St Catherine Of Siena Nursing and Rehabilitation C

In the surveyor’s words

From the most serious findings on record at St Catherine Of Siena Nursing and Rehabilitation C, in the surveyor’s own words.

• Actual harm, isolatedF600Mar 22, 2024

  Based on record review, and interviews during the Recertification Survey and Abbreviated Survey (NY 00335331) initiated on 3/14/2024 and completed on 3/22/2024 the facility did not ensure each resident was free from abuse. This was identified for two (Resident # 9 and Resident #157) of four residents reviewed for abuse. Specifically, on 3/07/2024 Certified Nursing Assistant #2 witnessed Certified Nursing Assistant #1 slap Resident #9 on their leg with an open hand and held Resident #9's wrist to the resident's mouth to prevent the resident from biting Certified Nursing Assistant #1. Immediately following this incident with Resident #9, Certified Nursing Assistant #2 witnessed Resident #157 being roughly pushed and pulled by their arms and legs by Certified Nursing Assistant #1 during care. […]

• No harm, potential for more than minimal, patternF636Aug 18, 2025

  Based on record review and interviews during the recertification survey initiated on 08/12/2025 and completed on 08/18/2025, the facility did not ensure that all comprehensive Minimum Data Set Assessments were completed within 14 calendar days after admission and not less than once every 12 months. This was identified for 10 (Residents #81, #87, #88, #100, #109, #127, #148, #291, #302, and #303) of 47 residents reviewed for the Resident Assessment Facility Task. Specifically, Residents #81, #87, #88, #100, #109, #127, #148, #291, #302, and #303's Minimum Data Set Assessments were not completed within 14 days from the assessment reference date. […]

• No harm, potential for more than minimal, patternF638Aug 18, 2025

  Based on record review and interviews, during the recertification survey initiated on 08/12/2025 and completed on 08/18/2025, the facility did not ensure that all quarterly review Minimum Data Set Assessments were completed not less frequently than once every three (3) months. This was identified for 12 (Resident #46, #51, #54, #71, #74, #78, #82, #85, #189, #227, #235, and #285) of 47 residents reviewed for the Resident Assessment Facility Task. Specifically, Resident #46, #51, #54, #71, #74, #78, #82, #85, #189, #227, #235, and #285's Quarterly Minimum Data Set assessments were not completed within 14 days of the assessment reference date. […]

• No harm, potential for more than minimal, patternF640Aug 18, 2025

  Based on record review and interview, during the recertification survey initiated on 08/12/2025 and completed on 08/18/2025, the facility did not ensure that all completed Minimum Data Set assessments were electronically transmitted to the Center for Medicare and Medicaid Services within 14 days of the resident assessment completion date. This was identified for 28 (Residents #303, #37, #40, #42, #46, #54, #65, #71, #78, #81, #85, #87, #89, #109, #116, #127, #157, #171, #189, #211, #215, #220, #222, #223, #235, #256, #259, and #285) of 47 residents reviewed for the Resident Assessment Facility Task. Specifically, all 28 resident assessments were not transmitted to the Center for Medicare and Medicaid Services within 14 days of the resident assessment completion date. […]

• No harm, potential for more than minimal, patternF842Aug 18, 2025

  Based on record review and interviews conducted during the Recertification Survey initiated on 08/12/2025 and completed on 08/18/2025, the facility did not maintain accurately documented medical records on each resident that were in accordance with accepted professional standards and practices. This was identified for one (1) (Resident #46) of five (5) residents reviewed for Respiratory Care. Specifically, the facility staff mistakenly created a preset physician order in the electronic record for the Certified Nursing Assistants to check and replace the oxygen tank when the oxygen supply was low; therefore [NAME] resident who was utilizing the oxygen tank for supplemental oxygen had a physician's order for the Certified Nursing Assistants to change the oxygen tank which was not in the… […]