NYS Veterans Home in NYC

In the surveyor’s words

From the most serious findings on record at NYS Veterans Home in NYC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF600Dec 10, 2024

  Based on observation, record review, and interviews during abbreviated Survey (NY00361611, NY00363114), the facility did not protect a resident's right to be free from physical abuse by nursing home staff. This was evident in two out of seven residents sampled (Resident #1 and #4). Specifically, on 12/04/2024 at 10:37 AM, the facility's surveillance camera recording was reviewed and showed on 11/23/2024 at 3:00 PM, there was a physical altercation between Resident #1 and Security Guard #1. The facility's investigative notes dated 11/27/2024, documented on 11/23/2024, Registered Nurse Supervisor #1 and Registered Nurse #1 observed Security Guard #1 grabbed Resident #1 by the collar of Resident #1's clothes and held Resident #1 against the wall. […]

• No harm, potential for more than minimal, patternF812May 16, 2024

  Based on observations, record review, and interviews conducted during the Recertification survey from [DATE] to [DATE], the facility did not ensure food was stored, prepared and served in accordance with professional standards for food service safety to prevent foodborne illness. This was evident during kitchen observation. Specifically, milk was stored above 41 degrees Fahrenheit and expired food was observed in the dry storage room in the kitchen. The findings are: The facility policy titled Food Service Sanitation Guidelines dated ,d+[DATE] documented if potentially hazardous food exceeded 41 degrees Fahrenheit for more than 2 hours, discard the food. On [DATE] at 09:50 AM, the kitchen was observed with the Dining Services Director. […]

• No harm, potential for more than minimal, isolatedF609Dec 2, 2025

  Based on record review and interview conducted during an abbreviated survey (# 2623262), the facility did not ensure they reported the results of all investigations to the administrator or his or her designated representative and to other officials in accordance with State law, including to the State Survey Agency, within five (5) working days of the incident. This was evident for one (1) of three (3) residents (Resident #1) reviewed. Specifically, the results of the investigation for Resident #1 was not submitted to the New York State Department of Health within five working days of the incident.The findings are: The facility policies titled 'Prevention of Abuse, Mistreatment, Neglect, Exploitation, and Misappropriation of Resident Property' dated 01/2025 and 'Resident's Accidents… […]

• No harm, potential for more than minimal, isolatedF658May 16, 2024

  Based on record review and interviews conducted during the Recertification and Abbreviated (NY00334937) survey from 5/9/2024 to 5/16/2024, the facility did not ensure services provided met professional standards. This was evident for 1 (Resident #24) of 38 total sampled residents. Specifically, Licensed Practical Nurse #5 did not inform the Registered Nurse and Medical Doctor when Resident #24 had a fall incident. The findings are: The facility's policy titled Standards of Nursing Practice and Nursing Care dated 1/22/2022 documented standards of care employed by the nurse includes implementing nursing actions and interventions that promote, maintain, and or restore physical and mental health, prevent illness, and effect rehabilitation and recovery and/or enhance quality of life. […]

• No harm, potential for more than minimal, isolatedF684May 16, 2024

  Based on record review and interviews conducted during the Recertification and Abbreviated (NY00334937) survey from 5/9/2024 to 5/16/2024, the facility did not ensure a resident received quality of care. This was evident for 1 (Resident #24) of 38 total sampled residents. Specifically, Licensed Practical Nurse #5 did not inform the Registered Nurse when Resident #24 sustained a fall, delaying an assessment of the resident's condition and potential injuries. The findings are: The facility's policy titled Standards of Nursing Practice and Nursing Care dated 1/22/2022 documented standards of care employed by the nurse includes implementing nursing actions and interventions that promote, maintain, and or restore physical and mental health, prevent illness, and effect rehabilitation and… […]