Presbyterian Home for Central New York Inc

In the surveyor’s words

From the most serious findings on record at Presbyterian Home for Central New York Inc, in the surveyor’s own words.

• Actual harm, isolatedF686Mar 17, 2022

  Based on interview and record review during an abbreviated survey (NY 872), the facility failed to ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, and prevent new ulcers from developing for 1 of 6 residents (Resident #107) reviewed. Specifically, Resident #107: - had an open area on the coccyx, identified on admission, and there was no documented evidence the open area was monitored; a treatment was not ordered or implemented timely, and the recommended specialized mattress was not implemented. […]

• No harm, potential for more than minimal, patternF813Apr 26, 2024

  Based on observation, interview, and record review during the recertification survey conducted 4/22/2024-4/26/2024, the facility did not ensure a policy and procedure regarding the use and storage of food brought to residents from outside the facility to ensure safe and sanitary storage, handling, and consumption for 2 of 6 resident units (Broadway and Rodeo units) reviewed. Specifically, staff did not know the policy and procedure to properly reheat, and measure temperatures of food brought to residents from outside the facility. […]

• No harm, potential for more than minimal, patternF880Apr 26, 2024

  Based on observation, record review, and interview during the recertification survey conducted 4/22/2024-4/26/2024, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 7 of 8 residents (Residents #17, #22, #33, #82, #89, #267, and #278) reviewed. Specifically, -Resident #17 had clostridioides difficile (a contagious germ that causes diarrhea and inflammation of the colon) and transmission-based precautions were not implemented timely. […]

• No harm, potential for more than minimal, patternF689Jan 14, 2022

  Based on observation, record review, and interview during the recertification and abbreviated surveys (NY 158 and NY 260) conducted 1/10/22-1/14/22, the facility failed to provide adequate supervision to prevent accidents for 3 of 3 residents (Residents #14, 37, and 90) reviewed. Specifically, - Resident #37 eloped when a door on the unit was left ajar and there was no documented follow-up or staff education to ensure doors were secured. Residents #14 and #90 subsequently eloped through a door left ajar on the unit. - A headcount was not completed after Resident #14 eloped, and staff did not identify that Resident #90 had also eloped and was outside unsupervised. […]

• No harm, potential for more than minimal, isolatedF609Mar 21, 2025

  Based on record review and interview during the abbreviated (NY00348553) survey conducted 3/21/2025, the facility did not ensure an elopement incident was reported to the State Agency as required for 1 of 3 residents reviewed (Resident #1). Specifically, Resident #1 eloped 6/29/2024 when they removed a window panel from an unoccupied room on their unit, climbed out the window and were discovered standing in the fenced-in courtyard with their walker. The facility did not report the elopement incident to the New York State Department of Health as required. […]