Sinai Post-Acute Nursing & Rehab Center

In the surveyor’s words

From the most serious findings on record at Sinai Post-Acute Nursing & Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF835Jul 29, 2024

  Complaint # NJ 175415 Refer to F 550 K, Refer to F 557 K, Refer to F 561 K, Refer to F 603 K, Refer to F 604 K, Refer F to 679 E. Based on interviews, record review, and review of facility documents, it was determined that the facility Licensed Nursing Home Administrator (LNHA) failed to a.) ensure the facility implemented policies and procedures for Resident Rights and Self Determination as well as policies and procedures to prevent physical restraints and seclusion. The LNHA also failed to ensure 11 of 11 Justice Involved Residents (JIRs) (Resident #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11) b.) signed Admission Agreements on admission to the facility and c.) were afforded the autonomy to participate in group activities, community dining, serving meals in a dignified manner, freely… […]

• Immediate jeopardy, patternF550Jul 29, 2024

  Complaint # NJ 175415 Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure that 11 of 11 Justice Involved Residents (JIR) were afforded the autonomy to participate in group activities, community dining, serving meals in a dignified manner, freely communicate with visitors, leave rooms at will and be free from physical restraints for (Resident #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11). The failure to treat residents respectfully and in a dignified manner had the likelihood to cause serious injury and psychological harm. […]

• Immediate jeopardy, patternF557Jul 29, 2024

  Complaint # NJ 175415 Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure that residents were treated in a dignified and respectful manner 11 of 11 Justice Involved Residents (JIR) by physically restraining, secluding the residents from participating in group activities, community dining, intermingling with other residents, communicating with visitors and leaving the room at will. This was cited as a pattern that immediately jeopardizes the health and safety of the JIR residents, as well as all other residents that reside in the facility which resulted in an Immediate Jeopardy (IJ) situation. […]

• Immediate jeopardy, patternF561Jul 29, 2024

  Complaint # NJ 175415 Based on observation, interview, record review, and review of pertinent facility documents it was determined that the facility failed to promote and facilitate 11 of 11 Justice Involved Residents' (JIR) (Resident #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11) right to: 1) make their own choices regarding aspects of their life and care; 2) participate in activities and 3) interact with members of the community both inside and outside the facility. The failure to promote and facilitate a resident's self-determination had the likelihood to cause serious psychological harm. On 07/11/24 at 09:00 AM, Surveyor #1 and #2 interviewed the Director of Nursing (DON) who stated that she was notified by the facility's Corporate Office (CO) that JIRs were entering the facility. […]

• Immediate jeopardy, patternF603Jul 29, 2024

  Complaint # NJ 175415 Based on observation, interview, review of resident medical records and other pertinent facility documentation it was determined that the facility failed to ensure that 11 of 11 Justice Involved Residents (JIRs) (Resident #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11) were free from involuntary seclusion. The JIR were secluded from having autonomy and to make choices to the maximum extent practicable regarding how they wish to live their everyday lives and receive care with the same rights as nursing home residents. The failure to allow JIRs autonomy posed the likelihood to cause serious injury, psychological harm, and severe mental anguish which resulted in an Immediate Jeopardy (IJ) situation. […]