Oneida Health Rehabilitation and Extended Care

In the surveyor’s words

From the most serious findings on record at Oneida Health Rehabilitation and Extended Care, in the surveyor’s own words.

• Immediate jeopardy, isolatedF578Apr 25, 2025

  Based on record review and interviews during the abbreviated survey (NY00377944), the facility failed to ensure that Advance Directives were implemented in a manner that was consistent with residents' wishes for one (1) of three (3) residents (Resident #1) reviewed. Specifically, Resident #1 had a physician order for a Full Code (consent to receive life-saving measures in the event of cardiac or respiratory arrest). When the resident was found unresponsive, facility staff failed to timely initiate a Code Blue (signal indicating a medical emergency) and perform cardiopulmonary resuscitation (CPR). Resident #1 was subsequently transferred to the emergency department where they expired. […]

• Actual harm, isolatedF700Nov 24, 2021

  Based on observation, record review, and interview during the abbreviated survey (NY 263) conducted on 11/24/21, the facility failed to ensure attempts were made to use appropriate alternatives prior to installing a side or bed rail; failed to assess residents for risk of entrapment from bed rails prior to installation; failed to review the risks and benefits of bed rails with the resident or resident representative, and failed to obtain informed consent prior to installation for 2 of 6 residents (Residents #1 and 2) reviewed. […]

• No harm, potential for more than minimal, patternF812Jan 27, 2026

  Based on observations, record review, and interviews during the recertification survey, the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for four (4) out of twelve (12) kitchen staff (Dietary Aides #14, #15, #16, and #17). Specifically, Dietary Aides #14, 15, 16, and 17 had improper hair restraints while preparing food and meal trays in the main kitchen. Findings include:The facility policy Sanitation and Infection Control, revised 05/2023, documented employees would wear hair restraints. Men with beards and/or mustaches would wear beard restraints. […]

• No harm, potential for more than minimal, patternF677Apr 12, 2024

  Based on observation, record review, and interviews during the recertification survey conducted 4/9/2024-4/12/2024, the facility did not ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 4 of 8 residents (Residents #12, #38, #40 and #58) reviewed. Specifically, Resident #12 had unclean and untrimmed fingernails; Resident #40 was not assisted out of bed for toileting; Resident #58 was not assisted with toileting every 2 hours as care planned; and Resident #38 had unclean fingernails. […]

• No harm, potential for more than minimal, patternF725Apr 12, 2024

  Based on observation, record review, and interviews during the recertification survey conducted 4/9/2024-4/12/2024 the facility did not ensure sufficient nursing staff to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being for 12 of 12 anonymous residents. Specifically, during a confidential resident group meeting residents stated their call bells were not answered timely and meals were not hot when served due to the lack of staff. Additionally, deficiencies related to staffing levels were identified in the areas Activities of Daily Living (F 677), Food Palatability (F804), and Activities (F 679). […]