Northwoods Rehab and Nursing Center at Moravia

In the surveyor’s words

From the most serious findings on record at Northwoods Rehab and Nursing Center at Moravia, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Nov 18, 2025

  Based on record review and interviews during the recertification survey conducted 9/22/2025-9/25/2025, the facility did not ensure there were services of a Registered Nurse for at least eight consecutive hours, seven days a week. Specifically, the facility did not provide eight (8) consecutive hours of Registered Nurse coverage on 9/6/2025, 9/14/2025, 9/15/2025-9/18/2025, and 9/21/2025 as required, and did not have a waiver. Findings include:The Facility Assessment, revised 4/22/2025, documented the number of licensed beds was 40, and the average daily census was 35. […]

• No harm, potential for more than minimal, patternF761Nov 18, 2025

  Based on observations and interviews during the recertification survey conducted 9/22/2025-9/25/2025, the facility did not ensure drugs and biologicals were labeled and stored in accordance with currently accepted professional principles for two (2) of two (2) medication carts (Sides 1 and 2 medication carts), one (1) of one (1) medication room, and one (1) of one (1) treatment cart reviewed. Specifically, the Side 1 medication cart contained medications that were not dated when opened, and expired medications; the Side 1 and Side 2 medication carts and treatment cart were unlocked and unattended; and the medication room refrigerator was unclean and had a large buildup of ice on the back. […]

• No harm, potential for more than minimal, patternF700May 25, 2022

  Based on observation, record review and interview during the recertification survey conducted 5/23-5/25/22, the facility failed to assess residents for risk of entrapment from bed rails prior to installation, review the risks and benefits of bed rails with the resident or resident representative and obtain informed consent for 4 of 12 residents (Residents #4, 9, 24 and 35) reviewed. Specifically, - for Residents 4, 9, 24, and 35 there was no documentation bed rail assessments were completed, no documentation the risks/benefits of bed rails was explained to the resident/representative prior to their implementation, no physician orders for bed rails, and the care instructions and comprehensive care plans (CCP) did not document a plan for bed rail use. […]

• No harm, potential for more than minimal, isolatedF610Nov 18, 2025

  Based on observations, record review, and interviews during the recertification and abbreviated (IQIES 676829) surveys conducted 9/22/2025-9/25/2025, the facility did not ensure allegations of abuse, neglect, or mistreatment were thoroughly investigated for two (2) of four (4) residents (Residents #32 and #45) reviewed. Specifically, the facility did not complete a thorough investigation after neglect related to medication errors and did not report the incidents to the New York State Department of Health as required.Findings include: The facility policy Accident and Incident Investigation, revised 4/3/2024, documented the reporting of incidents, accidents and abuse to state and federal agencies needed to follow agency guidelines. […]

• No harm, potential for more than minimal, isolatedF680Nov 18, 2025

  Based on record review and interviews during the recertification survey conducted 9/22/2025-9/25/2025, the facility did not ensure the activities program was directed by a qualified person responsible for directing the development, implementation, supervision and ongoing evaluation of the activities program. Specifically, Director of Activities #9 was not qualified to direct the provision of activities to the residents. Findings include:The facility's Director of Activities Job Description undated documented the Director of Activities is responsible for planning, organizing, staffing, directing, coordinating, reporting, budgeting, and physical management of the activities department's employees and equipment to implement an on-going diversified program of activities to meet the individual… […]