Resort Nursing Home

In the surveyor’s words

From the most serious findings on record at Resort Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF814May 2, 2022

  Based on observations, record review, and interviews conducted during the recertification survey, the facility did not ensure the garbage and refuse were disposed of properly. This was evident during observation of the Kitchen. Specifically, the garbage compactor (GC) was observed open on more than one occasion. The findings are: The facility policy titled GC Area revised 4/2022 documented the garbage compactor door will be closed after each use to prevent pests, cross contamination and to maintain a clean environment. On 04/26/22 at 09:28 AM, the GC used by the Kitchen was observed with its door open. The Food Services Director (FSD) was present during the observation and stated the GC door is functional and able to close. […]

• No harm, potential for more than minimal, isolatedF689Aug 12, 2026

  Based on observation, record review, and interviews during the survey, the facility failed to ensure that residents received adequate supervision to prevent elopement. This was evident in one out of five residents sampled (Resident #1). Specifically, on 07/15/2026 at 1:51 PM, the facility's video surveillance footage showed Resident #1, who was severely cognitively impaired, and identified as being at risk for elopement, exited the facility grounds without supervision. As Resident #1 exited through the front entrance door, the secure bracelet alarm was activated. Front Desk Receptionist #1 deactivated the alarm and buzzed the exit door, and allowed Resident #1to leave the facility. At 5:15 PM, the facility's staff became aware that Resident #1 was not in the building. […]

• No harm, potential for more than minimal, isolatedF610Aug 20, 2025

  Based on record review and interviews conducted during an abbreviated survey (Incident # 2581915), the facility failed to prevent further potential abuse, neglect, exploitation, or mistreatment while an investigation was in progress. This was evident for one (1) out of three (3) residents (Resident #1) sampled for abuse. Specifically, on 08/05/2025 at 1:59 PM Certified Nursing Assistant #1 reported to Registered Nurse #1 that Resident #1 slapped Clinical Transportation Aide #1, who was providing 1:1 supervision to Resident #1, and Clinical Transportation Aide #1 in return slapped Resident #1 while they were assisting them with repositioning the resident in their wheelchair. […]

• No harm, potential for more than minimal, isolatedF609May 29, 2024

  Based on record reviews and interviews, during the Recertification and Complaint Survey (NY00331563) from 05/21/2024 to 05/29/2024, the facility did not ensure that all alleged violations involving abuse and neglect, were reported immediately, but not later than 2 hours after the allegation was made to the State Survey Agency. Additionally, the facility did not ensure the results of all investigations were reported to the State Survey Agency within 5 working days of the incident. This was evident for 3 (Resident #126, #136, and #195) of 7 residents reviewed for Abuse out of 36 sampled residents. Specifically, 1.) On 01/13/2024 at approximately 2:30 PM, the facility was made aware that Registered Nurse #3 administered the wrong medication to Resident #126. […]

• No harm, potential for more than minimal, isolatedF658May 29, 2024

  Based on interviews and record review conducted during the Recertification and Complaint Survey (NY00331563) from 05/21/2024 to 05/29/2024 the facility did not ensure that services provided by the facility as outlined by the comprehensive care plan, met professional standards of quality. This was evident for 1 (Resident #126) of 1 resident reviewed for medication administration. Specifically, Resident #126 had a physician's order for 12 tablets of Methadone 10 milligram by oral route once daily. On 01/13/2024, Registered Nurse #3 administered 12 tablets of Percocet 10-325 milligrams instead of Methadone. […]