Loretto Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Loretto Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Aug 29, 2025

  Based on observations, record review, and interviews during the recertification and abbreviated (NY00367212/446001) surveys conducted 8/25/2025-8/29/2025, the facility did not ensure a safe, clean, comfortable, and homelike environment for four (4) of fourteen (14) resident units ([NAME] Units 4, 5, 7, and 13) reviewed. Specifically, Resident #63 had dirty linens, and a soiled brief left at their bedside; Resident #187's room had a ceiling tile with a large brown stain and an unclean privacy curtain; Resident #314's room had a ceiling tile with a medium black stain; Resident #21's window shade had several brown spots; and Resident #373's wheelchair was unclean. […]

• No harm, potential for more than minimal, patternF689Aug 29, 2025

  Based on observations, record review, and interviews during the recertification survey conducted 8/25/2025 - 8/29/2025, the facility did not ensure the resident environment remained free of accident hazards for three (3) of three (3) residents (Residents #5, #63, and #510) reviewed. Specifically, Residents #5, #63, and #510 were transferred via a mechanical lift with assistance of one and not assistance of two as planned.Findings includeThe facility policy Transferring Residents with Assistive Devices, dated 4/1/2024 documented Physical and Occupational Therapy were responsible for evaluating the resident and updating the activities of daily living care plan for levels of assistance and transfer status. […]

• No harm, potential for more than minimal, patternF761Aug 29, 2025

  Based on observations, record review, and interviews during the recertification survey conducted 8/25/2025-8/29/2025, the facility did not ensure drugs and biologicals were stored in accordance with currently accepted professional standards for four (4) of thirteen (13) medication carts (4th floor cart [NAME] building, and 5th, 7th,and 6th floor [NAME] carts), two (2) of fourteen (14) treatment carts (2nd and 4th floor [NAME] carts) and one (1) of seven (7) medication storage rooms (5th floor [NAME] medication room). […]

• No harm, potential for more than minimal, patternF804Aug 29, 2025

  Based on observations, record review, and interviews during the recertification and abbreviated (NY002586082/iQIES 446001) surveys conducted 8/25/2025-8/29/2025, the facility did not ensure food was served at palatable and appetizing temperatures in accordance with professional standards for food service for 9 anonymous residents and 2 of 2 test trays (8/27/2025 and 8/28/2025 lunch meals) reviewed. Specifically, the lunch meal test trays on 8/27/2025 and 8/28/2025 were not flavorful or served at palatable and appetizing temperatures; and 9 anonymous residents at the Resident Council Meeting stated the food was often cold, not flavorful, and overcooked. Findings: The facility policy Resident Meals, dated 1/2020, documented each resident received meals that were nourishing and palatable. […]

• No harm, potential for more than minimal, patternF812Aug 29, 2025

  Based on observations, record review, and interviews during the recertification survey conducted 8/25/2025-8/29/2025, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety for two (2) of two (2) kitchens (basement and second floor main kitchens), and four (4) of fourteen (14) kitchenettes ([NAME] 13, [NAME] 2, 3, and 4 kitchenettes) reviewed. Specifically, the basement and second floor kitchens had unclean areas, standing water, and appliances in disrepair; [NAME] 3 kitchenette had expired food; [NAME] 2 kitchenette had expired food and undated foods; [NAME] 4 kitchenette had expired food; and [NAME] 13 kitchenette had out of range refrigerator temperature and food, and incomplete temperature logs. […]