New Lebanon Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at New Lebanon Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF725Sep 18, 2024

  Based on record review, interview, observation, nursing staff schedule review, facility assessment review, and policy review, the facility failed to maintain sufficient levels of state tested nursing staff and licensed nursing staff to meet the total care needs of all facility residents. This resulted in Immediate Jeopardy when on 08/26/24 at 7:00 A.M., there were three licensed practical nurses (LPN) and two state tested nurse aides (STNA) on duty to provide for the routine care, monitoring, medication administration, assessments, response to urgent resident needs and/or treatments for all 105 residents residing in the facility. […]

• Immediate jeopardy, patternF686Sep 18, 2024

  Based on record review, observation, interview, review of the National Pressure Ulcer Advisory Panel (NPUAP) information, and policy review, the facility failed to provide adequate care and services to prevent and timely identify pressure ulcers and injuries for Residents #37, #86, and #4. This resulted in Immediate Jeopardy and serious life-threatening harm, injuries, and/or negative health outcomes, when Resident #37 developed six facility acquired deep tissue pressure injuries and was hospitalized for osteomyelitis. Additionally, Resident #86 developed facility acquired unstageable (the base of the wound is covered by dead tissue) pressure ulcers to the coccyx, left heel, and left lateral ankle, and was hospitalized for osteomyelitis. […]

• Actual harm, isolatedF760Jul 6, 2022

  Based on medical record review, review of hospital records, pharmacist and staff interview, and review of medication information from Medscape, the facility failed to administer antibiotic ([MEDICATION(S)]) ear drops as prescribed by the physician to treat a resident's ear infection resulting in a significant medication error. This resulted in Actual Harm when staff failed to administer Resident #90's antibiotic ear drops as physician ordered and the resident was subsequently hospitalized for severe otitis media/otitis externa (ear infection) along with mastoiditis. This affected one (#90) out of three residents reviewed for medication administration. […]

• No harm, potential for more than minimal, widespreadF812Sep 30, 2025

  Based on observations, staff interview and policy review, the facility failed to prepare, store, and distribute food in a safe manner. This had the potential to affect all 96 residents who received food from the facility. The facility census was 96Findings include:1.Observation on 09/22/25 at 8:23 A.M. revealed during the initial tour with the DM #155 revealed a swarm of flying gnats throughout the kitchen areas.Interview on 09/22/25 at 8:25 A.M. confirmed the facility has an ongoing issue with fruit flies and gnats. DM #155 stated she will check to ensure she does not have overripe bananas as she peered over a box of bananas and confirmed that is not the issue to cause the active gnats. DM #155 stated the facility has an ongoing issue with active gnats in the kitchen.2. […]

• No harm, potential for more than minimal, widespreadF880Dec 31, 2024

  Based on record review, staff interview, review of the directive from Centers for Medicare and Medicaid Services (CMS), and facility policy review, the facility failed to notify the local health department of a COVID-19 facility outbreak that began on 11/16/24 and ended on 12/24/24. This had the potential to affect all residents in the facility. The facility census was 88. Findings include: Review of the facility infection control log and map confirmed the facility had an outbreak of COVID-19 on 11/16/24 through 12/24/24. Interview on 12/30/24 at 4:51 P.M. with the Administrator confirmed the facility experienced an outbreak of COVID-19 from 11/16/24 though 12/24/24. […]