Sarah Neuman Center for Rehabilitation and Nursing

In the surveyor’s words

From the most serious findings on record at Sarah Neuman Center for Rehabilitation and Nursing, in the surveyor’s own words.

• Actual harm, patternF689Jan 30, 2025

  Based on interviews and record review conducted during the recertification and abbreviated surveys (NY00350448, NY0035998, NY00343310, NY00351372) from 1/22/2025-1/29/2025, the facility failed to ensure that four (4) of six (6) residents' (Resident, #534 #70, #207, #65) environment remained as free of accident hazards as possible and that each resident received adequate supervision and assistance to prevent accidents. Specifically: 1. Resident #534 was not supervised to prevent a fall from a wheelchair, which resulted in three (3) fractured ribs and a fractured scapula (shoulder blade); 2. Resident #70 required a mechanical lift and two-person physical assist for transfers. […]

• Actual harm, isolatedF689Oct 23, 2025

  Based on record review and interviews conducted during abbreviated surveys #2607851 and #2580703 the facility failed to ensure that the resident environment was free of accident hazards and/or that each resident received adequate supervision to prevent accidents for two (2) of three (3) residents (Residents #1 and #2) reviewed for accidents. Specifically, 1) on 09/03/2025 Resident #1 was transferred via Hoyer lift (mechanical device) by Certified Nurse Aide #1 and Private Aide #1, who was not approved to provide clinical or nursing care functions. […]

• No harm, potential for more than minimal, widespreadF867Oct 23, 2025

  The Facility did not take actions aimed at performance improvement, including the methods by which the facility will systematically identify, report, track, investigate, analyze, and use data and information to develop activities to prevent adverse events. Specifically, on 12/22/2025 during the onsite post survey, the facility did not convene a QAPI meeting to determine the root cause analysis for the deficient practice cited during the survey exited 10/23/2025. The last QAPI meeting was convened on 10/17/2025. The facility did not complete their Directed Plan of Correction imposed with a Category 1 remedy and failed to implement their Plan of Correction as directed by the State Agency by their deadline. […]

• No harm, potential for more than minimal, patternF550Jan 30, 2025

  Based on observation, interview, and record review during the Recertification Survey from 01/22/2025 through 01/30/2025, the facility did not ensure residents had the right to a dignified dining experience for 3 of 35 sampled residents (Residents #585, #165, and #72). Specifically, Certified Nurse Assistant #17 and #21 referred to Resident #585 as a feeder during lunch service on 1/22/25, Certified Nurse Aide #36 was observed standing over Resident #165 while feeding them a lunch meal, and Certified Nurse Aide #37 was observed standing over Resident #72 while feeding them their meal. […]

• No harm, potential for more than minimal, patternF725Jan 30, 2025

  Based on record review and interview conducted during recertification and abbreviated survey (NY00364240, NY00341828 and NY00353718)) from 1/22/25 to 1/30/25, the facility did not ensure there was sufficient nursing staff to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, upon review of the staffing schedule from December 22 2024 through January 29 2025, the facility did not consistently provide adequate staffing on all units/shifts to meet the needs of the residents. The findings are: A facility policy titled, Nursing Staffing (reviewed 9/24), documented an adequate number of staff consistent with the organization's mission, the scope of services provided, and the population served. […]