Plattsburgh Rehabilitation and Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF731Oct 24, 2024

  Based on interviews and record review during a recertification survey, the facility did not ensure a Registered Nurse was scheduled for at least 8 consecutive hours a day, 7 days a week. Specifically, there was no registered nurse working for 8 consecutive hours on 6/06/2024, 6/23/2024, 7/14/2024, and 9/28/2024. This is evidenced by: Record review of the written working schedules for 6/06/2024, 6/23/2024, 7/14/2024, and 9/28/2024 revealed no registered nurse was scheduled to be in the building that day. The census was 80 at the time of the survey. Record review revealed the facility submitted a letter to the Department on 10/02/2024 with a request to waive this Federal regulatory requirement. […]

• No harm, potential for more than minimal, patternF812Oct 24, 2024

  Based on observation and interview during the recertification survey, the facility did not store, prepare, distribute, or serve food in accordance with professional standards for food service safety. Specifically, equipment in the main kitchen and 1 of 2 unit kitchenettes were not clean, equipment was not in good repair, and a test kit for checking the concentration of chemical sanitizing solution was not provided. This is evidenced by: All observations were conducted on 10/20/2024 between 12:11 PM and 1:10 PM. The following equipment was soiled with food particles or a dusty oily buildup: Microwave oven. Can opener and holder. Utensil drawers. Shelving. Fire extinguishers. Floor behind the floor fan in dishwashing machine room. B-wing nourishment station refrigerator door gasket. […]

• No harm, potential for more than minimal, patternF610Feb 14, 2023

  Based on record review and staff interviews during an abbreviated survey (Case #s NY00291781, NY00292325, and #NY00300243), the facility did not ensure in response to allegations of abuse and neglect the facility must have evidence that all alleged violations are thoroughly investigated for 4 (Resident #'s 2, 3, 4, and #5) of 5 residents reviewed for abuse and neglect. Specifically, the facility did not ensure alleged incidents of abuse and neglect that occurred on 3/7/2022, 8/7/2022, 9/12/2022, and 12/30/2022 were thoroughly investigated. […]

• No harm, potential for more than minimal, patternF655Sep 23, 2021

  Based on interviews and record review during a Recertification survey, the facility did not develop and implement a baseline care plan for each resident that included the instructions needed to provide effective and person-centered care of the resident that met professional standards of quality care for 8 (Resident #'s 12, 16, 32, 70, 74, 272, 322, and 323) of 13 residents reviewed for baseline care plans. Specifically, for Resident #'s 16, 32, 74, and #272, the facility did not ensure a baseline care plan was developed or completed within 48 hours of the resident's admission and for Resident #'s 12, 70, 322 and #323, the facility did not ensure written summaries of the baseline care plans were provided to the resident and/or the resident's representative. […]

• No harm, potential for more than minimal, patternF656Sep 23, 2021

  Based on record review and interview conducted during the Recertification survey and an abbreviated survey (Case #NY 384), the facility did not ensure the development and implementation of comprehensive person-centered care plans, that included measurable objectives and timeframe's to meet the resident's medical, nursing, and mental and psychosocial needs, for 7 (Residents #'s 12, 31, 57, 70, 73 322, and #323) of 22 residents reviewed for comprehensive care plans (CCP). Specifically, for Resident #12, the facility did not ensure a resident specific CCP for behavior/emotion was developed; for Resident #31, did not ensure a CCP was developed to address the resident's respiratory care related to the resident's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] #57, did not ensure a CCP for… […]