Schenectady Center for Rehabilitation and Nursing

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF725Aug 19, 2025

  F725 Based on observation, interviews, and record review during the recertification and abbreviated survey (Case #s:), the facility did not ensure provision of sufficient nursing staff to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident throughout the facility. Specifically, the facility's minimum staffing levels were not met on multiple shifts and multiple units between 8/04/2025 and 8/17/2025. […]

• No harm, potential for more than minimal, widespreadF755Aug 19, 2025

  Based on observations, record review, and interviews during a recertification survey, the facility did not ensure that drug records were in order; and that an account of all controlled drugs was maintained and periodically reconciled on six (6)(Birch, Willow, Oak, Elm, Maple, and Cedar) of (6) six units reviewed. Specifically, the shift-to-shift staff signature form for controlled drugs, titled Shift Count, did not consistently include the signatures of staff members at each shift change, validating the correct narcotic count. This is evidenced by: The policy and procedure titled Narcotic Count, dated 8/2018, documented the on-coming and the off-going nurses assigned to the medication cart would be responsible for ensuring the accuracy of the controlled drug count. […]

• No harm, potential for more than minimal, widespreadF756Aug 19, 2025

  Based on record review and interview during the recertification survey, the facility did not ensure a policy was developed for the monthly medication regimen review that included time frames for the different steps in the process. Specifically, the policy did not include time frames for the different steps the pharmacist must take when he or she identifies an irregularity that requires urgent action to protect the resident. This is evidenced by: The policy and procedure titled Medication Regimen Reviews (MRR) dated 7/19/2019 with no review or revision dates stated if the situation was serious enough to present a risk to a person's life, health, or safety, the Consultant Pharmacist would contact the Physician directly to report the information to the Physician. […]

• No harm, potential for more than minimal, widespreadF761Aug 19, 2025

  Based on observation and interviews conducted during the recertification survey, the facility did not ensure drugs and biologicals were labeled and stored in accordance with professional standards of practice for two (2) (Cedar unit Side #2, [NAME] unit Side #1, ) of six (6) medication carts and two (2) (Elm unit #1 and #2 medication rooms) of six (6) medication rooms reviewed. Specifically, (a.) (1) (one) bottle of purified protein derivative (PPD) solution had no open and or expiration date; (b.) an opened insulin pen had no open and or expiration date; (c.) one (1) unopened insulin pen was stored improperly; (e.) stock medications in medication rooms had expired; (f.) opened stock medications were not dated; (g.) a resident specific medication was not dated and (h.) a medication cup… […]

• No harm, potential for more than minimal, widespreadF804Aug 19, 2025

  F804 Based on observation and interviews conducted during a recertification survey and abbreviated survey (Case #NY00596012), the facility did not ensure residents were provided food and drink that was palatable, flavorful, at an appetizing temperature for two (2) of two (2) meals reviewed (Lunch meals on 8/14/2025 and 8/15/2025). Specifically, food was not served at a palatable and appetizing temperature during the lunch meal on 8/14/2025 and 8/15/2025. This is evidenced by: During an observation on 8/11/2025 at 11:51 AM, meal trays were prepped by Dietary Aides in the unit kitchenette. During an interview on 8/07/2025 at 11:18 AM, Resident #239 stated the food was terrible, so they bought their own food. […]