Sodus Rehabilitation & Nursing Center

In the surveyor’s words

From the most serious findings on record at Sodus Rehabilitation & Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, patternF600Oct 3, 2022

  Based on observations, interviews, and record review conducted during an Abbreviated Survey (Complaint #NY00292306, #NY00292598, #NY00298931, and #NY000302841), it was determined that for 4 (Resident #1, #3, #5, and #6) of 10 residents reviewed, the facility failed to protect each resident's right to be free from abuse that had the likelihood to result in physical harm, pain, or mental anguish. Specifically, the facility failed to thoroughly investigate multiple allegations of resident abuse by Licensed Practical Nurse (LPN) #1 between 2/5/22 and 9/25/22, to remove LPN #1 from direct care following allegations of resident abuse, complete investigations of abuse within five days, and failed to report allegations of abuse to law enforcement and the State Agency. […]

• No harm, potential for more than minimal, patternF812Oct 11, 2024

  Based on observations, interview, and record review conducted during the Recertification Survey from 10/07/2024 to 10/11/2024, for one of one main kitchen and one (Cortland/[NAME]) of two satellite serveries, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically: there were dirty food and non-food contact surfaces, perishable food items were kept longer than 3-days per facility policies, and a sanitizer cleaning bucket with solution and a cleaning rag was dirty and not replaced between meals. […]

• No harm, potential for more than minimal, patternF689Nov 2, 2022

  Based on observations, interviews, and record reviews conducted during the Recertification Survey and complaint investigation (NY 512) completed on 11/2/22, it was determined that for one (Empire) of three residential care units reviewed and one (Resident #27) of three residents reviewed for accidents, the facility did not ensure that the resident environment remained free of accident hazards. Specifically, hot water temperatures exceeding 120 degrees ( ) Fahrenheit (F) were accessible to residents at point of use. Additionally, Resident #27 was observed with unlabeled and unsupervised medications at the resident's bedside. This is evidenced by the following: 1. Observations, interviews, and record reviews on 10/27/22 from 10:33 a.m. to 5:15 p.m. included the following: a. […]

• No harm, potential for more than minimal, patternF693Nov 2, 2022

  Based on observations, interviews and record review conducted during the Recertification Survey, completed on 11/2/22, it was determined that for two (Resident #81 and #220) of two residents reviewed for tube feedings (TF), the facility did not provide appropriate treatment and services to prevent potential complications. Specifically, there was no process for tracking and monitoring the daily total intakes of TF for either resident to ensure the resident's nutritional needs were being met. […]

• No harm, potential for more than minimal, patternF756Nov 2, 2022

  Based on interviews and record reviews conducted during the Recertification Survey, completed on 11/2/22, it was determined that for one (Resident #54) of five residents reviewed the facility did not ensure that the attending physician documented that the Medication Regimen Review (MRR) that was completed by the pharmacist was reviewed for irregularities/recommendations and action taken if any and/or a rationale if no action taken. Specifically, the pharmacist had consistently noted irregularities on the MRR reports related to a Gradual Dose Reduction (GDR) of an antipsychotic medication and recommendations for other medications and there was no evidence that the irregularities were addressed by the by the physician or the Director of Nursing (DON) per the regulations. […]