Penn Yan Manor Nursing Home Inc

In the surveyor’s words

From the most serious findings on record at Penn Yan Manor Nursing Home Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF607Aug 5, 2022

  Based on interview and record reviews conducted during the Recertification Survey completed on 8/5/22, it was determined that the facility did not implement written policies and procedures to prevent abuse, neglect, exploitation, and misappropriation of resident property related to screening prospective employees. Specifically, a Nurse Aide Registry (NAR) abuse screening was not completed prior to hire for four out of five employee files reviewed. The findings are: 1. On 8/4/22 from 10:34 a.m. to 11:45 a.m. the surveyor was provided documentation related to five newly hired employees. The files included Employees #1, #4 and #5 were hired as: Certified Nurse Assistants (CNAs) and Employee #2, was hired as a Housekeeper. […]

• No harm, potential for more than minimal, patternF814Aug 5, 2022

  Based on observations, interviews, and record reviews conducted during the Recertification Survey completed on 8/5/22, it was determined that for one of one kitchen the facility failed to dispose of garbage and refuse properly. Specifically, the garbage dumpster outside the facility was not equipped with a tight-fitting lid, door, or cover. This is evidenced by the following: Observations during the follow-up kitchen tour on 8/4/22 at approximately 11:55 a.m., revealed a large rectangular open-top roll-off garbage dumpster outside the facility located outside the nearby hospital kitchen where the facility meals are prepared. […]

• No harm, potential for more than minimal, isolatedF661Apr 25, 2024

  Based on interviews and record review conducted during the Recertification Survey the facility did not ensure that the completion of a discharge summary that included a recapitulation of the residents stay, a final summary of the resident's status and a post-discharge plan was completed for one (Resident #40) of one resident reviewed. Specifically, the resident was discharged without a complete discharge summary to ensure the facility communicated the necessary information to the resident, the continuing care provided and the resident representative (if applicable) at the time of discharge. […]

• No harm, potential for more than minimal, isolatedF557Aug 5, 2022

  Based on observations, interviews, and record review conducted during the Recertification Survey completed on 8/5/22, it was determined that for one (Resident #13) of five residents reviewed during dining, the facility did not ensure that the resident received care in a respectful and dignified manner during meals. Specifically, Resident #13 did not receive timely assistance with eating. This is evidenced by the following: Resident #13 had diagnoses including dementia with behavioral disturbances, [CONDITION(S)], dysphagia (difficulty swallowing), and anxiety. The Minimum Data Set Assessment, dated 5/19/22, documented that Resident #13 had severe impairment of cognitive skills and was totally dependent on staff for eating. […]

• No harm, potential for more than minimal, isolatedF578Aug 5, 2022

  Based on observations, interviews, and record reviews conducted during the Recertification Survey, completed on 8/5/22, it was determined that for 3 (Residents #29, #17 and #19) of 13 residents reviewed, the facility did not ensure that the resident's right to request, refuse, and/or discontinue treatment, and to formulate an advance directive would be honored. Specifically, the color-coded name plates at the entrance of the residents' rooms did not match the wishes documented on the residents' Medical Orders for Life Sustaining Treatment (MOLST). Review of the undated facility policy Advance Directives, indicated; if a resident has executed an advance directive, it will be displayed prominently in the medical record and reflected in the resident's care plan. 1. […]