Grand Manor Nursing & Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF584Dec 19, 2024

  Based on observations, record review, and interviews conducted during the Abbreviated Survey and Partial Extended Survey (Complaint NY00362627, NY00363035, NY00363415, NY00358811) beginning [DATE], it was determined that this Special Focus Facility failed to maintain safe and comfortable temperature levels. This was evident on five of five resident floors, where 59 out of 59 rooms sampled had temperatures below the Federal and State requirements in accordance with 42 CFR Part 483 and 10 NYCRR: 415.29. Specifically, four complaints were submitted to the State Agency regarding loss of heat in the facility from [DATE] through [DATE], naming six residents affected. An additional six residents filed grievances at the facility on the loss of heat in their rooms from [DATE] through [DATE]. […]

• Immediate jeopardy, widespreadF835Dec 19, 2024

  Based on observation, record review, and interviews conducted during the Abbreviated Survey and Partial Extended Survey (Complaint NY00362627, NY00363035, NY00363415, and NY00358811), the facility failed to ensure it was administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, the Administrator failed to provide effective leadership and oversight to ensure that comfortable and safe temperature levels were maintained in residents' rooms and common areas. In addition, the Administrator failed to have an effective system in place to ensure the boiler room equipment was maintained in safe operating condition. […]

• Immediate jeopardy, widespreadF908Dec 19, 2024

  Based on observations, interviews, and record review conducted during the Abbreviated Survey and Partial Extended Survey (Complaint NY00362627, NY00363035, NY00363415, and NY00358811), the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition. This was evident in 5 of 5 resident units Specifically, the facility failed to routinely maintain their boiler equipment. This resulted in the facility's heating system malfunctioning, causing temperatures in residents' rooms and common areas to fall below the required range. […]

• Immediate jeopardy, patternF755Feb 24, 2026

  Based on observation, record review, and interviews conducted during the survey, the facility failed to establish and maintain a system to accurately reconcile, verify, and oversee methadone medications received from an external opioid treatment program. This was evident for 10 (Residents #2, 16, 28, 49, 50, 53, 114, 142, 146, 177) of 23 residents enrolled and receiving methadone (a long-acting opioid used to treat opioid use disorder) through an opioid treatment program. Specifically, a review of methadone administration records revealed 10 of 23 residents received dosages inconsistent with physician's orders. […]

• Immediate jeopardy, isolatedF684Dec 9, 2025

  Based on observation, record review, and interviews during the surveythe facility failed to ensure timely assessment and evaluation of a resident's change in condition. This was evident for one (1) (Resident #7) of three (3) residents reviewed. Specifically, Resident #7 had a bruise on top of their left eyebrow extending towards the temple that was not identified, assessed, or documented until observed by the State Surveyor. The resident was identified as high risk for falls and was receiving aspirin therapy, which increases the risk for bleeding complications. The facility failed to conduct and document a skin assessment, evaluate for possible head injury, initiate monitoring, or notify the physician in accordance with professional standards of practice. […]