Mountainside Residential Care Center

In the surveyor’s words

From the most serious findings on record at Mountainside Residential Care Center, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 26, 2024

  Based on observations, record review, and interviews during a recertification and abbreviated survey (Case #NY00338924), the facility did not ensure the resident environment remained free of accident hazards for one resident (Resident #25) out of six sampled residents. Specifically, on 4/11/2024 a windowpane on the third floor care unit, which had previously been identified as a potential hazard and in need of repair; fell inward when Resident #25 tried to close the window. Subsequently, Resident #25 sustain a laceration to their scalp which required six stables to close the wound. This resulted in actual harm that was not immediate jeopardy for Resident #25. […]

• Actual harm, isolatedF689Jul 26, 2024

  Based on observations, record review, and interviews during a recertification and abbreviated survey (Case #NY00338924), the facility did not ensure the resident environment remained free of accident hazards for one resident (Resident #25) out of six sampled residents. Specifically, on 4/11/2024 a windowpane on the third floor care unit, which had previously been identified as a potential hazard and in need of repair; fell inward when Resident #25 tried to close the window. Subsequently, Resident #25 sustain a laceration to their scalp which required six stables to close the wound. This resulted in actual harm that was not immediate jeopardy for Resident #25. […]

• No harm, potential for more than minimal, isolatedF600Jul 29, 2024

  Based on record review and interviews during an abbreviated survey (Case #s NY00347949 and NY00347739), the facility did not ensure the resident had the right to be free from abuse for 2 (Resident #s 1 and 2) of 4 residents reviewed for abuse. Specifically, on 7/08/2024, Resident #2 was observed in Resident #1's room with their hand down the front of Resident #1's gown holding their left breast and attempting to kiss the resident. Both residents had severe cognitive impairment and could not consent. This is evidenced by: The Policy and Procedure titled, Nursing Services: Resident Abuse, Neglect, Mistreatment, Exploitation, Misappropriation, Reporting and Elder Justice Act dated August 2001, documented the resident would be free from all sexual abuse. […]

• No harm, potential for more than minimal, isolatedF609Jul 29, 2024

  Based on record review and interviews during an abbreviated survey (Case #s NY00347949 NY00347739), the facility did not ensure in response to allegations of abuse that all alleged violations involving abuse were reported immediately, but not later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse for 3 (Resident #s 1, 2, and 3) of 4 residents reviewed for abuse. Specifically, the facility did not report witnessed resident-to-resident sexual abuse between Resident #s 1 and 2, neither of whom were cognitively intact within 2 hours. Additionally, the facility did not report suspected sexual abuse within 2 hours for an alleged resident-to-resident incident that involved Resident #s 2 and 3. Resident #2 was not cognitively intact. […]

• No harm, potential for more than minimal, isolatedF742Jul 29, 2024

  Based on record review and interview during an abbreviated survey (Case #s NY00347949 and NY00347739), the facility did not ensure a resident who displayed or was diagnosed with a mental disorder received appropriate treatment and services to correct the assessed problem or to attain the highest practicable mental and psychosocial well-being for 2 (Resident #s 1 and 2) of 4 residents reviewed. Specifically, Resident #1's care plan documented to notify a mental health provider if they had signs of post- traumatic stress disorder following a witnessed incident of sexual abuse by Resident #2. […]