Saints Joachim & Anne Nursing and Rehabilitation C

In the surveyor’s words

From the most serious findings on record at Saints Joachim & Anne Nursing and Rehabilitation C, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF803Apr 24, 2023

  Based on observations, interviews, and record review conducted during the Recertification Survey from 04/17/2023 to 04/24/2023, the facility did not ensure that menus were followed. This was evident for 2 of 3 residents reviewed for Food out of 39 sampled residents (Resident #91 and Resident #288) and 182 residents present on 4/17/23. Specifically, 1) Resident # 91 received food items that did not match items on the tray ticket, and 2) Resident #288 reported they were served pork, fried foods and not their preferred foods. […]

• No harm, potential for more than minimal, isolatedF553Apr 22, 2025

  Based on record review and interviews conducted during the Recertification survey from 04/15/2025 to 04/22/2025, the facility did not ensure that resident or resident's representative were offered the opportunity to participate in the revision and/or review of the comprehensive care plan. Specifically, resident and/or resident's representatives were not consistently invited to participate in their care plan meetings. This was evident for 1 (Resident #116) of 2 residents reviewed for Care Plan out of 37 sampled residents. […]

• No harm, potential for more than minimal, isolatedF582Apr 22, 2025

  Based on interviews and record review conducted during the Recertification Survey from 04/15/2025 to 04/22/2025, the facility did not ensure residents, or their designated representatives were provided appropriate notification at the termination of Medicare Part A benefits. This was evident for 2 (Resident #67 and Resident #482) of 3 residents reviewed for Beneficiary Notification out of 37 total sampled residents. Specifically, 1). the facility did not ensure that assistive devices were used to make appropriate notification, and 2). […]

• No harm, potential for more than minimal, isolatedF584Apr 24, 2023

  Based on observation, record review and interview conducted during a Recertification survey, the facility did not ensure a clean, comfortable, and homelike environment was maintained. This was evident for 4 of 5 resident floors (Floors 3, 5, 6, and 7). Specifically, resident rooms were observed with broken window blinds (Floors 3 and 5), torn window screens (6th Floor), and missing blinds and privacy curtains (7th floor). Resident wheelchairs had stained cushions (3rd and 6th Floor) and wheel noted with worn tires on both sides with decreased tread chipped paint on oxygen canister holder with a missing screw, wheelchair tires were noted to have multiple decreased rubber tread on bilateral wheels (6th floor). […]

• No harm, potential for more than minimal, isolatedF657Apr 24, 2023

  Based on record review and interview conducted during the Recertification and Complaint survey (NY00313269) from [DATE] and [DATE], the facility did not ensure that residents' comprehensive care plans (CCPs) were reviewed and revised by the interdisciplinary team after each assessment and as needed. This was evident for 3 out of 39 sampled residents (Residents #19, #16 and #134). Specifically, (1) Resident #19's Advance Directive CCP was not reviewed and revised when their code status was changed to Do Not Resuscitate (DNR) and after the quarterly assessment; (2) Resident #16's CCP related to Anemia and gastrointestinal (GI) bleeding was not reviewed and revised to reflect a change in the resident's status after hospitalization ; and (3) Resident #134's elopement risk CCP was not reviewed… […]