Sans Souci Rehabilitation And Nursing Center

In the surveyor’s words

From the most serious findings on record at Sans Souci Rehabilitation And Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 27, 2021

  Based on observation and staff interview conducted during a Recertification Survey the facility did not ensure labeling, dating and the monitoring of refrigerated food was maintained in accordance with Professional Standards of Food Safety. Specifically, prepared and frozen foods in the kitchen refrigerator and in the dry food storage room were not labeled and or not dated. The findings are: On 10/18/2021 during the recertification survey, an initial tour of the kitchen was conducted at 9:40 AM, and the following issues were noted; The kitchen refrigerator was examined at 9:40 AM and it was noted that there were two paper plates with food wrapped in plastic wrap and the plates were not labeled and were not dated. […]

• No harm, potential for more than minimal, patternF677Apr 22, 2025

  Based on observations, record review and interviews during an abbreviated survey (NY00331684, NY00334367), the facility did not ensure a resident who is unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal care for 2 of 3(Resident #5, #6) residents reviewed for activities of daily living. Specifically, (1) review of Resident #5's certified nurse assistant documentation for the months of January and February 2024 revealed bladder and bowel incontinence care was not provided by direct care staff on 19 occasions out of 31days. […]

• No harm, potential for more than minimal, patternF725Apr 22, 2025

  Based on record review and interview during an abbreviated survey (NY00334367, NY00331640) the facility did not ensure that sufficient nursing staff was consistent for residents according to the Facility Assessment. Nursing and certified nurse assistant staff levels were frequently below the levels determined by the facility to be necessary to meet the needs of the residents. Specifically, review of the facility daily staffing sheets for January 2024 and February 2024 revealed staffing was not adequate across various shifts based on the unit needs and (Provider Average Ratio)PAR levels documented in the facility assessment. […]

• No harm, potential for more than minimal, patternF760Apr 22, 2025

  Based on record review and interviews during an abbreviated survey (NY00334367), the facility did not ensure residents were free from significant medication error for 4 (Residents #17, #20, #24, #34) out of 42 residents reviewed for medication. Specifically, on 2/25/2024 there was no nurse on the second floor to administer medications to the residents during the 7 AM to 3 PM shift. 36 out of the 42 residents on the unit did not receive their medication with 30 of the residents having significant medications. […]

• No harm, potential for more than minimal, patternF609Apr 15, 2025

  Based on record review and interviews conducted during an abbreviated survey (NY00352230, NY00331567), the facility did not ensure the report of the results of an investigation was submitted to the New York State Department of Health in accordance with State law within 5 working days of the incident for 3 out of 3 residents (Resident #2, Resident #3, Resident #4) reviewed for abuse. Specifically, (1) On 8/22/2024, Resident #2 was witnessed by Certified Nurse Aide #1, hitting Resident #3 on the back of the head with a flexi-bar (rubber cylinder used for therapy). […]