Soldiers and Sailors Memorial Hospital Extended Ca

In the surveyor’s words

From the most serious findings on record at Soldiers and Sailors Memorial Hospital Extended Ca, in the surveyor’s own words.

• Immediate jeopardy, patternF700Nov 4, 2024

  Based on observations, interviews, and record review conducted during the Recertification Survey from 10/28/2024 to 11/04/2024, the facility failed to ensure correct installation, use, and maintenance of bed rails (side rails) to ensure there were no entrapment zones (an event in which a resident was caught, trapped, or entangled in the spaces in or about the side rail, mattress, or hospital bed frame), or safety hazards for six (6) (Resident # 17, 29, 52, 71, 106, and 110) of 31 residents reviewed for bed rails. Specifically, Residents #29 and #52 were identified by the facility with bed rails that were loose, and that the residents' head, body, or extremities were small enough to pass between the bed rail bars or through gaps between the mattress and bed rails. […]

• No harm, potential for more than minimal, patternF909Nov 4, 2024

  Based on observations, interviews and record review conducted during an extended Recertification Survey from 10/28/2024 to 11/04/2024, for six (Residents #17, #29, #52, #71, #106, and #110) of 31 residents reviewed, the facility did not conduct regular inspections of all bed frames, mattresses, and bed rails as part of a regular maintenance program to identify areas of possible entrapment (when a person is trapped in a hospital bed's rails, mattress or frame, preventing them from moving). Specifically, Residents #29, #52, and #110 were observed to have loose bed rails and entrapments zones that exceeded the United States Food and Drug Administration's recommended dimensional limits. […]

• No harm, potential for more than minimal, isolatedF550Nov 4, 2024

  Based on observations, interviews, and record review conducted during an extended Recertification Survey and complaint investigation (NY00354636), for one (Unit One) of three units reviewed, the facility did not ensure that the residents were treated in a dignified manner. Specifically, there were multiple observations of approximately half the residents in the dining room waiting longer than one hour to receive their meals, while the other residents consumed their meals in their presence. Resident #65 was observed yelling out angrily because they had not received their meal. […]

• No harm, potential for more than minimal, isolatedF677Nov 4, 2024

  Based on observations, interviews, and record review conducted during an extended Recertification Survey and complaint investigation (NY00354636), for three (Residents #13, #81, and #106) of seven residents, the facility did not ensure that residents who were dependent on staff for assistance received the necessary services to maintain grooming and personal hygiene. Specifically, Resident #81 did not receive assistance with shaving or obtaining a haircut, Resident #106 did not receive assistance with nail care, and Resident #13 did not receive assistance with daily hair grooming. […]

• No harm, potential for more than minimal, isolatedF688Nov 4, 2024

  Based on observations, interviews, and record reviews conducted during an extended Recertification Survey from 10/28/2024 to 11/04/2024, for one (Resident #22) of three residents reviewed, the facility did not ensure that residents with limited mobility received the appropriate services, equipment, and assistance to maintain mobility and prevent complications. Specifically, Resident #22 did not consistently receive a hand device (rolled cloth) for a hand contracture (a shortening of muscles, tendons, and skin) to prevent complications per Occupational Therapy's recommendations and as ordered by the physician. […]