Oakridge of Plattsburg

In the surveyor’s words

From the most serious findings on record at Oakridge of Plattsburg, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 17, 2025

  Based on observation, interview and record review, the facility failed to provide adequate supervision and a safe dining environment for one resident (Resident #1) who sustained burns to the fingers on the right hand, when left un-attended during meal service and was witnessed by Resident #2. This affected one out of four residents sampled. The facility census was 52.On 10/14/25, the Administrator was notified of the past noncompliance which occurred on 10/7/25. On 10/7/25, facility administration was notified of the incident, an investigation immediately began, and corrective action were implemented to include a new policy for meal service for residents who require assistance, and staff training regarding meal service that included staff education that supervision and assistance must be… […]

• Actual harm, isolatedF689Jul 6, 2022

  Based on observation, interview, and record review, the facility failed to provide supervision and protective over sight for one sampled resident (Resident #1), when he/she was found with an acute comminuted displaced fracture (a bone broken in 2 places, caused by severe trauma) of his/her left humerus (left upper arm bone). The facility census was 57. The facility did not provide a policy in regards to preventing accidents or providing supervision and protective over sight. Review of the facility's policy regarding Transfers with Mechanical Lift, dated 8/24/2018, showed: -Policy: To make sure that each resident receives adequate supervision and assistance devices to prevent accidents. Any resident unable to bear own weight will use the Mechanical Lift. […]

• No harm, potential for more than minimal, patternF584Mar 6, 2026

  Based on observation and interview, the facility failed to provide a clean and home like environment for three sampled residents (Resident #4, #14 and #27), when the facility did not ensure window curtains were in good repair and air conditioning units were clean in resident rooms and failed to ensure bathrooms in resident rooms were in good repair. This affected three of 14 sampled residents (Resident #4, #14 and #27). The facility census was 55. The facility did not provide the requested policy on environment.1. […]

• No harm, potential for more than minimal, patternF677Mar 6, 2026

  Based on observation, interview and record review, the facility failed to provide adequate Activities of Daily Living (ADL) cares for dependent residents when the facility allowed a resident to remain in his/her wheelchair for over four hours without repositioning the resident, toileting the resident, providing oral care after meals or offering the resident a drink; affecting one resident (Resident #29). And when the facility failed to ensure proper perineal care was provided to one resident when a staff member used a disposable cleansing wipe multiple times to clean bowel movement off of a resident (Resident #25). […]

• No harm, potential for more than minimal, patternF690Mar 6, 2026

  Based on observation, interview, and record review the facility failed to ensure residents with an indwelling catheter received the appropriate care and services to prevent urinary tract infections to the extent possible when the facility failed to ensure proper catheter care was provided for two (Resident #25 and Resident #8) of the 14 sampled residents. The facility census was 55. Review of the facilities Catheter, Emptying Urinary Drainage Bag policy, dated 1/31/24, showed:- Place a paper towel beneath the drainage bag;- Position the measuring container under the drainage bag;- Remove the drainage tube from it's holder;- Open the drainage and let urine flow into the measuring container;- After the drainage bag has emptied, close the drain;- Wipe the drain with an alcohol sponge or… […]