Oneida County Hospital & Long Term Care Facility

In the surveyor’s words

From the most serious findings on record at Oneida County Hospital & Long Term Care Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF578May 13, 2026

  Based on policy review, record review, and staff interview, it was determined the facility failed to ensure the residents and their representatives received assistance to exercise their right to formulate an Advanced Directive. This was true for 2 of 12 residents (Resident #4 and #19) whose records were reviewed for advanced directives. This deficient practice created the potential for harm or adverse outcomes if residents' wishes were not followed or documented regarding their advance care planning. […]

• No harm, potential for more than minimal, isolatedF627May 13, 2026

  Based on policy review, record review, and staff interviews it was determined the facility failed to ensure appropriate discharge planning was documented in the resident's medical record and appropriate resident information was communicated to the resident's representative for 1 of 1 resident (Resident #27) reviewed for discharge. This deficient practice had the potential to result in adverse outcomes or harm if the resident did not receive appropriate care after discharge. Findings include: The facility's Discharge Summary policy approved date 4/22/25, documented it is the policy of the facility to ensure that a discharge summary is provided upon a resident's discharge which addresses each resident's discharge goals and needs, including caregiver support and referrals to local contact… […]

• No harm, potential for more than minimal, isolatedF644May 13, 2026

  Based on record review, staff interviews, and policy review it was determined the facility failed to refer residents for recommended further evaluation when residents were diagnosed with a major mental illness. This was true for 1 of 2 residents (Resident #2) reviewed for Pre-admission Screening and Resident Review (PASRR) Level II evaluations. This deficient practice had the potential to cause harm if residents' PASRR Level II recommendations for specialized services needs were not referred for evaluation and incorporated in the resident's care. Findings include:The facility's Resident Assessment - Coordination with PASRR Program policy, dated 8/18/25, documents 7. […]

• No harm, potential for more than minimal, isolatedF645May 13, 2026

  Based on record review, interviews, and policy review it was determined the facility failed to refer residents for further evaluation when residents were diagnosed with a major mental illness. This was true for 1 of 2 residents (Resident #1) reviewed for Pre-admission Screening and Resident Review (PASRR) Level I and Level II evaluations. This deficient practice had the potential to cause harm if residents' specialized services for mental health needs were not evaluated by an appropriate state-designated authority. Findings include: The facility's Resident Assessment - Coordination with PASRR Program policy, dated 8/18/25, documents 1. All applicants to this facility will be screened for serious mental disorders or intellectual disabilities and related conditions.a. […]

• No harm, potential for more than minimal, isolatedF700May 13, 2026

  Based on record review, observation, staff interviews, and policy review it was determined the facility failed to ensure that prior to the placement of bed rails, a resident assessment was completed that included alternatives to bed rail use were attempted and how the alternatives failed to meet the resident's assessed needs.This was true for 1 of 12 residents (Resident #3) reviewed for bed rails.This failure created the potential for harm due to the risk for injury, entrapment and/or death. Findings include:The facility's Proper Use of Bed Rails policy, reviewed date 6/5/25, documented.Policy Explanation and Compliance Guidelines: Resident Assessment 2. […]