Independence Care Center for Nursing and Rehabilit

In the surveyor’s words

From the most serious findings on record at Independence Care Center for Nursing and Rehabilit, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 3, 2024

  Based on observation, record review, and interviews conducted during an abbreviated survey (NY00320218), the facility did not ensure that a resident was free from physical abuse by nursing home staff. This was evident for 1 out of 3 residents sampled for abuse (Resident #1). Specifically, on 07/17/23 at 11:37:25 am, Resident #1, who was cognitively intact, reported to the Assistant Director of Nursing they were punched in the nose by Licensed Practical Nurse #1. Review of the facility's surveillance camera dated 07/17/23 at 11:37 am (real time) showed Licensed Practical Nurse #1 exiting Resident #1's room, retrieved their belongings, and exited the nursing unit. Resident #1 was seen crawling on hands and knees on the floor bleeding. […]

• No harm, potential for more than minimal, patternF655Apr 2, 2024

  Based on record review and interviews conducted during the Recertification Survey from 03/26/2024 through 04/02/2024, the facility failed to ensure that the resident and their representative were provided with a written summary of the baseline care plan. This was evident for 3 (Residents # 5, #39, and #119) of 3 residents reviewed for baseline care plan out of a total sample of 38 residents. Specifically, 1) Resident #5 did not get a copy of their baseline care plan summary. 2) Resident #39's representative did not receive a copy of the resident's baseline care plan summary, and 3) Resident #119's representative did not receive a copy of the resident's baseline care plan summary. […]

• No harm, potential for more than minimal, patternF880Mar 2, 2022

  Based on observation and interview conducted during the Recertification survey from 2/23/2022 to 3/2/2022, the facility did not ensure that infection prevention and control program practices were maintained. Specifically, 1) the Licensed Practical Nurse (LPN) failed to practice hand hygiene between glove changes during wound care, and 2)oxygen tubing was observed touching the floor on multiple occasions. This was evident for 1 of 7 residents investigated for Pressure Ulcer/Injury and 1 of 3 residents reviewed for Respiratory care out of a sample of 38 residents. […]

• No harm, potential for more than minimal, isolatedF609Aug 8, 2025

  Based on record review and interviews conducted during an Abbreviated Survey (NY00362877), the facility did not ensure that the alleged violations involving abuse, neglect, exploitation, mistreatment, or misappropriation of resident property were reported immediately, but not later that two (2) hours after the allegation is made, if the events that caused the allegation involved abuse or resulted in serious bodily injury, or not later than 24 hours if the events that caused the allegation do not involved abuse and do not involve serious bodily injury, to the administrator of the facility and to other officials (including to the State Agency). This was evident in one (1) out of three (3) residents (Residents #3 and #4) sampled. […]

• No harm, potential for more than minimal, isolatedF689Aug 8, 2025

  Based on observation, record review, and interviews conducted during an abbreviated survey (NY00359953), the facility did not ensure that each resident received adequate supervision to prevent an elopement. This was evident for one (1) out of two (2) residents (Resident #1) sampled for elopement. Specifically, the facility Elopement Incident Timeline dated 11/08/2024 documented that the surveillance video footage showed at 2:46 PM on 11/07/2024 Resident #1 exited the facility grounds. Resident #1 was wearing a wander guard on their left ankle at the time they left the facility, and the wander guard alarm system did not activate. Facility staff became aware between 3:20 PM and 3:58 PM that Resident #1 was missing from the facility. […]