Roscoe Regional Rehab & Residential H C F

In the surveyor’s words

From the most serious findings on record at Roscoe Regional Rehab & Residential H C F, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Aug 29, 2025

  Based on observations, interviews, and record reviews during the recertification and abbreviated surveys (NY00371177/803531, NY00331127/803522) from 08/21/2025 to 08/25/2025, the facility did not ensure that the facility had sufficient nursing staff to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident. Specifically, the staffing of certified nurse aides from 07/26/2025 to 08/28/2025 during the night shift were at minimal levels on 24 of 34 shifts. The staffing of certified nurse aides on the evening shift, during the same period, fell below the minimum for a portion of the shift on 24 of the 34 shifts. […]

• No harm, potential for more than minimal, patternF550Aug 29, 2025

  Based on observations, interviews, and record review during the recertification survey from 08/25/2025 to 08/29/2025, the facility did not ensure each resident was treated in a manner and in an environment that maintained or enhanced each resident's dignity and respect for four (4) residents (Resident #11, Resident #20, Resident #64, Resident #74) observed during dining. Specifically, during dining observations for lunch in the main dining room on 08/25/2025 and 08/26/2026, staff did not serve all residents sitting at tables together, and residents were observed waiting while other residents at the same table were eating and finishing their meals. […]

• No harm, potential for more than minimal, patternF686Aug 29, 2025

  Based on interview, observation and record review during the recertification survey from 08/25/2025 to 08/29/2025, the facility did not ensure residents received care consistent with professional standards of practice, to prevent pressure ulcers and to prevent worsening of pressure ulcers for two (2) of three (3) residents (Residents #7 and #76) reviewed for pressure ulcers. Specifically 1) for Resident #7, treatments recommended by the wound care physician were not ordered and there was no documented evidence that the treatments were administered, and 2) for Resident #76, the physician's order to offload their heels was not implemented as evidenced by observation.The facility policy titled Documentation of Pressure Ulcer and Chronic Wounds last revised June 2023 documented that the… […]

• No harm, potential for more than minimal, patternF689Aug 29, 2025

  Based on observations, interviews, and record review conducted during the recertification survey from 08/25/2025 to 08/29/2025, the facility did not ensure each resident received adequate supervision to prevent accidents. This was evident for two (2) of four (4) residents (Resident #18 and #4) reviewed for accidents and hazards. Specifically, 1) there was no documented evidence Resident #18 received frequent rounding or that adequate interventions were implemented following a fall on 05/04/2025 and the resident fell again on 05/06/2025 resulting a right hip fracture, and 2) Resident #4 had unwitnessed falls on 08/23/2025 and 08/24/2025 and there was no documented evidence that care plan interventions were updated after the falls, neurological checks were not completed for 48 hours after… […]

• No harm, potential for more than minimal, patternF803Aug 29, 2025

  Based on observations, interviews, and record reviews during the recertification survey from 08/21/2025-08/25/2025, the facility did not ensure that the menus were followed for five (5) of 13 residents (Resident #65, Resident #19, Resident #29, Resident #44, and Resident #33) observed during dining. Specifically, 1) Resident #65 had requested a vegetarian diet and received meat items during meals, 2) Resident #19 did not receive cranberry juice as specified on their meal ticket and received soup that was not on their meal ticket; 3) Resident #29 received pureed tuna salad rather than pureed grilled cheese as specified on their meal ticket; 4) Resident #44's lunch meal ticket listed tomato soup on multiple occasion and tomato soup was not observed on the resident's food tray, and 5)… […]