Lewis County General Hospital-Nursing Home Unit

In the surveyor’s words

From the most serious findings on record at Lewis County General Hospital-Nursing Home Unit, in the surveyor’s own words.

• Immediate jeopardy, patternF600Oct 10, 2024

  Based on record review and interviews during the abbreviated surveys (NY00341596, NY00353814, NY00354138, and NY00354190) the facility failed to ensure residents were free from verbal, physical, and mental abuse for 4 of 16 residents reviewed (Resident #1, #3, #4, and #5). Specifically: - Resident #4 was forced to ambulate against their will by several staff members; - Resident #5 was physically restrained by Registered Nurse #9 and Certified Nurse Aide #8 when the registered nurse attempted to obtain a nasal swab for COVID-19 testing from the resident. […]

• Actual harm, isolatedF689Jul 6, 2022

  Based on observation, record review and interview during the recertification and abbreviated surveys (NY 492) conducted 6/28/22-7/6/22, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 6 residents (Resident #37) reviewed. Specifically, Resident #37 was at risk for falls, was not using their wheeled walker and was not assisted when ambulating as planned and sustained a fall with a pelvic fracture. Additionally, the resident was observed using a bassinet as an assistive device for ambulating and did not have non-skid floor strips in place in their room as planned. […]

• No harm, potential for more than minimal, patternF656Jul 10, 2026

  Based on observation, record review, and interviews (iQIES Intake 3001885), the facility failed to ensure a comprehensive person-centered care plan to meet a resident's medical, nursing, mental, and psychosocial needs was developed and implemented for three of three residents (Resident #22, #34, and #64) reviewed. Specifically, Resident #22 did not have a care plan for their diabetes and use of insulin; Resident #64 did not have a care plan for the use of a blood thinner; and Resident #34 had hourly visual checks planned and Certified Nurse Aide #31 documented verification of visual checks when the resident was not present in the facility. […]

• No harm, potential for more than minimal, patternF694Jul 10, 2026

  Based on observation, record review, and interviews (iQIES Intake 3009492) the facility failed to ensure intravenous (through a vein) medications were administered consistent with professional standards of practice and in accordance with physician orders for two of two residents (Residents #122 and #124) reviewed. Specifically, Resident #124's intravenous Zosyn (antibiotic) was not administered timely; their vancomycin (antibiotic) was administered at an incorrect concentration and rate; the provider was not notified of an infiltration (leakage into surrounding tissue) of the resident's intravenous vancomycin; and their intravenous line was not capped when the resident left the facility for an appointment. […]

• No harm, potential for more than minimal, patternF804Jul 10, 2026

  Based on observations and interviews, the facility failed to ensure residents were provided food and drink that was palatable, flavorful, and at an appetizing temperature for two of two test trays (lunch tray on 07/07/2026 and lunch tray on 07/08/2026) and seven anonymous residents present at the resident meeting. Specifically, the 07/08/2026 lunch tray included hot foods served below 130 degrees Fahrenheit and cold foods served above 41 degrees Fahrenheit and foods that were not palatable; the 07/07/2026 lunch tray was missing an item listed on the meal ticket and had foods that were not palatable; and seven anonymous residents at the resident meeting stated the hot food was often cold, flavorless, and did not look good. […]