Linden Center For Nursing And Rehabilitation

In the surveyor’s words

From the most serious findings on record at Linden Center For Nursing And Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jun 8, 2023

  Based on observations, record review, and interviews conducted during the Recertification and Complaint survey, the facility did not ensure safe food storage was practiced to prevent food-borne illness. This was evident during the initial tour of the Kitchen. Specifically, (1) expired enteral feed nutritional supplement was observed in the Kitchen's dry storage room and 8 oz cartons of enteral feeding/supplement in the water storage cage in the kitchen. (2) the facility did not ensure that potentially hazardous foods were kept at 41 degrees or below during tray line observation for the Kitchen observation. […]

• No harm, potential for more than minimal, patternF925Jun 8, 2023

  Based on observation, record review and staff interview conducted during the recertification survey (GW6011), the facility did not maintain an effective pest control program so that the facility is free of pests and rodents. Specifically, droppings were observed in the kitchen and emergency food and emergency water storage areas. This was evident for the Kitchen Observation facility task. The finding is: The facility policy titled Pest Control reviewed 11/2022 documented the facility will maintain an effective pest control program for insect and rodent control, food storage and proper cleaning is paramount. Pest control is carried out once weekly or more often if required. Under the direction of the Food Service Director, all areas of the kitchen are checked once week and as required. […]

• No harm, potential for more than minimal, isolatedF578Jun 8, 2023

  Based on interviews and record review conducted during the Recertification survey (GW6011) from [DATE] to [DATE], the facility did not ensure policies and procedures for advance directives were implemented to ensure advance directives would be followed. This was evident for 1 (Resident #73) of 2 resident reviewed for Advanced Directives out of 37 sampled residents. Specifically, Resident #73 had a Medical Orders for Life-Sustaining Treatment (MOLST) form indicating their Advanced Directives included Do Not Resuscitate (DNR)/Do Not Intubate (DNI), but Resident #73 had no orders for DNR/DNI in the medical record. In addition, the MOLST was not reviewed quarterly, and there were conflicting notes regarding the resident's code status in the medical record. […]

• No harm, potential for more than minimal, isolatedF580Jun 8, 2023

  Based on record review and interview conducted during the Recertification and Abbreviated survey (NY00314045) from 06/01/2023 to 06/08/2023, the facility did not ensure that a resident's designated representative was immediately notified of a significant change in the resident's condition and a need to initiate treatment. This was evident for 1 (Resident #473) of 1 resident reviewed for Notification of Change out of an investigative sample of 38 residents. Specifically, Resident #473's designated representative was not notified of new blisters to the lower extremities, deterioration of the wound to a Deep Tissue Injury (DTI) [blood blister], and the treatment implemented. […]

• No harm, potential for more than minimal, isolatedF609Jun 8, 2023

  Based on interviews and record review conducted during the Recertification and Complaint Survey (NY00316525) from 6/1/23 to 6/8/23, the facility did not ensure all alleged violations involving abuse were reported immediately, but not later than 2 hours after the allegations of abuse were made to the New [NAME] State Department of Health (NYSDOH). This was evident for 1 resident (Resident #573) of 3 residents reviewed for Abuse. Specifically, an incident of resident-to-resident abuse where Resident #573 alleged Resident #118 tightly held their left arm causing pain was not reported to NYSDOH timely. […]