Kingsway Arms Nursing Center Inc

In the surveyor’s words

From the most serious findings on record at Kingsway Arms Nursing Center Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761Aug 26, 2024

  Based on observation, record review, and interviews conducted during the recertification survey, the facility did not ensure drugs and biologicals were labeled and stored in accordance with professional standards of practice. Specifically, (a.) opened medications had no open and/or expiration dates; (b.) personal items were stored in double locked cabinet with controlled substances for 4 out of 4 medication carts reviewed, and for 1 out of 2 medication storage rooms reviewed. This is evidenced by: The facility's Medication Storage Policy revised on 5/2024 documented, all medications would be stored in a clean and sanitary environment, in a locked cabinet, cart or medication room would be accessible only to authorized personnel, as defined by facility guideline. […]

• No harm, potential for more than minimal, patternF689Feb 23, 2022

  Based on observation and staff interview during the recertification survey, the environment was not free from accident hazards over which the facility has control. Specifically, resident room wardrobes were not secured and could topple over on three (3) of four (4) resident units. This is evidenced as follows. During observations on 02/18/2022 from 1:00 PM to 3:30 PM, the wardrobes in resident room numbers 101, 105, 117, 111, 119, 121, C-3, C-4, 201, 203, 204, 205, 207, 209, 211, 217, 218, 221, 233, 310, and 329, were not attached to the wall and could easily topple. […]

• No harm, potential for more than minimal, isolatedF812Aug 26, 2024

  Based on observation and interviews during the recertification survey, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the main kitchen and Grill Room (resident cafe). Specifically, equipment and food preparation area floors were not clean. This is evidenced by: During an observation in the main kitchen on 8/20/2024 at 9:42 AM, the cooking line shelving, ceiling fan, floor under and behind the cooking line equipment, floor in dry storage room, fire extinguishers, and kitchen fire suppression system canister and pull station were soiled with food particles or thick dust; additionally, the bulk container of liquid thickener was not labeled. […]

• No harm, potential for more than minimal, isolatedF814Aug 26, 2024

  Based on observation and interviews during the recertification survey, the facility did not dispose of refuse properly for the outdoor grease collection bin. Specifically, the exterior of outdoor grease collection bin was heavily soiled with a black build-up. This is evidenced by: During an observations on 8/20/2024 at 9:49 AM, the exterior of the grease recycling bin (located in the garbage compactor area) was heavily coated with a black build-up of spilled over grease; flies were hovering around the bin. During an interview on 8/20/2024 at 10:56 AM, [NAME] #1 stated that they would have the grease bin cleaned. […]

• No harm, potential for more than minimal, isolatedF578Oct 28, 2022

  Based on record review and interviews during an abbreviated survey (Case #NY 932), the facility did not ensure that advanced directives were implemented, based on its written policies to implement advance directives for 1 (Resident #1) of 3 residents reviewed. Specifically, for Resident #1, whose Medical Orders for Life-Sustaining Treatment (MOLST) form, documented a DNR Order: Do not attempt Resuscitation (allow natural death), the facility did not ensure Resident #1's preferences regarding advance directives were honored and facility policies for Advanced Directives followed when on [DATE], Resident #1was found without a pulse and without respirations and facility staff performed CPR. […]