Guthrie Cortland Medical Center

In the surveyor’s words

From the most serious findings on record at Guthrie Cortland Medical Center, in the surveyor’s own words.

• Immediate jeopardy, patternF692Feb 25, 2026

  Based on observations and interviews during the survey, the facility failed to ensure residents maintained acceptable parameters of nutritional status for three (3) of three (3) Residents (Residents #6, #43, and #74) reviewed. Specifically, Residents #6, #43, and #74 had severe weight loss, which was not addressed by the medical provider and their nutritional needs were not reassessed by the registered dietitian. Additionally, the registered dietitian recommended the addition of Liquacel (liquid protein supplement) for Resident #6 and there was no documented evidence the supplement was ordered. […]

• Immediate jeopardy, isolatedF689Mar 31, 2026

  Based on record review and interviews during the survey, the facility failed to ensure that each resident received adequate supervision to prevent accidents for one (1) of five (5) residents (Resident #1) reviewed. Specifically, on 07/14/2024 at 3:36 PM, Resident #1, who had a history of exit seeking behaviors, was at risk for elopement, and had a wander alert device, exited the facility through the 3rd floor North Hall stairwell door. The resident was found outside by a visitor approximately 15-30 minutes later and brought back into the facility by nursing and security. This resulted in Immediate Jeopardy, past non-compliance, to Resident #1, and placed them at risk for serious harm serious injury, serious impairment, and death. […]

• Actual harm, isolatedF684Sep 11, 2023

  Based on record review and interview during the abbreviated surveys (NY00316770 and NY00322185), the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 2 of 2 residents reviewed (Residents #2 and #7). Specifically, Resident #2 had a left leg surgical wound from a below knee amputation (BKA) with 21 sutures in place and wound treatments were not completed as ordered. There was no documented evidence of ongoing monitoring of the wound and when the wound worsened, there was no documented evidence the medical provider was notified or that an assessment was completed. […]

• Actual harm, isolatedF711Sep 11, 2023

  Based on record review and interview during the abbreviated survey (NY00320465) the facility failed to ensure a resident's total program of care, including medications and treatments, was reviewed by the medical provider for 1 of 3 residents (Resident #1) reviewed. Specifically, Resident #1 had a history of seizures and was admitted to the facility with hospital discharge orders for seizure medications. The medications were not included on the facility admission orders and the resident did not receive anti-seizure medications for 6 days. The resident subsequently had a seizure requiring hospitalization . This resulted in actual harm to Resident #1. […]

• No harm, potential for more than minimal, patternF684Feb 25, 2026

  Based on observations, record review, and interviews during the recertification survey, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (1) of one (1) resident (Resident #6) reviewed. Specifically, -Resident #6 required a colostomy (a surgical opening in the abdomen that allows stool to pass out of the body) and did not have orders for changing the appliance and was not provided with appropriate colostomy supplies.-Resident #6 required use of a urostomy (surgical opening in the abdomen that allows urine to pass out of the body) and there were no orders to change the appliance. […]