Oneida Nursing and Rehab Center

In the surveyor’s words

From the most serious findings on record at Oneida Nursing and Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, patternF658Sep 22, 2023

  Based on facility policy review, professional standards review, medical record review, observation and interview, the facility failed to provide services which met professional standards of practice when a Registered Nurse (RN) #1 failed to administer essential medications, including anti-hypertensives, cardiac medications, and insulin, as ordered by the resident's physician, and failed to notify the physician when the essential medications had been withheld for 3 residents (Resident #3, #13, and #22) of 7 residents reviewed for medication administration. The facility's failure had the potential to create negative adverse outcomes to Residents #3, #13 and #22 and had the potential to affect all residents of the facility. […]

• Immediate jeopardy, patternF684Sep 22, 2023

  Based on facility policy review, medical record review, and interview the facility failed to ensure essential medications were administered as ordered by the physician and failed to notify the physician when the medications had been withheld, which had the potential to alter therapeutic drug levels and create negative adverse outcomes for 3 residents (Resident #3, #13, and #22) of 7 residents sampled for medication administration. The facility's failure placed Resident #3, Resident #13, Resident #22 in immediate jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, impairment, or death to a resident) and had the potential to affect all residents of the facility. […]

• Immediate jeopardy, patternF760Sep 22, 2023

  Based on facility policy review, medical record review, and interview, the facility failed to ensure 3 residents (Residents #3, #13, and #22) of 7 residents reviewed for Medication Administration were free of any significant medication errors when a Registered Nurse (RN) #1 failed to administer anti-hypertensives, cardiac medications, and insulin to the residents and failed to notify the physician after the essential medications had been omitted. The RN's failure to administer essential medications as ordered by the physician placed Residents #13 and #22 in immediate jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, impairment, or death to a resident) and had the potential to affect… […]

• No harm, potential for more than minimal, widespreadF867Jun 17, 2026

  Based on facility policy review, facility job description review, observations, and interviews, the facility failed to identify quality deficiencies related to Enhanced Barrier Precautions (EBP) and put action plans in place to prevent deficient practice. The facility's failure had the potential to affect 37 out of 37 residents. The findings include: Review of the facility's undated policy titled, QAPI [Quality Assurance and Performance Improvement] Plan, revealed .we are committed to focusing on clinical care .committed to using QAPI to improve our performance and practices to assure we meet and exceed regulatory requirements and standards .QAPI program encompasses all areas that impact quality of care .We will utilize available data from state and national organizations .The… […]

• No harm, potential for more than minimal, widespreadF880Jun 17, 2026

  Based on facility policy review, Infection Preventionist (IP) Job Description review, Centers for Disease Control and Prevention (CDC) website review, observations, and interviews, the facility failed to ensure the facility staff followed the most used up to date guidance for infection control procedures related to Enhanced Barrier Precautions (EBP). The failure was identified by a sample selected of 3 residents (Resident #21, Resident #5, and Resident #36) to review, the findings had the potential to affect the census population of 37 residents.The findings include: Review of the facility's undated policy titled, Infection Control Plan, revealed .Purpose .To provide overall direction to the facility wide Infection Control Program .Develop prevention, surveillance, and control measures to… […]