was found outside. […]

• No harm, potential for more than minimal, widespreadF802Jul 23, 2026

  Based on observation, interview, record review, and review of facility policy, the facility failed to employ sufficient, qualified, and competent dietary support personnel to ensure meals were prepared and served on time according to established meal schedules, and to ensure food preparation was performed by qualified staff. Findings include: Review of the facility posted meal times indicate the meals will be served at 7:30 AM, 11:30 AM, and 4:30 PM Observations of Unit 2 for lunch service revealed the following: During an observation on 07/15/2026 at 12:34 PM, staff observed passing trays out to residents in the in-unit dining areas. During an observation on 07/16/2026 at 1:37 PM, staff observed passing lunch meal trays to residents in the in-unit dining areas. […]