Our Lady of Peace Nursing Care Residence

In the surveyor’s words

From the most serious findings on record at Our Lady of Peace Nursing Care Residence, in the surveyor’s own words.

• Actual harm, isolatedF600Nov 23, 2022

  Based on observation, interviews, and record review conducted during a Complaint Investigation (Complaint #NY00280511) completed during a Standard survey started on 11/16/22 and completed 11/23/22, the facility failed to protect the residents' right to be free from mental abuse and neglect for one (Resident #27) of 3 residents reviewed for abuse. Specifically, Unit Attendant (UA) #1, who was restricted from interacting with Resident #27, entered Resident #27's room on 7/31/21 on 8 different occasions, sat on the resident's bed and spoke to the resident about harming others and themselves. […]

• No harm, potential for more than minimal, isolatedF677Oct 15, 2024

  Based on observation, interview, and record review conducted during a Standard survey completed on 10/15/24, the facility did not ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene for two (Resident #66 and #100) of four residents reviewed. Specifically, Resident #66 was not assisted with removing unwanted facial hair. Resident #100 did not receive incontinent care in a timely manner, received incomplete incontinent care, and staff did not complete proper glove changes and hand hygiene during care. […]

• No harm, potential for more than minimal, isolatedF610Jul 25, 2023

  Based on observation, interview and record review conducted during an Abbreviated survey (Complaint # NY00318540) completed 7/25/23, the facility did not ensure that all alleged violations of abuse, neglect or mistreatment including injuries of unknown origin are thoroughly investigated for one (Resident #1) of three residents reviewed for abuse. Specifically, the facility did not review the video surveillance from 6/18/23 to 6/19/23 prior to the completion of their investigation showing employee interviews had inconsistencies in the staff statements versus what was shown on the video surveillance. […]

• No harm, potential for more than minimal, isolatedF656Jul 25, 2023

  Based on observation, interview and record review conducted during an Abbreviated survey (Complaint NY#0000318540) completed on 7/25/23, the facility did not implement a comprehensive person-centered care plan for each resident, consistent with the resident rights and that includes measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychosocial needs for one (Resident #1) of three residents reviewed for care plans. Specifically, Resident #1`s care plan was not implemented in the area of transfers and eating on 6/18/23 and in the area of incontinent care on 6/19/23. […]

• No harm, potential for more than minimal, isolatedF610Nov 23, 2022

  Based on interviews and record review conducted during a Complaint Investigation (Complaint #NY00280511) completed during a Standard survey started on 11/16/22 and completed 11/23/22, the facility did not have evidence that all alleged violations of abuse or mistreatment were thoroughly investigated for one (Resident #27) of three residents reviewed. Specifically, there was a lack of statements/interviews with other residents that had the potential for victimization. The finding is: The facility policy and procedure (P&P) titled Abuse Investigation and Reporting, last revised 8/2020, documented all reports of resident abuse shall be thoroughly investigated by community management. […]