Schervier Nursing Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF550Oct 11, 2023

  Based on observation, record review, and interview conducted during the Recertification Survey conducted on 10/02/23 - 10/11/23, the facility did not ensure that residents were cared for in a manner that maintained or enhanced their dignity. This was evident for 1 (Resident #199) of 6 residents reviewed for Dignity and random observations of 4 residents (Resident #s141, 184, 144, 199, and 47) on 1 of 8 units observed for Dining. Specifically, (#1) On 2 occasions a Licensed Practical Nurse (LPN) #8 was observed administering medication (insulin) to the resident in the hallway next to the nursing station (Resident #199) and on another occasion LPN #8 was observed assessing the resident's fingerstick in the hallway next to the nursing station (Resident #31). […]

• No harm, potential for more than minimal, patternF638Oct 11, 2023

  Based on record review and staff interview conducted during the re-certification survey, the facility did not ensure quarterly Minimum Data Set (MDS) 3.0 assessments were completed timely. This was evident for 6 of 12 residents reviewed for Resident Assessment (Resident #s 54, 255, 38, 162, 114, and 156). Specifically, quarterly MDS assessments were not completed within 14 days of the Assessment Reference Date (ARD). The findings are: The facility policy and procedure titled MDS Assessment & Submission revised 8/23 documented that the federal and state required MDS assessments are set, completed accurately, and submitted timely for all residents. […]

• No harm, potential for more than minimal, patternF679Oct 11, 2023

  Based on observation, record review, and interviews conducted during the recertification survey from 10/2/2023 to 10/11/2023, the facility did not ensure an ongoing activities program was provided to meet the interests of and support the physical, mental, and psychosocial well-being of the resident for 4 (Residents #210, #82, #503, # 284, and #123) of 8 residents reviewed for Activities. Specifically, (1) Resident #210 was not provided with a program of activities appropriate for their mental and physical abilities. (2) Resident #123, a resident with severely impaired cognition, was observed for extended periods of time without meaningful activities, and there was no activity plan to provide activities to the resident while in their room. […]

• No harm, potential for more than minimal, patternF689Oct 11, 2023

  Based on staff interviews and record review conducted during the Recertification and Complaint (NY00318133)Survey from 10/02/23 to 10/11/23, the facility did not ensure that residents received adequate supervision and assistance to prevent accidents. This was evident for 3 (Resident #10, #453, #242) of 10 residents reviewed for accidents out of 40 sampled residents. Specifically, 1) Resident #453 had an unwitnessed 2nd fall in their room after being left alone and unsupervised by staff directly following the 1st fall, 2) Resident #242 was observed being wheeled backwards with their legs dragging, by a Certified Nursing Assistant (CNA) in a scoot chair, and 3) Resident #10 was observed coughing uncontrollably after being fed by the unit helper. […]

• No harm, potential for more than minimal, isolatedF561Mar 31, 2025

  Based on observation, record review, and interviews during the Recertification Survey conducted from 03/24/2025 to 03/31/2024, the facility did not ensure it promoted and facilitated resident self-determination through support of resident choice. This was evident in 2 (Resident #9 and #212) of 4 residents reviewed for Choices out of 38 total sampled residents. Specifically, Residents #9 and 212's bathing preferences were not honored. The findings are: The facility policy titled Bathing/Showering or Bed Bath Residents with a last revised date of June 2022 documented that it is the policy of the facility to have a procedure for Bathing/Showering or Bed Bath residents. Residents usually receive a shower or bath at least twice a week. […]