Schervier Pavilion

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF882Oct 29, 2024

  Based on record review and interviews during a recertification survey from 10/22/24 to 10/29/24, the facility did not ensure they had an Infection Preventionist (IP) who was responsible for the facility's Infection Control Program. Specifically, the facility failed to ensure that the Infection Preventionist worked at least part-time in the facility. Findings include: The Facility Infection Prevention and Control Program Policy Reviewed 8/2024, documented the authority for the Infection Prevention and Control Program has been delegated by the Administrator to the System Director of Infection Prevention and Control. The daily infection prevention and control duties will be fulfilled by an Infection Preventionist. […]

• No harm, potential for more than minimal, patternF686Oct 29, 2024

  Based on observations, record review and interviews conducted during the Recertification survey from 10/22/2024 through 10/29/2024, the facility did not ensure 2 of 4 residents (Residents #3 and #39) reviewed for pressure ulcers, received care and services to promote healing. Specifically, 1) Resident #3 had a facility acquired Stage 2 pressure ulcer, and 2) Resident #39's pressure ulcer was not consistently and adequately assessed with clear description of size, location, and characteristics. Findings include: Policy and Procedure titled Prevention of Pressure Ulcer dated 9/2017 documented the purpose to provide information regarding identification of pressure ulcer/injury risk factors and interventions for specific risk factors. […]

• No harm, potential for more than minimal, patternF880Oct 29, 2024

  Based on observations, record review, and interviews conducted during the Recertification survey between 10/22/2024 and 10/29/24, the facility did not ensure infection control practices and procedures were maintained. This was evident 2 of 2 units during review of enhanced barrier precautions and 2 of 19 residents total sampled residents. Specifically, 1) Resident #44's oxygen tubing was observed soiled and not dated or changed in accordance with professional standards of practice, 2) Resident #58 was observed with their Foley catheter (tube to drain urine from the bladder) tubing and wound vacuum (treatment that uses suction to heal wounds) tubing touching the floor, and 3) 2 of the 5 residents observed for pressure ulcer/injury (Residents #3 and Resident #58) had a Stage 2 pressure… […]

• No harm, potential for more than minimal, patternF921Nov 5, 2021

  Based on observations, record review and interviews conducted during an abbreviated survey (NY 326), the facility did not provide a safe, functional, sanitary and comfortable environment for residents, staff and the public. Specifically, the facility stored multiple items such as resident care equipment and unused furniture in the hallways of three resident units located on the second floor. The items cluttered the hallways causing a potential accident hazard for residents, staff and visitors. […]

• No harm, potential for more than minimal, isolatedF600Aug 21, 2026

  Based on record review and interviews, the facility failed to ensure each resident was free from abuse for one of one resident (Resident #40) reviewed for abuse. Specifically, there was documented evidence that on 07-04-2026, Licensed Practical Nurse #9 spoke to Resident #40 in a raised tone and wheeled Resident #40 back to their room despite Resident #40's repeated requests that Licensed Practical Nurse #9 stop. Licensed Practical Nurse #9 then positioned Resident #40's wheelchair against the wall, locked the wheelchair, and stated to Resident #40 that visits with their spouse on another unit were not permitted. […]