Margaret Tietz Center for Nursing Care Inc

In the surveyor’s words

From the most serious findings on record at Margaret Tietz Center for Nursing Care Inc, in the surveyor’s own words.

• Actual harm, isolatedF689May 29, 2024

  Based on staff interview and record review conducted during the Recertification and Complaint Survey (NY00325508) from 05/21/2024 to 05/29/2024, the facility did not ensure each resident received adequate supervision and assistance devices consistent with a resident's needs, goals, and care plan to prevent accidents. This was evident for 1 (Resident #134) of 38 total sampled residents. Specifically, Resident #134 required 2 staff assistance using mechanical lift for transfers as documented in the Comprehensive Care Plan. On 10/04/2023 at 5:30 PM, Certified Nursing Assistants #6 and #3 transferred Resident #134 from wheelchair to bed without using the mechanical lift. […]

• No harm, potential for more than minimal, isolatedF657May 29, 2024

  Based on record review and interview conducted during the Recertification Survey from 05/21/2024 to 05/29/2024, the facility did not ensure that a resident's comprehensive care plans were reviewed and revised to accurately reflect a resident's current status. This was evident in 1 of 38 sampled residents. Specifically, Resident #148's comprehensive care plan did not document Resident's urinary catheter was discontinued. The findings include: The facility policy titled Care Planning Process with effective date of 07/2022 documented the facility shall have a care planning process that is person centered which includes integrating assessment findings, developing an interdisciplinary care plan, regularly reviewing and revising the care plan, providing and documenting the care. […]

• No harm, potential for more than minimal, isolatedF641May 13, 2022

  Based on record review and interviews conducted during the Recertification survey from 5/9/2022 to 5/13/2022, the facility did not ensure that an assessment accurately reflected the resident's status. Specifically, the Minimum Data Set (MDS) 3.0 assessment inaccurately documented that a resident did not have [CONDITION(S)] in last 30 days. This was evident for 1 out of 1 resident reviewed for Resident Assessment out of an investigative sample of 38 residents. (Resident #138) The findings are: The facility policy & procedure titled MDS Assessment Version 3.0 with effective date 10/20 documented under section Responsible Discipline that each individual completing a portion of the assessment signs and certifies the accuracy of that portion of the assessment. […]

• No harm, potential for more than minimal, isolatedF657May 13, 2022

  Based on record review and interviews conducted during the Recertification Survey from 5/9/2022 to 5/13/2022, the facility did not ensure, to the extent practicable, that residents/resident representatives were involved in developing the comprehensive care plan and making decisions about their care. Specifically, the facility did not ensure that residents and resident representatives were afforded the opportunity to participate in the Comprehensive Care Plan (CCP) meeting. This was evident for 1 of 1 resident reviewed for Participation in Care Planning out of a sample of 38 residents. (Resident # 138) The findings are: The facility policy and procedure titled Care Planning Process with effective date 7/18 documented under section PROCEDURE 5. […]

• No harm, potential for more than minimal, isolatedF689May 13, 2022

  Based on observation, interview, and record review during the Recertification & Complaint Survey (NY 843) conducted from 5/9/22 - 5/13/22, the facility did not ensure the environment remained free of accident hazards as is possible, and that each resident received adequate supervision and assistance to prevent accidents. Specifically, 1) a resident sustained a blister to their right middle finger after using the unit microwave unsupervised and, 2) a resident was observed accessing the coffee dispensing machine in the unit pantry, without supervision and with a risk for injury. This was evident in 2 of 3 residents reviewed for Accidents out of a sample of 38 residents. (Resident #132 and #133) The findings are: 1. […]