Houghton Rehabilitation & Nursing Center

In the surveyor’s words

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

• Actual harm, isolatedF600Oct 7, 2024

  Based on observation, interview, and record review conducted during an Abbreviated survey (Complaint #NY00340465) the facility failed to protect residents from sexual abuse for one (Resident #2) of three residents reviewed for abuse. Specifically, Resident #1 with a history of sexually aggressive behaviors was found engaged in sexual activity with Resident #2. Resident #2 wandered into Resident #1's room without staff's knowledge. Resident #1 and Resident #2 both lacked the ability to consent due to their cognitive impairment and inability to express their feelings. […]

• No harm, potential for more than minimal, widespreadF725May 2, 2025

  Based on interview and record review conducted during the Standard survey completed on 5/2/25, the facility did not ensure that there was sufficient nursing staff with the appropriate competencies on a 24-hour basis to provide care to all residents for one of one facility reviewed for sufficient staffing. Specifically, the facility did not meet their minimum staffing levels for Certified Nurse Aides to meet the needs of each resident as they utilized non-certified Resident Assistants to meet their established minimums. […]

• No harm, potential for more than minimal, widespreadF727May 2, 2025

  Based on interview and record review conducted during the Standard survey completed on 5/2/25, the facility did not ensure there were services of a Registered Nurse for at least eight (8) consecutive hours, seven (7) days a week unless when waived. Specifically, the facility did not have eight (8) consecutive hours of Registered Nurse coverage on 3/30/25, 4/5/25, 4/12/25 and 4/13/25 as required and did not have a waiver. The finding is: The policy and procedure titled Registered Nurse Coverage & Full-Time Director of Nursing revised April 2025 documented, the facility ensures compliance with federal regulations by ensuring a registered nurse is onsite for a minimum of eight (8) consecutive hours each day, seven (7) days per week. […]

• No harm, potential for more than minimal, widespreadF728May 2, 2025

  Based on record review and interview conducted during a Standard survey completed 5/2/25, the facility did not ensure any individual working in the facility as a nurse aide for more than 4 months was competent to provide nursing and nursing related services and that individual has completed a training and competency evaluation program or a competency evaluation program approved by the State for six (6) (Resident Assistant #1, #3, #4, #5, #6, and #7) of seven (7) resident assistants reviewed. Specifically, Resident Assistants #1, #3, #4, #5, #6 and #7 worked greater than 4 months (120 days) as a nurse aide without receiving nurse aide certification. […]

• No harm, potential for more than minimal, widespreadF835May 2, 2025

  Based on interview and record review conducted during the Standard survey completed on 5/2/2025, the facility was not 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. The facility must operate and provide services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards and principles that apply to professionals providing services in such a facility. […]