Schaffer Extended Care Center

In the surveyor’s words

From the most serious findings on record at Schaffer Extended Care Center, in the surveyor’s own words.

• Actual harm, isolatedF686May 6, 2025

  Based on interview, observation and record review during the Recertification Survey conducted from 4/29/2025 to 5/6/2025, the facility failed to ensure residents received care consistent with professional standards of practice, to prevent pressure ulcers and to prevent worsening of pressure ulcers. This was evident for one (1) of five (5) residents (Resident #32). Specifically, Resident #32 was assessed at risk for pressure ulcers, developed a sacral wound and there was no documented evidence that interventions were implemented to address off loading/incontinence schedule/incontinence care to prevent further deterioration of a sacral wound. […]

• No harm, potential for more than minimal, widespreadF730May 6, 2025

  Based on interview and record review during the recertification survey from 04/29/25 through 05/06/25, the facility did not ensure Certified Nurse Aide performance reviews were completed at least once every 12 months. Specifically, five of five Certified Nurse Aides (#13, #14, #15, #16, #17) did not have a performance review documented at least once every 12 months. The findings include: The Policy & Procedure titled Competency Based Performance Evaluation Program with a 4/2023 revision date documented it was the responsibility of administrative, managerial, and or supervisory staff to review the performance of all employees under their supervision and to complete and forward completion information to the human resource department. […]

• No harm, potential for more than minimal, widespreadF812May 6, 2025

  Based on observation and interview conducted during the recertification survey from 4/25/25 to 5/6/25, the facility did not ensure food was distributed and served in accordance with professional standards for food service safety. Specifically, unlabeled and undated food items in kitchen and unit pantry, expired food in kitchen storage pantry and unit pantry, and dietary staff did not perform proper hand hygiene before preparing a sandwich. The findings include: The policy titled Handwashing with a 1/2022 revision date documented food service associates are expected to perform proper hand hygiene while on duty; specifically, before and after wearing gloves. […]

• No harm, potential for more than minimal, widespreadF880May 6, 2025

  Based on record review and interview during a Recertification Survey on 4/29/2025 - 5/6/2025, the facility did not maintain an infection prevention and control program designed to prevent the development and transmission of communicable diseases and infection. Specifically, the facility did not ensure an infection surveillance plan based on facility assessment was implemented for the identification, containment and prevention of infections. Findings include: The policy titled Infection Control Program last reviewed on 12/24 documented the Infection Control Committee shall investigate, control and prevent infections, decide which procedures shall be applied, such as isolation when control of infection or communicable disease is required: perform surveillance and investigation of… […]

• No harm, potential for more than minimal, patternF656May 6, 2025

  Based on observation, record review and interview during the recertification survey and abbreviated survey (NY00374695) from 4/29/25 to 5/6/25 the facility did not ensure the development and implementation of comprehensive person-centered care plans for each resident, consistent with resident rights that included measurable objectives and time frames to meet a resident's needs for 1 of 5 residents (Resident #32) reviewed for pressure ulcers, 1 of 3 residents (Resident #19 ) reviewed for positioning and mobility and for 1 of 2 residents (Resident #8) reviewed for tube feeding. […]