Leroy Village Green Residential Health C F, Inc

In the surveyor’s words

From the most serious findings on record at Leroy Village Green Residential Health C F, Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF661Aug 8, 2023

  Based on interview and record review conducted during a complaint investigation (Complaint # NY00319793) completed on 8/8/23 the facility did not ensure completion of the discharge summary that included a recapitulation of the residents stay, a final summary and a post (after) discharge plan of care for three (Resident #1, #2 and #3) of three residents reviewed. Specifically, the residents were discharged without a recapitulation of their stay, a final summary of their status and a post discharge plan of care. The findings are: The policy and procedure titled Discharge Transition Packet Instructions revised on 6/23 documented the facility will complete discharge transition instructions when the resident is anticipating discharge to a private residence, or personal care/assisted living. […]

• No harm, potential for more than minimal, patternF812Mar 3, 2023

  Based on observation, interview, and record review conducted during a Standard survey completed on 3/3/23, the facility did not prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one main kitchen. Specifically, the Cook did not change their gloves or wash their hands in accordance with professional standards, touched multiple surfaces, and did not use appropriated utensils to prepare pureed food. Additionally, milk was served at the lunch meal on 3/2/23 at unsafe temperatures. The findings are: The policy and procedure (P&P) titled Hand Hygiene dated 8/2022 documented the facility considers hand hygiene the primary means to prevent the spread of infections. […]

• No harm, potential for more than minimal, patternF803Aug 18, 2021

  Based on observation, interview and record review conducted during a Standard Survey completed on 8/18/21 the facility did not meet the nutritional needs of residents in accordance with established national guidelines. Two (lunch and dinner) of two meals did not provide the residents receiving the posted main entrée with proper protein amounts to meet their nutritional needs. This involved Resident #6. The finding is: Review of the undated policy provided by the facility on 8/18/21 entitled Menu Planning revealed meals will be provided to meet the nutritional needs of the residents which are balanced, nutritious, and adequate in amount to meet the daily dietary needs of the residents. […]

• No harm, potential for more than minimal, isolatedF602Jun 9, 2026

  Based on interview and record review conducted during a survey, the facility failed to ensure a resident had the right to be free from abuse, neglect, misappropriation of resident property for one (Resident #1) of three residents reviewed. Specifically, Resident #1's rings were reported missing. It was determined by local police that on 11/08/2025 at least one of Resident #1's rings were in Certified Nurse Aide #1's possession and a transaction had been made at a pawn shop. The findings include:The facility policy titled Abuse Policy Prevention and Management dated 09/08/2022, documented the facility prohibits the mistreatment, neglect and abuse of residents/patients and misappropriation. Exploitation of residents /patient's property by anyone including staff, family, friends and visitors. […]

• No harm, potential for more than minimal, isolatedF880May 20, 2025

  Based on interview, observation, and record review conducted during a Standard survey completed on 5/20/2025, the facility did not ensure they established and maintained an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, one (Resident #60) of four residents reviewed for infection control during incontinent care, had issues with inadequate hand hygiene and reusing washcloths to clean the resident. Additionally, the resident had a history of urinary tract infections and was on enhanced barrier precautions for a suprapubic (an indwelling tube that is through a small incision in the abdomen into the bladder) catheter. […]