Norwegian Christian Home And Health Center

In the surveyor’s words

From the most serious findings on record at Norwegian Christian Home And Health Center, in the surveyor’s own words.

• Immediate jeopardy, patternF604Mar 23, 2022

  Based on observation, record review, and interviews conducted during an Abbreviated survey (NY00281980) the facility did not ensure that residents are free from physical restraints imposed for purposes of discipline or convenience and that are not required to treat the residents' medical symptoms. This was evident for 7 of 7 residents sampled for Physical Restraints (Resident #s 1, 2, 3, 4, 5, 6, and 7). Specifically: A resident (Resident #1), diagnosed with Dementia and moderately impaired cognition, was found to have a laceration between the left thumb and index finger and blood on side rails on 08/16/2021. The resident was transferred to the hospital and received seven stitches. […]

• No harm, potential for more than minimal, widespreadF841Mar 23, 2022

  Based on observation, record reviews and staff interviews conducted during a complaint (NY00281980) and Partial extended survey, the Medial Director did not ensure that the facility provided care in accordance with current standards of practice to meet the needs of 7/7 residents reviewed for Physical Restraints. Specifically, The Medical Director failed to ensure that side rails were identified as restraints for 7 of 7 Dementia residents reviewed. (Residents #1, #2, #3, #4, #5, #6, #7). All 7 residents required extensive assist for bed mobility and were unable to independently remove the side rails or use the side rails to turn from side to side or move up or down in bed. […]

• No harm, potential for more than minimal, patternF880Aug 16, 2024

  Based on observations, record review, and interview conducted during the Recertification Survey from 08/12/2024 to 08/16/2024, the facility did not ensure infection prevention and control practices and procedures were maintained to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections. This was evident in 2 (Residents #4 and #123) of 2 residents reviewed for Urinary Catheter. Specifically, Resident #4's and #123's urinary drainage bags were observed on the floor in multiple occasions. The findings are: The facility's policy and procedure titled Urinary Catheter Care with a revised date of 04/02/2024 documented that the purpose of the policy and procedure is to prevent catheter-associated urinary tract infections. […]

• No harm, potential for more than minimal, patternF609Mar 23, 2022

  Based on record reviews and staff interviews during an abbreviated Survey NY00282169 on 02/17/2022 and NY00281980 on 03/18/2022 through 03/23/2022, the facility did not ensure that all alleged violations involving abuse, neglect, exploitation, or mistreatment were reported to the New York State Department of Health (NYSDOH) for 2 out of 2 sampled residents Resident # 9 and Resident # 1. Specifically, for Resident #9 the facility received a report of an allegation of abuse involving a Certified Nursing Assistant (CNA#1) on 08/24/2021 and did not report the incident to the NYSDOH until 08/27/2021. Additionally, an allegation of abuse involving Resident #1 and CNA#2 was reported to the facility on [DATE] and was not reported to NYSDOH until 08/24/2021. […]

• No harm, potential for more than minimal, isolatedF655Aug 16, 2024

  Based on record review and staff interviews conducted during the Recertification Survey from 08/12/2024 to 08/16/2024, the facility did not ensure that the resident and their representative were provided with a summary of the baseline care plan. This was evident in 1 (Resident #9) of 2 residents reviewed for Comprehensive Care Plan out of 31 total sampled residents. Specifically, Resident #9 was not provided a written summary of their baseline care plan. The findings are: The facility's policy titled Care Planning - Baseline with a revised date of 04/2022 documented that a baseline care plan for each resident is developed within 48 hours of completion of the resident assessment. […]