Heritage Park Rehab & Skilled Nursing

In the surveyor’s words

From the most serious findings on record at Heritage Park Rehab & Skilled Nursing, in the surveyor’s own words.

• Immediate jeopardy, widespreadF700Oct 20, 2021

  Based on observation, interview, and record review conducted during an Abbreviated survey (#NY 957), completed on 10/20/21, the facility failed to ensure appropriate use, entrapment risk assessment, and maintenance of bed rails for three (Resident #1, 6 and 7) of seven residents reviewed for bed rail use. Specifically, Resident #1 was assessed, and care planned not to use bed rails while in bed. Certified Nurse Aide (CNA) staff did not follow the care plan and put the bed rails (side rails) in the up position. The facility did not develop and implement a routine monitoring system to protect residents from entrapment risk when using various types of side rails. Additionally, the facility did not have a complete inventory of types of beds and rails currently in use. […]

• Actual harm, isolatedF689Apr 30, 2026

  Based on observations, interviews, and record review conducted during survey, the facility failed to ensure that the residents' environment remained as free of accidents as possible, and that each resident receives adequate supervision and assistance devices to prevent accidents for one (1) (Resident #21) of four (4) residents reviewed for accidents. Specifically, on 03/11/2026, the facility failed to assist Resident #21 when they were reheating liquid in the microwave oven, resulting in Resident #21 sustaining an 8.5 centimeter by 5-centimeter second degree burn (damage to both the outer (epidermis) and underlying (dermis) layers of skin, causing blisters, pain, and a shiny moist appearance) to their left upper hand. […]

• No harm, potential for more than minimal, widespreadF725Apr 30, 2026

  Based on observations, interviews and record review conducted during survey, the facility failed to ensure sufficient nursing staff to attain and maintain the highest practicable physical, mental, and psychosocial well-being of each resident for three (First floor, Second floor, Third floor) resident care units. Specifically, the facility did not ensure they met their minimum staffing numbers for each shift and there was a lack of sufficient nursing staff to provide timely care to meet the needs of the residents. This involves Resident's #4, #8, #9, #20, #21, #27, #30, #42, #43, #50, #51 #55, #63, #92, #96, #104, #106 and #119. […]

• No harm, potential for more than minimal, widespreadF725Sep 12, 2025

  Based on observation, interview and record review conducted during a Complaint investigation (NY00363355-806626 and NY00359730-806683) completed on 09/12/2025, the facility did not ensure sufficient nursing staff to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident. Specifically, the facility did not ensure there was sufficient nurse staffing to meet the needs of the resident in accordance with their preferences and plans of care.The findings are:Review of the Dear Administrator letter 23-11 dated 06/30/23 sent to the nursing home administrators informing them that starting 04/01/2022 nursing homes were required to have an average daily staffing of 3.5 hours of care per resident per day with 2.2 hours for Certified Nurse Aides and 1.1… […]

• No harm, potential for more than minimal, patternF657Apr 30, 2026

  Based on observation, interview, and record review completed during survey, the facility failed to ensure the comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment, including both the comprehensive and quarterly review assessments for four (4) (Residents #20, 35, 40, and #55) of four (4) residents reviewed. Specifically, comprehensive care plans that did not accurately reflect resident's current Advanced Directives, including their code status (a medical order indicating a patient's preferences for life-saving interventions to guide staff on whether to perform resuscitation- full code (all efforts) or Do Not Resuscitate (DNR)). […]