Premier Genesee Center for NRSG and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Premier Genesee Center for NRSG and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 22, 2026

  Based on observation, record review and interviews during survey, the facility failed to ensure that a resident received adequate supervision and assistive devices to prevent accidents/hazards for one (Resident #1) of three residents reviewed for accidents. Specifically, on 05/01/2026, Resident #1 who had documented cognitive impairments, exit seeking and wandering behaviors, exited the facility undetected by staff approximately three hours after their admission to the facility. […]

• No harm, potential for more than minimal, widespreadF727Apr 11, 2025

  Based on interview and record review conducted during the Standard survey completed on 4/11/25, the facility did not ensure there were services of a Registered Nurse for at least 8 consecutive hours, 7 days a week unless when waived. Specifically, the facility did not have 8 consecutive hours of Registered Nurse coverage on 11/10/24, 11/16/24, 11/30/24, 12/8/24, 12/14/24, 12/21/24, 12/25/24, 12/28/24, 1/4/25, 1/5/25, 1/11/25, 1/12/25, 1/18/25, 1/19/25, 1/25/25, and 1/26/25 as required and did not have a waiver. The finding is: The Facility Assessment, dated 4/1/25, documented the facility's bed capacity was 160 beds and the average daily census at the time of the assessment was 150-160. […]

• No harm, potential for more than minimal, patternF690Apr 11, 2025

  Based on observation, interview, and record review conducted during a Complaint investigation (#NY00355148) during a Standard survey completed on 4/11/25, the facility did not ensure the residents who had an indwelling (foley) catheter (tube inserted into the bladder to drain urine) received the appropriate care and services to manage catheters for three (3) (Residents #38, #121 and #355) of four (4) residents reviewed. Specifically, a resident's foley catheter was not changed monthly as per the physician order (#355) and infection control practices were not maintained (#38 and #121). […]

• No harm, potential for more than minimal, patternF610May 24, 2023

  Based on interview and record review conducted during a Complaint investigation (Complaint #NY00308552) completed during a Standard survey completed on 5/25/23, the facility did not ensure that all allegations of abuse, neglect, exploitation, or mistreatment were thoroughly investigated for three (Resident #s 93, 109, and 212) of four residents reviewed for abuse. Specifically, there was a lack of an investigation for Resident #93's allegation of verbal abuse by Certified Nurse Aide (CNA #7) that was reported to Licensed Practical Nurse (LPN #9) Nursing Supervisor. Resident #109 had a bruise of unknown origin which lacked staff statements, root cause and analysis. […]

• No harm, potential for more than minimal, patternF880Jun 2, 2022

  Based on observations, interviews, and record reviews conducted during the COVID-19 Infection Control Focus Survey completed on 6/2/22, the facility did not establish and maintain an infection prevention and control program designed to help prevent the development and transmission of COVID-19. Specifically, the facility did not implement the contingency plan for Health Care Personnel (HCP) (Facility Screener) with a medical exemption as evidence by not requiring a medically exempt HCP to wear an N95 mask and goggles or face shield at all times during working hours (except when eating). […]