Munson Healthcare Otsego Memorial Hospital LTCU

In the surveyor’s words

From the most serious findings on record at Munson Healthcare Otsego Memorial Hospital LTCU, in the surveyor’s own words.

• Actual harm, isolatedF689Apr 1, 2026

  This citation pertains to intake: 2614163Based on interview and record review, the facility failed to implement fall preventions for one Resident (R6) of two residents reviewed for falls. This deficient practice resulted in a fractured 5th digit for R6 when a fall mat and bed alarm were not in place and functioning. Findings include:Review of R6's Electronic Medical Record (EMR) revealed admission to the facility on [DATE] with diagnoses including dementia. R6's 8/15/25 Minimum Data Set (MDS) assessment revealed she was unable to complete the Brief Interview for Mental Status (BIMS) score and was noted by staff to have severely impaired cognition.Review of the facility's reported fall incident for R6 dated 8/17/26 read, in part, On 8/17/26 at 10:10 PM, (R6) was found on the right side of… […]

• No harm, potential for more than minimal, widespreadF812Apr 1, 2026

  Based on observation, interview, and record review, the facility failed to prepare food in accordance with professional standards for food service safety, resulting in the potential to spread food borne illness among all residents that consume food from the kitchen. Findings include:On 03/31/2026 at 2:45 PM the three-compartment sink was noted to not be properly air gapped and soap was bubbling up out of the floor drain. Kitchen staff had just emptied out the first compartment (wash) of the sink upon arrival. During this observation cook H, stated that happens all of the time, with other staff in the room agreeing with her. […]

• No harm, potential for more than minimal, widespreadF880Apr 1, 2026

  Based on interview and record review, the facility failed to:Implement an infection prevention and control program (IPCP) that included infection identification and surveillance to prevent the transmission of infectious organisms to all 24 residents in the facilityTrack and correlate a contagious and infectious organism for one Resident (R25) of five residents reviewed for infection prevention and control.Findings include:Resident #25 (R25) was transferred from the hospital to the facility on 2/14/26 with Clostridium difficile infection (CDI - a highly contagious bacterial infection that can be life-threatening). […]

• No harm, potential for more than minimal, widespreadF868Feb 13, 2025

  Based on interview and record review, the facility failed to ensure the Quality Assurance and Performance Improvement (QAPI) committee met at least once per quarter with the required committee members resulting in the potential for quality-of-care concerns for all 27 residents in the facility. Findings include: On 2/13/2025 at 2:00 p.m., a review of the available attendance documentation for QAPI meetings with the interim-Nursing Home Administrator (NHA) and the Director of Nursing (DON), revealed the following: Meeting held on 2/5/2025: The Medical Director or designee did not attend. Meeting held on 10/24/2024: No attendance record found. […]

• No harm, potential for more than minimal, widespreadF842Mar 27, 2024

  Based on observation, interview, and record review the facility failed to provide timely Electronic Medical Record (EMR) access for their annual recertification survey. Findings include: On 3/25/24 at 9:55 AM, an entrance conference was conducted with the Nursing Home Administrator (NHA). The NHA was informed of the requirements on the Entrance Conference Worksheet, dated 10/2023, read in part, .INFORMATION NEEDED BY THE END OF THE FIRST DAY OF SURVEY .37. Provide each surveyor with access to all resident electronic health records - do not exclude any information that should be a part of the resident's medical record. Provide specific information on how surveyors can access the EHRs outside of the conference room. […]