Onondaga Center for Rehabilitation and Nursing

In the surveyor’s words

From the most serious findings on record at Onondaga Center for Rehabilitation and Nursing, in the surveyor’s own words.

• Immediate jeopardy, widespreadF678Nov 20, 2025

  Based on record review and interviews during the recertification survey conducted [DATE]-[DATE], the facility failed to provide cardiopulmonary resuscitation prior to the arrival of emergency medical personnel and subject to related physician orders and the resident's advance directives for one (1) of three (3) residents (Resident #85) reviewed. Specifically, Resident #85 had a physician order for cardiopulmonary resuscitation (chest compressions and rescue breathing when there is no pulse and/or respirations) and an advance directive for cardiopulmonary resuscitation to be attempted. On [DATE], Resident #85 was found without a pulse and was not breathing, and staff did not initiate cardiopulmonary resuscitation. The resident was pronounced deceased by Emergency Medical Services. […]

• Immediate jeopardy, widespreadF812Aug 25, 2021

  Based on observation, interview, and record review during the abbreviated survey (NY 626) conducted on 8/25/21, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety affecting the entire facility. Specifically, the facility is using the inadequately-sanitized kitchen for preparation of food and drink for residents although sewage or liquid waste has not been properly cleaned and disposed of in an approved and sanitary manner. The kitchen walk-in cooler continues to have wastewater seeping up through the seams of the floor in the cooler. Wet footprints were observed tracking through the cooler and main kitchen area. […]

• Immediate jeopardy, patternF773Nov 20, 2025

  Based on record review and interviews during the recertification survey conducted [DATE]-[DATE] the facility failed to promptly notify the ordering physician of laboratory results that fell outside of clinical reference ranges for 3 of 3 residents (Residents #41, #60 and #85) reviewed. Specifically:-Resident #85 had abnormal laboratory values on [DATE] and [DATE] that were not reviewed timely or assessed by the medical provider. -Resident #41 had a critical laboratory result on [DATE] with no documented provider notification until [DATE]. - Resident #60 had abnormal laboratory and a positive wound culture on [DATE]. The results were not reviewed until [DATE]. […]

• Actual harm, isolatedF600Jan 7, 2025

  Based on observations, record review, and interviews during the abbreviated survey (NY00364719), the facility failed to protect the resident's right to be free from physical abuse for 1 of 5 residents (Resident #1) reviewed. Specifically, Resident #1 was pushed by a staff member into a wall, causing a nosebleed and fractured nose. This resulted in harm, past noncompliance, to Resident #1 that was not Immediate Jeopardy. Findings include: The facility policy, Abuse, dated 6/1/2024, documented the facility prohibited abuse of residents and exploitation of the mentally and physically disabled resident in the facility. Abuse included willful infliction of injury, and intimidation resulting in physical harm, pain, or mental anguish. […]

• Actual harm, isolatedF684Dec 8, 2023

  Based on record review and interview during the abbreviated survey (NY00310562 and NY00321915), the facility did not ensure residents received treatment and care in accordance with professional standards of practice for 3 of 4 residents (Residents #7, 9 and 10) reviewed. Specifically, , Resident #7 was admitted to the facility with a subdural hematoma (brain bleed) and there was no documentation a plan was implemented to monitor the resident for signs and s ymptoms of worsening subdural hematoma. Subsequently, Resident #7 exhibited a change in condition, was not assessed by a qualified professional, and was found unresponsive 12 hours later. […]