Putnam Nursing & Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Mar 11, 2025

  Based on record reviews and interviews conducted during an abbreviated survey (NY00373527) conducted, the facility did not ensure that a resident (Resident #1) was free from abuse. This was evident for one (1) of three (3) residents reviewed for abuse. Specifically, on 2/26/2025 at 5:00 PM video surveillance recorded Licensed Practical Nurse #1 abusing Resident #1, who is cognitively impaired, during a medication administration. Licensed Practical Nurse #1 is seen forcefully tilting the resident's head back and holding the resident's nose, while shoving a spoon in their mouth. Licensed Practical Nurse #1 was also seen kicking the back large wheel of the wheelchair that the resident was sitting in and pushing the wheelchair against a table, locking it in position. […]

• Actual harm, isolatedF689Apr 7, 2025

  Based on record review and interview conducted during an abbreviated survey (NY00344683), the facility failed to ensure that the resident environment was free of accident hazards and/or that each resident received adequate supervision to prevent accidents for one (1) of three (3) residents reviewed for accidents. Specifically, staff did not implement interventions as per the care plan for Resident #2 who required 2-person assist for bed mobility, transfers and all activities of daily living. There were two (2) separate incidents that occurred with different staff each time. […]

• No harm, potential for more than minimal, patternF584Apr 4, 2025

  Based on observation, interview, and record review conducted during the recertification survey from 3/30/2025 to 4/04/2025, the facility did not ensure the resident's right to a safe, clean, comfortable, and homelike environment. This was evident for 2 of 2 resident floors (2nd and 3rd Floors) during observation of the environment. Specifically, the 3rd Floor Unit had a broken handrail endcap, an ongoing foul, pervasive, strong odor of urine, a broken dresser and a ripped chair were observed in room [ROOM NUMBER], the shower room walls were stained, the community unit bathroom tiles were stained, floor molding was cracked, sheetrock had a gouge, the Community room floor had visible dust and debris, privacy curtains in resident rooms were visibly soiled, and some base board moldings were… […]

• No harm, potential for more than minimal, patternF684Apr 4, 2025

  Based on interview and record review during the recertification survey from 3/30/2025 to 4/4/2025 the facility did not ensure residents received treatment and care in accordance with professional standards of practice for 3 of 3 residents (#16, #60, and #37) reviewed for Positioning and Mobility. Specifically, Resident #16 was not provided a positioning device for their left-hand contracture (shortening and hardening of muscles often leading to deformity and rigidity of joints), Resident #60 was not positioned correctly in their wheelchair, and Resident #37 was not provided positioning devices they needed for comfort and positioning. […]

• No harm, potential for more than minimal, patternF812Apr 4, 2025

  Based on observation and interviews conducted during the recertification survey from 3/30/2024 to 04/04/2025, the facility did not ensure that food was stored in accordance with professional standards for food service safety. Specifically, food items were not properly identified and dated in the kitchen refrigerators, freezers, food storage areas and unit pantry refrigerators. Staff in the kitchen were observed without hairnets worn properly and beard covers. Areas in the kitchen were found with broken tiles, damaged baseboards, and dirt/dust. Findings include: The facility policy Food Handling Program reviewed 07/20/2024 documented that during food preparation, proper levels of sanitation will be maintained in employee handwashing and the use of gloves and utensils. […]