Schulman and Schachne Institute for Nursing and Re

In the surveyor’s words

From the most serious findings on record at Schulman and Schachne Institute for Nursing and Re, in the surveyor’s own words.

• Immediate jeopardy, isolatedF604Dec 24, 2024

  Based on observation, record review, and interviews during an Abbreviated Survey (NY00364046), complaint investigation concluded the facility failed to ensure a resident was treated with respect and dignity including the right to be free from physical or chemical restraints imposed for the purposes of discipline or convenience and that are not required to treat the resident's medical symptoms. This was evident for 1 out of 39 residents (Resident #1). Specifically, on several occasions Resident #1's wrists were tied with bed sheets to the bed rails. Certified Nursing Assistant #6 admitted to placing Resident #1 in these restraints and intentionally not removing them to prevent Resident #1 from removing their brief and smearing feces. […]

• No harm, potential for more than minimal, widespreadF812Jul 3, 2024

  Based on observation, record review, and interviews during the Recertification survey from [DATE] to [DATE], the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. This was identified during the Dining and Kitchen Tasks. Specifically, 1) During the initial tour of the kitchen, opened and undated package of food were observed in the walk-in freezer. 2) the walk-in refrigerator was noted with juice spills, and 3) the walk-in refrigerator had food on the shelf past the best buy date. […]

• No harm, potential for more than minimal, widespreadF814Jul 3, 2024

  Based on observation and interviews conducted during the Recertification Survey from 06/26/2024 to 07/03/2024, the facility did not ensure that garbage and refuse were disposed of properly. Specifically, garbage was not properly contained outside of the facility. The blue trash compactor/dumpster was not covered and there were various types of garbage lying on the ground. There was an overflow of various metal objects from the open dumpster. The findings are: The facility policy and procedure titled Compactor Usage with the effective date of 03/07/2022 documented that waste removal vendor removes and disposes waste related to municipal waste and recycling waste. During an observation on 06/28/2024 at 08:30 AM, there was a blue compactor observed with the lid open. […]

• No harm, potential for more than minimal, patternF660Jul 3, 2024

  Based on record review and interview conducted during the Recertification Survey from 06/26/2024 to 07/03/2024, the facility failed to develop and implement an effective discharge planning process that focuses on the resident's discharge goals. This was evident for 3 (Residents #136, #44, and #291) of 35 total sampled residents. Specifically, an individualized discharge care plan was not developed for Residents #136, #44, and #291. The findings are: The facility's policy titled Planned Transfer and Discharge with a reviewed date of 02/2023 stated that the social worker documents the resident's/designated representative's plan/request to return home or to another skilled nursing facility in the medical record, the assessment section, the coordinated care plan and the progress notes. […]

• No harm, potential for more than minimal, patternF804Jul 3, 2024

  Based on observation, interview, and record review conducted during the Recertification and Complaint (NY00311959) Survey from 06/26/2024 to 07/03/2024, the facility did not ensure that food were served at an appetizing temperature during meal service. This was evident for 2 units observed during dining observation. Specifically, food served during lunch meal service were not maintained at palatable and appetizing temperatures. The findings are: The facility's policy and procedure titled Dining and Meal Policy dated 11/2023 documented it was the policy of the facility to serve meals to meet the nutritional needs of residents. […]