Holliswood Center for Rehabilitation and Healthcar

In the surveyor’s words

From the most serious findings on record at Holliswood Center for Rehabilitation and Healthcar, in the surveyor’s own words.

• Immediate jeopardy, patternF604Mar 3, 2022

  Based on observation, record review and interviews conducted during the Recertification and abbreviated survey (NY# 493) from 02/23/2022 through 03/03/2022, the facility did not ensure that each resident remained free from physical restraints not required to treat the resident's medical symptoms. This was evident for 11 of 12 residents sampled for Physical Restraints (Resident #s 199, 260, 113, 191, 126, 110, 55, 295, 63, 503, and 157). Specifically, Resident #260 and Resident #113 had bilateral half SR ordered as enablers. The residents had severely impaired cognition, required extensive assistance with bed mobility and transfers, and the half SR were not identified as a restraint. […]

• No harm, potential for more than minimal, patternF880Apr 24, 2024

  44864 Based on observation, record review, and interviews conducted during the Recertification survey from 04/17/2024 to 04/24/2024, the facility did not ensure that infection control prevention practices and procedures were maintained. This was evident for 2 (Resident #276 and #127) of 38 total sampled residents. Specifically, 1) Enhanced Barrier Precautions were not maintained during Foley catheter care for Resident #276, and 2) Enhanced Barrier Precautions were not maintained for gastrostomy tube medication administrations for Resident #127. […]

• No harm, potential for more than minimal, patternF584Mar 3, 2022

  Based on observation, record review and interview conducted during a Recertification survey, the facility did not ensure a clean, comfortable and homelike environment and maintenance and housekeeping services to maintain an orderly and comfortable interior were provided. Specifically, 1)dining tables had rust on the bottom and leg areas, 2) holes in the walls, and 3) resident rooms were observed with missing and peeling wallpaper, unfinished plaster, dirty walls and radiator covers. This was evident for 3 out of 6 floors observed for the Environment (Floors 2, 5, and 6). The findings are: Multiple requests were made for the Environmental Services Policy. The facility did not provide a copy of the requested environmental policy. […]

• No harm, potential for more than minimal, patternF812Mar 3, 2022

  Based on observations, record review, and staff interviews conducted during the Recertification and Complaint survey, the facility did not ensure procured food was stored, prepared, distributed, and served in accordance with professional standards of food service safety. Specifically, expired thickened apple juice stored in the kitchen storeroom was not discarded on or before the expiration date. This was evident during the Kitchen Observation facility task. The findings are: 1) The facility policy and procedure titled, Food Storage Policy revised /,d+[DATE] documented all stock must be rotated with each new order received. Rotating sock is essential to assure the freshness and highest quality of all foods. Old stock is always used first (first in-first out method). […]

• No harm, potential for more than minimal, patternF865Mar 3, 2022

  Based on observation, record review, and interviews conducted during the recertification survey the facility did not ensure a quality assurance and performance improvement (QAPI) program that put forth good faith attempts to identify and correct quality deficiencies. Specifically, the facility had repeat deficiencies from the previous recertification surveys (May 2019 & December 2017) in the areas of right to be free from physical restraints (F604) and care plan timing and revision (657). There was no evidence there was a QAPI plan in place to meet the specific needs of the facility. […]