St Mary's Hospital For Children

In the surveyor’s words

From the most serious findings on record at St Mary's Hospital For Children, in the surveyor’s own words.

• Immediate jeopardy, widespreadF695Mar 31, 2026

  Based on observation, interview, and record review, the facility failed to ensure that a resident who required respiratory care, including tracheostomy (a surgically created opening called a stoma in the front of the neck leading into the windpipe (trachea) to help a person breathe) care, received services consistent with professional standards of practice and the comprehensive person-centered care plan. This deficient practice was evidenced by the facility's nursing and respiratory therapy staff's failure to respond to critical oxygen saturation alarms for one (1) of six (6) residents (Resident #1) sampled for respiratory care. Specifically, on [DATE] at 8:58 AM, the resident's oxygen saturation dropped to 84%. […]

• No harm, potential for more than minimal, isolatedF609Mar 31, 2026

  Based on record review and interviews, the facility failed to ensure that alleged violations involving neglect, was reported immediately, but not later that two (2) hours after the allegation is made, if the events that caused the allegation involved or resulted in serious bodily injury, or not later than 24 hours if the events that caused the allegation do not involved abuse and do not result in serious bodily injury, to the administrator of the facility of the facility and to other officials (including to the State Agency and adult protective services where state law provides for judications in long term care facilities). This was evident for one (1) out of six (6) residents sampled (Resident #1) for respiratory care. […]

• No harm, potential for more than minimal, isolatedF688Feb 12, 2025

  Based on observation, record review, and interviews during the Recertification Survey conducted from 02/05/2025 to 02/12/2025, the facility did not ensure a resident with limited mobility received appropriate services, equipment, and assistance to maintain, improve, or prevent avoidable decline in range of motion and mobility. This was evident in 1 (Resident #18) of 3 residents reviewed for Limited Range of Motion, out of 25 sampled residents. Specifically, Resident #18 who had a physician's order to apply bilateral wrist cock-up splints was observed on multiple occasions without the splint applied. […]

• No harm, potential for more than minimal, isolatedF645Nov 16, 2023

  Based on record review and staff interview during the recertification survey conducted from 11/8/2023 to 11/16/2023, the facility did not ensure each resident received preadmission screening for a mental disorder or intellectual disability. This was evident for 1 (Resident #99) of 27 total sampled residents. Specifically, Resident #99 did not have a Level 1 Preadmission Screening and Resident Review (PASARR) completed prior to their admission to the facility. The findings are: The facility policy titled PASRR Screen dated 12/2022 documented the PASARR Screen for all residents will be reviewed prior to their admission to protect their rights and ensure the identification and delivery of specialized developmental and mental health services. […]

• No harm, potential for more than minimal, isolatedF600Nov 10, 2023

  Based on observation, interviews, and record review conducted during an abbreviated survey (NY00303294), the facility did not ensure that a resident was free from physical abuse. This was evident for 1 of 3 residents (Resident #1) reviewed for abuse. Specifically, on 10/04/22, a Registered Nurse (RN#1) reported to the Assistant Director of Nursing (ADNS) that a Certified Nursing Assistant (CAN#1) who was assigned to resident #1 on 10/03/22 was witnessed slapping resident's arm twice while the resident was reaching out to the nebulizer treatment. In addition, the RN#1 failed to remove the accuse C.N.A#1 from patient care and allowed the C.N.A#1 to continue to work until end of shift. Resident #1 was assessed with no injury sustained from the incident. […]