Samaritan Keep Nursing Home Inc

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Feb 20, 2026

  Based on record review and interviews during the survey (Complaint #756448), the facility failed to ensure residents were free from abuse and neglect for one (1) of three (3) residents (Residents #3) reviewed. Specifically, on 03/24/2024 at approximately 12:00 AM, Resident #3 was zip tied (a fastener with a locking, self-snagging nylon strap used to secure items) to the able riser (enabler bar) on their bed by Licensed Practical Nurse #7, for approximately 45 minutes to one (1) hour. This resulted in Immediate Jeopardy Past Non-Compliance for Resident #3 and placed all residents at risk for abuse. […]

• Immediate jeopardy, isolatedF689Aug 8, 2023

  Based on observation, interview, and record review during the abbreviated and extended surveys (NY00319112 and NY00294178), the facility failed to ensure each resident received adequate supervision to prevent accidents for 3 of 3 residents reviewed (Residents #1, 2, and 3). Specifically, Residents #1, #2, and #3 were reportedly found by staff engaging in sexual activity, indicative of inadequate supervision of these residents with impaired cognition who reside on a secured unit. On three separate occasions, Resident #1 was found to be engaging in sexual acts with 2 other residents (Residents #2 and 3). […]

• Immediate jeopardy, isolatedF744Aug 8, 2023

  Based on observation, record review, and interview during the abbreviated and extended surveys (NY00294178 and NY00319112), the facility failed to provide the appropriate treatment and services to attain and or maintain his or her highest practicable physical, mental, and psychosocial well-being for residents diagnosed with dementia for 1 of 5 residents (Resident #5) reviewed. Specifically, Resident #5 had severe dysphagia (swallowing difficulty), was on thickened liquids and puree diet consistency, wandered on the unit and ingested thin liquids resulting in aspiration pneumonia (inhalation of food/fluids into the lungs). […]

• No harm, potential for more than minimal, patternF550Mar 20, 2026

  Based on observations, record review, and interviews, the facility failed to ensure residents had the right to a dignified existence for two (2) of two (2) residents (Residents #184 and #257) reviewed. Specifically, Residents #184 and #257 had their side rails removed and there was no documented evidence they were provided with education, a therapy evaluation, side rail alternatives, or an opportunity to discuss their concerns prior to the side rails being removed. This resulted in a decline in bed mobility for Residents #184 and #257. […]

• No harm, potential for more than minimal, patternF686Mar 1, 2024

  44838 48675 Based on observation, record review, and interview during the recertification survey conducted 2/26/2024-3/1/2024, the facility did not ensure residents with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote wound healing, prevent infection, and prevent new ulcers from developing for 7 of 7 residents (Resident #33, #103, #212, #124, #75, #68, and #92) reviewed. Specifically, Resident #33 did not have pressure relief for their heels as planned and Residents #33, #103, #212, #124, #75, #68, and #92 had air mattresses (a specialty mattress that provides air flow to relieve pressure) in use that were not monitored for functioning. […]