MVHS Rehabilitation and Nursing Center

In the surveyor’s words

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

• Actual harm, isolatedF600Apr 28, 2022

  Based on record review, observation, and interview during the abbreviated survey (NY 696), the facility failed to ensure residents were free from abuse for 1 of 3 residents (Resident #1) reviewed. Specifically, the facility did not prevent Resident #1 from being sexually abused by certified nurse aide (CNA) #15. The sexual assault of Resident #1 resulted in actual harm to Resident #1 that was not Immediate Jeopardy. Findings include: The facility's Reporting Abuse to Facility Management Policy effective since 3/2000 documented for Sexual Abuse/Rape; staff reports immediately any suspected rape/sexual abuse of a resident/patient to his/her Manager/Supervisor, the person in charge of the facility at the time the report is made, and/or the Director of Nursing (DON)/designee. […]

• No harm, potential for more than minimal, widespreadF585Jul 22, 2025

  Based on observations, record review, and interviews during the recertification survey conducted 7/16/2025-7/22/2025, the facility did not ensure a process was in place for residents to have their grievances addressed appropriately for all190 of 190 residents residing in the facility. Specifically, information on how to file a grievance and grievance forms were not available to the residents and the facility did not have a process for residents to file an anonymous grievance. Additionally, 8 of 8 anonymous residents present at the resident group meeting did not know where to obtain grievances forms or their right to file anonymously and did not know who the facility grievance officer was. […]

• No harm, potential for more than minimal, patternF806Jul 22, 2025

  Based on observations, record review, and interviews during the recertification survey conducted 7/16/2025-7/22/2025, the facility did not ensure each resident received and the facility provided food that accommodated allergies, intolerances and preferences for 12 of 18 residents (Resident #3, #17, #47, #56, #67, #86, #110, #117, #146, #150, #158 and #187) reviewed. Specifically, Residents #3, #17, #47, #56, #67, #86, #110, #117, #146, #150, #158 and #187 were not provided hot beverages as specified on their meal ticket. […]

• No harm, potential for more than minimal, patternF812Jul 22, 2025

  Based on observations and interviews during the recertification survey conducted 7/16/2025-7/22/2025, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service for one (1) of three (3) walk-in coolers (the meat and dairy cooler) in the main kitchen. Specifically, the meat and dairy walk-in cooler did not maintain food temperatures below 41 degrees Fahrenheit as required.Findings include: The United States Food and Drug Administration Food Code (current as of 1/8/2025) Section 3-501.12 Time/Temperature Control documented temperature control for food under refrigeration would maintain the food temperature at 41 degrees Fahrenheit or less. […]

• No harm, potential for more than minimal, patternF804May 28, 2021

  Based on observation, record review, and interview during the recertification survey conducted 5/24/21-5/28/21, the facility did not ensure food and drinks were palatable, attractive, and at a safe and appetizing temperature for 3 of 3 meals (5/26/21 lunch, 5/27/21 lunch, and 5/28/21 lunch) reviewed. Specifically, food and drinks were not served at palatable temperatures including chef salad, lemon mousse, yogurt, turkey and cheese sandwich, tossed salad, fries, coleslaw and milk). Findings include: The April 2021 Food Committee Meeting minutes documented that vegetables were mushy, and juices/milks were not as cold as residents would prefer. […]