Staten Island Care Center

In the surveyor’s words

From the most serious findings on record at Staten Island Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF577Mar 21, 2024

  Based on observations, record review, and staff interviews conducted during the Recertification survey from 03/14/2024-03/21/2024, the facility did not ensure that the survey results were posted in a place readily accessible to residents, visitors, or other individuals, where individuals wishing to examine survey results do not have to ask to see them. Specifically, the survey results were in a binder at sitting height at the front desk facing towards the inside area of the security desk and were not readily accessible for review. The finding is: The facility policy and procedure titled Survey Results reviewed on 01/08/2024 documented that it is the policy of the facility to post all survey results at the front desk for all residents and visitors to view. […]

• No harm, potential for more than minimal, patternF583Feb 4, 2022

  Based on observation, records review and staff interview during the recertification survey, the facility did not ensure that each resident's right to privacy and confidentiality of his or her personal and medical records was maintained. Specifically, the licensed nurse left an open laptop logged into a resident's electronic medical record (EMR) (Resident #141) and medication blister pack (Resident #83 and Resident #140) unattended, on top of the medication cart, in the hallway, exposing personal health information. This was evident for 3 of 4 residents reviewed for privacy (Resident #141, #140 and #83) on 1 of 5 units (Unit 2). […]

• No harm, potential for more than minimal, patternF880Feb 4, 2022

  Based on observation, record review, and staff interviews during the Recertification survey, the facility did not ensure that infection prevention control practices were followed to help prevent the spread, development, and transmission of communicable diseases and infections. Specifically, The facility staff did not follow infection control guidelines while handling clean and soiled linen to prevent the spread of infection; This was evident for 1 of 5 units observed for infection control (unit 5 and unit 1). The findings are: 1) The Infection Control: Safe handling of linen policy dated 6/12/18 last reviewed on 11/9/21 documented that it is the policy of the facility to ensure that all personnel must handle, store, process, and transport linens so as to prevent the spread of infection. […]

• No harm, potential for more than minimal, isolatedF645Mar 21, 2024

  Based on record review and interviews during the Recertification survey from 3/14/24 to 3/21/24, the facility did not ensure that a complete preadmission screening for individuals with a mental disorder was conducted. Specifically, the SCREEN DOH 695 form was incomplete and a determination of a resident's need for Level II services had not been documented. This was evident for 1 of 2 residents (Resident #244) reviewed for Preadmission Screening and Resident Review (PASARR) out of 38 sampled residents. The finding is: Resident #244 was admitted to the facility on [DATE] with diagnoses that included Non-Alzheimer's Dementia, Anxiety Disorder, Depression, Bipolar Disorder. […]

• No harm, potential for more than minimal, isolatedF679Mar 21, 2024

  Based on observation, record review, and interviews conducted during the Recertification survey from 3/14/2024 to 3/21/2024, the facility did not ensure an ongoing activities program was provided to meet the interests of and support the physical, mental, and psychosocial well-being of the resident. This was evident for 1 of 1 resident (Resident #53) reviewed for Activities out of 38 total sampled residents. Specifically, Resident #53, a resident with severely impaired cognition, was observed for extended periods of time without meaningful activities, and there was no activity plan to provide activities to the resident while in their room. […]