Silvercrest

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Feb 21, 2025

  Based on observations, record reviews, and staff interviews conducted during an Abbreviated Survey (NY00371678), the facility failed to ensure that a resident's Advance Directives were followed. This was evident for one (1) out of five (5) residents (Resident #1) sampled. Specifically, Resident #1, who was ventilator dependent, had a Medical Order for Life Sustaining Treatment indicating Do Not Resuscitate. Resident #1 was found without a pulse on 02/08/2025 and staff performed Cardiopulmonary Resuscitation that resulted in the return of spontaneous circulation. The resident was transferred to the hospital and remains there at this time. […]

• No harm, potential for more than minimal, widespreadF725Dec 19, 2024

  Based on record review and interviews conducted during the Recertification Survey and Complaint Survey (NY00361139, NY00361002, NY00353498, NY00348185 and NY00340617) from 12/12/2024 to 12/19/2024, the facility did not ensure sufficient nursing staff were available to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, 1). par levels documented in the Facility Assessment did not reflect actual weekend staffing levels. 2). interviews with members of the Resident Council, reflected ongoing concern about staffing levels at the facility, 3). five of eleven complaints investigated during the survey involved staffing concerns, and 4). […]

• No harm, potential for more than minimal, patternF570Dec 19, 2024

  Based on observation, record review and interviews conducted during the recertification survey from 12/12/2024 to 12/19/2024, the facility did not ensure that an appropriate surety bond was purchased, or otherwise assurance satisfactory to the Secretary was provided, to assure the security of all personal funds of residents deposited with the facility. Specifically, there is no surety bond was provided to assure the residents fund against loss. This was evident for 138 residents who maintained personal funds accounts with the facility. The findings are: The facility policy titled Resident Personal Accounts did not contain any reference to the availability of a surety bond. […]

• No harm, potential for more than minimal, patternF576Dec 19, 2024

  Based on observation, record review and interviews conducted during the recertification survey from 12/12/2024 to 12/19/2024, the facility did not ensure residents' rights to send and receive mail. Specifically, residents did not have mail delivered to them in the facility on the weekend. The findings are: The facility policy titled Mail Delivery dated 01/17/2001, last revised 10/25/2023 documented that the mail delivered on Saturdays will be sorted by the Recreation department and the mail will be delivered to the resident. On 12/16/24 at 11:44 AM, during Resident Council meeting, all 10 residents present stated that mail is not delivered in the facility on Saturdays. […]

• No harm, potential for more than minimal, patternF584Dec 19, 2024

  Based on observation, record review and interviews conducted during the Recertification and Complaint survey (NY00340617) survey from 12/12/2024 to 12/19/2024, the facility did not ensure that adequate clean linen was provided to facilitate timely care of residents. Specifically, there were multiple complaints of insufficient linen from residents and staff. The findings are: The policy titled Laundry and Linen Management dated 10/13/1998 and revised 09/25/2024 stated that it is the policy of the facility to maintain an adequate supply of clean linen through safe and sanitary laundry procedures. […]