Samaritan Senior Village, Inc

In the surveyor’s words

From the most serious findings on record at Samaritan Senior Village, Inc, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 20, 2022

  Based on interview and record review during the abbreviated survey (NY 856) the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents. Specifically, Resident #1 was newly admitted with a known wander history and was identified at risk for elopement. The resident refused to wear a Wanderguard (wander alert device), was not continually supervised, left the building undetected and was found on the steps of another building down the hill from the facility (approximately 0.21 miles). When located, the resident had a bruise to their head, was transported to the hospital where a CT (computed tomography, medical imaging) scan revealed a frontal lobe hemorrhage. The resident passed away 5 days later. […]

• No harm, potential for more than minimal, widespreadF812Aug 16, 2024

  Based on observation, record review, and interview during the recertification survey conducted 8/12/2024-8/16/2024 the facility did not ensure food was stored and prepared in accordance with professional standards for food service safety in the main kitchen. Specifically, potentially hazardous foods were not cooled properly in the main kitchen, and there was insufficient lighting in the walk-in cooler and walk-in freezer. Findings include: The facility policy, Food Procurement Receiving Handling Storing Preparing, revised 7/12/2024, documented the facility ensured proper cooling of food, and proper sanitation and food handling practices to prevent the outbreak of foodborne illness. […]

• No harm, potential for more than minimal, patternF812Jun 2, 2026

  Based on observations and interviews, the facility failed to serve food in accordance with professional standards for food service safety in one of four unit pantries (Unit 4 pantry). Specifically, Food Service Worker Team Lead #12 and Food Service Worker #13 did not change their gloves or perform hand hygiene between tasks and proceeded to touch food with contaminated gloves.Findings include:The facility policy Standards for Sanitary Operation for Food Service Department,' revised 03/2025, documented employees should wash hands between changing gloves, before touching food, and after touching contaminated areas.During a continuous observation on 05/29/2026 at 11:55 AM Food Service Worker Team Lead #12 arrived at the 4th floor pantry, put on gloves, and assisted with meal service. […]

• No harm, potential for more than minimal, patternF684Aug 16, 2024

  Based on observations, record review, and interview during the recertification and abbreviated (NY00344344, NY00344487, and NY00347064) surveys conducted 8/12/2024-8/16/2024, the facility did not ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 3 of 3 residents (Residents #59, #67 and #86) reviewed. Specifically, Resident #59 did not have their palm protectors (contracture management device) applied as care planned; Resident #67 did not have their elastic tubular compression bandage (Tubigrip) applied as ordered; and Resident #86 had a skin tear (a wound resulting from separation of the top layer of skin from the second layer) and initial treatment orders were not… […]

• No harm, potential for more than minimal, patternF761Aug 16, 2024

  Based on observation and interview during the recertification survey conducted 8/12/2024-8/16/2024, the facility did not ensure drugs and biologicals were labeled and stored in accordance with currently accepted professional principles for 3 of 5 medication carts (Second floor B side and Fourth floor A and B sides), and 1 of 4 medication rooms (First floor B side). Specifically, the First floor B side medication room was missing medication refrigerator temperatures; the Fourth floor B side medication cart was unlocked and unattended; the Second floor B side and the Fourth floor A side medication carts had eye drops that were not labeled after they were opened. […]