Steuben Center for Rehabilitation and Healthcare

In the surveyor’s words

From the most serious findings on record at Steuben Center for Rehabilitation and Healthcare, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF725May 17, 2024

  Based on interviews and record reviews conducted during the Recertification Survey and complaint investigations (NY00314816, NY00316629, NY00302113), it was determined that the facility did not ensure sufficient nursing staff to provide nursing services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for all residents in the facility. Specifically, there was not sufficient staff to meet all resident needs with activities of daily living, including timely showers, long waits for addressing call lights and assistance with activities of daily living (eating, toileting, personal hygiene.). […]

• No harm, potential for more than minimal, patternF761May 17, 2024

  Based on observations, interviews, and record reviews conducted during the Recertification Survey, the facility did not ensure that all drugs and biologicals in the facility were properly stored in accordance with State and Federal Laws for two (Keuka and Lamoka Units) of three medication carts and two (Keuka and Lamoka Units) of two medication storage rooms reviewed. Specifically, medication carts contained expired medications, unidentified loose pills and/or insulin pens undated as to when they were opened or when they expired. Medication storage rooms contained multiple bottles of expired medications. […]

• No harm, potential for more than minimal, patternF919May 17, 2024

  Based on observations, interview, and record review conducted during the Recertification Survey, it was determined that for the three (Keuka, Lamoka, and [NAME]) of three resident units the facility did not properly maintain the resident call system. Specifically, elements of the nurse call system were not functioning properly, and modifications made to parts of the call system did not relay the call directly to a staff member or centralized workstation. The findings are: Record review of a document titled: 'Resident Council: Meeting Minutes' dated 4/26/24 included one resident complaint that the call light/pull cord in their bathroom was broken (room [ROOM NUMBER]B). […]

• No harm, potential for more than minimal, isolatedF755May 18, 2026

  Based on interviews and record review, the facility failed to ensure medications and treatments were provided as ordered and failed to obtain medical provider direction when ordered medications and treatments were not administered for two (2) of three (3) residents reviewed (Resident #4 and Resident #14). Specifically, Resident #14 did not receive a physician-ordered antipsychotic (prescription drugs primarily used to manage psychosis, such as delusions and hallucinations) medication on three (3) occasions when the medication was unavailable, and Resident #4 did not receive a physician-ordered pain patch on three (3) occasions when the treatment was not applied as ordered.The findings include: The facility policy, Medication Administration, last revised December 2019, included medications… […]

• No harm, potential for more than minimal, isolatedF761May 18, 2026

  Based on observations, interviews, and record review, the facility failed to ensure medications were properly labeled and handled according to accepted professional standards during one (1) of one (1) medication cart observations. Specifically, Licensed Practical Nurse #1 had four (4) unlabeled medication cups containing pre-poured medications intended for four (4) residents.The findings are:The facility policy, Medication Administration, last revised December 2019, included medications may not be prepared in advance.During an observation on 05/12/2026 at 11:45 AM, Licensed Practical Nurse #1 was standing at a medication cart with four (4) unlabeled medication cups containing pre-poured medications intended for four (4) separate residents. […]