Pathways Nursing and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF600Nov 26, 2021

  Based on record review and interviews during an abbreviated survey (Case #NY 204), the facility did not ensure each resident was free from abuse for 1 (Resident #1) of 3 residents reviewed. Specifically, for Resident #1, who was care planned as at risk for abuse and neglect due to a developmental delay, the facility did not ensure the resident was free from physical abuse by a Physical Therapy Aide. This resulted in psychosocial harm as defined by the reasonable person concept referenced in the Centers for Medicare and Medicaid Services Psychosocial Outcome Severity Guide. […]

• No harm, potential for more than minimal, widespreadF725Jan 10, 2025

  Based on observation, record review, and interviews during the recertification survey, the facility did not ensure the provision of sufficient nursing staff to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident throughout the facility. Specifically, the facility's minimum staffing level of Certified Nurse Aides was not consistently met every day on 3 of 3 Nursing units from 12/07/2024 to 1/08/2025. […]

• No harm, potential for more than minimal, widespreadF761Jan 10, 2025

  Based on observation, record review, and interviews conducted during the recertification survey, the facility did not ensure drugs and biologicals were labeled and stored in accordance with professional standards of practice. Specifically, (a.) an opened medication had no open and/or expiration date; (b) 3 medications were passed expiration dates; (c.) medication requiring refrigeration were stored in the medication cart unrefrigerated, and (d.) shift change narcotic count signatures were missing on several dates, for 3 out of 3 medication carts reviewed. This is evidenced by: The Facility's Policy and Procedure titled, Medication Storage, revised 1/03/2017, documented, Medications listed in Schedules II, III, IV, and V would be stored under double locked conditions. […]

• No harm, potential for more than minimal, isolatedF550Jan 10, 2025

  Based on record review and interview during the recertification survey, the facility did not ensure each resident was treated with respect and dignity and care in a manner and in an environment that promotes maintenance or enhancement of their quality of life for 2 (Resident #s 39 and 65) of 106 residents reviewed. This is evidenced by: The Policy and Procedure titled, Resident Rights and Dignity, revised 11/2018, documented it was the facility's policy to ensure that all residents' rights were ensured and respected. In addition, the facility would maintain strict adherence to state and federal guidelines with regards to granting residents' rights, maintaining resident dignity, and ensuring a pleasant and home-like environment for residents and their families. […]

• No harm, potential for more than minimal, isolatedF645Jan 10, 2025

  Based on record review and interviews during the recertification survey, the facility did not ensure that each resident was screened for a mental disorder or intellectual disability prior to admission for 2 (Resident # ' s 30 and 64) of 24 residents reviewed. Specifically, the Preadmission Screening and Resident Review (PASARR, New York State Department of Health form 695) was incomplete for Residents #30 and 64. This is evidenced by: The facility Policy titled, Assessment Prior to Admission, last revised September 2011 documented recipient was to be admitted without an assessment prior to admission of the need for the intended level of care using New York State mandated forms. The screen must be completed and signed by a qualified professional. […]