Sayville Nursing And Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF725Oct 10, 2024

  Based on record review and interviews during the Recertification Survey initiated on 10/3/2024 and completed on 10/10/2024, the facility did not ensure sufficient nursing staff were available to provide nursing services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This was identified for two of the two units reviewed for the Sufficient Nursing Staffing Task. Specifically, 1) a review of the Payroll-Based Journal (PBJ) Staffing Data Report Quarter 2, 2024 (January 1 - March 31) indicated excessively low weekend staffing; 2) a review of the daily staffing sheets revealed the facility did not provide sufficient numbers of Certified Nursing Assistants as indicated in the facility assessment; and 3) during the Resident Council… […]

• No harm, potential for more than minimal, patternF838Oct 10, 2024

  Based on record review and staff interviews during the Recertification Survey initiated on 10/3/2024 and completed on 10/10/2024, the facility did not ensure its Facility Assessment considered specific staffing needs for each resident unit (first floor and second floor) in the facility. Specifically, the Facility Assessment, last updated June 2024, did not include a breakdown of staffing needs for each of the facility's two units. The finding is: The facility's policy, titled Facility Assessment, dated 9/26/2024, documented a facility assessment is conducted at least annually and as needed to determine and update the facility's capacity to meet the needs of and competently care for residents during both day-to-day operations (including nights and weekends) and emergencies. […]

• No harm, potential for more than minimal, isolatedF600May 2, 2025

  Based on interviews and record review during an abbreviated survey (Complaint Number: NY00371931), the facility did not ensure resident rights to be free from neglect. Specifically, one (Resident #2) of three residents reviewed for neglect, required two-person assistance for mechanical lift (Hoyer) for transfers as documented in the Comprehensive Care Plan (CCP). A Certified Nursing Assistant (CNA #2) neglected to implement the Comprehensive Care Plan. Certified Nursing Assistant #2 placed a Hoyer sling under Resident #2 by themselves and proceeded to transfer Resident #2 alone. This negligence resulted in Resident #2 's being lowered to the floor. Resident #2 was transferred to the hospital and diagnosed with a contusion. […]

• No harm, potential for more than minimal, isolatedF692Oct 10, 2024

  Based on observations, record review, and interviews during the Recertification Survey initiated on 10/3/2024 and completed on 10/10/2024, the facility did not ensure that each resident was offered sufficient fluid intake to maintain proper hydration and health. This was identified for one (Resident #127) of two residents reviewed for Hydration. Specifically, Resident #127 received intravenous hydration for 72 hours due to an elevated blood urea nitrogen level (an abnormal blood test result that could indicate dehydration). The resident's nutritional assessment indicated the resident needed 1620 milliliters of fluid per day. The meal tray observation indicated the resident was not offered an adequate amount of fluids as indicated in the nutritional assessment. […]

• No harm, potential for more than minimal, isolatedF695Oct 10, 2024

  Based on observations, record review, and interviews during the Recertification Survey initiated on 10/3/2024 and completed on 10/10/2024, the facility did not provide proper respiratory treatments and care consistent with professional standards of practice. This was identified for one (Resident #38) of three residents reviewed for Respiratory Care. Specifically, Resident #38 was utilizing oxygen therapy for Chronic Obstructive Pulmonary Disease (COPD) and did not have a physician's order for the oxygen therapy. The finding is: The policy and procedure for Oxygen Administration dated January 2020 documented the administration of supplemental oxygen is an essential element of appropriate management for a wide range of clinical conditions. […]