Pinnacle Multicare Nursing and Rehabilitation Cent

In the surveyor’s words

From the most serious findings on record at Pinnacle Multicare Nursing and Rehabilitation Cent, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 4, 2025

  Based on observation, record review, and interview during the Recertification and Complaint Survey (Complaint #666294) conducted from 07/28/2025 to 08/04/2025, the facility failed to ensure a resident received adequate supervision and assistance consistent with the resident's needs to prevent accidents. This was evident for one (1) (Resident #49) of seven (7) residents reviewed for accidents out of 35 total sampled residents. Specifically, Resident #49 fell and sustained major injury while being provided care in bed by Certified Nursing Assistant #2. […]

• Actual harm, isolatedF600Jun 4, 2021

  Based on observations, interviews and record reviews conducted during an abbreviated survey, (NY 543, NY 406 and NY 912), the facility did not ensure that residents were free from physical abuse. Specifically, (1) Resident #2, a resident with a history of wandering and combative behavior when redirected, was not adequately monitored and wandered into the room of Resident #1. A physical altercation ensued, and Resident #2 sustained serious injuries and expired in the hospital. (2) Resident #4, a resident with a history of wandering, aggressive, and impulsive behavior, was not adequately monitored and wandered into the room of Resident #3. Resident #4 assaulted Resident #3, and Resident #3 sustained a fractured nose. […]

• No harm, potential for more than minimal, widespreadF814Jun 8, 2023

  Based on observation, record review and interviews, during the Recertification survey from 6/1/23 to 6/8/23, the facility did not ensure that garbage was properly disposed. Specifically, garbage was not covered while being removed from the kitchen to the disposal area. This was evident during the Kitchen task. The finding is: The facility policy and procedure titled Waste Disposal created 4/2018 and last revised 3/2023, documented garbage will be disposed of as needed throughout the day and at the end of each day. […]

• No harm, potential for more than minimal, widespreadF812Jul 23, 2021

  Based on observations and interviews conducted during the Recertification survey, the facility did not ensure that food was stored, prepared, and served in accordance with professional standards for food service safety. Specifically, metal trays of raw fresh chicken were observed placed on top of cardboard boxes in the refrigerator and sandwiches were not maintained at an appropriate temperature. This was evident during the Kitchen Observation Task. The findings are: The facility policy and procedure titled, Food Handling Temperature Guideline, reviewed October 2020 documented to maintain all potentially hazardous cold foods, i.e. meats, milk products, at 40 degrees F. […]

• No harm, potential for more than minimal, patternF695Aug 4, 2025

  Based on observation, record review, and interviews during the Recertification Survey conducted from 07/28/2025 to 08/04/2025, the facility failed to ensure that residents who needed respiratory care were provided care that was consistent with professional standards of practice. This was evident for 3 (Residents #27, #451 and #412) of 5 residents reviewed for respiratory care out of 35 total sampled residents. Specifically, 1.) Nebulizer mask, oxygen cannula, and oxygen tubes were observed in residents' bedside that were not dated and were exposed or not kept in a bag. […]