Susquehanna Nursing & Rehabilitation Center, L L C

In the surveyor’s words

From the most serious findings on record at Susquehanna Nursing & Rehabilitation Center, L L C, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Aug 12, 2026

  Based on observations, interviews, and record review, the facility failed to ensure residents were free from abuse, neglect, misappropriation and exploitation for three of three residents (Residents #11, #63, and #90) reviewed. Specifically, on [DATE], the facility failed to remove Certified Nurse Aide #5 from direct resident care after Resident #90 filed a grievance against the aide. Subsequently, during a [DATE] facility Resident Council meeting with the Director of Social Services present, Residents #11 and #63 stated that Certified Nurse Aide #5 was rough with them while providing care. […]

• Immediate jeopardy, isolatedF609Aug 12, 2026

  Based on observations, interviews, and record review, the facility failed to ensure allegations of abuse are reported immediately, but no later than two hours after the allegation is made, to the administrator of the facility and the New York State Department of Health in accordance with State law for three of three incidents of alleged abuse involving Residents #11, #63, and #90. Specifically, on 07/08/2026, Resident #90 filed a grievance stating Certified Nurse Aide #5 was rough with care and on 07/22/2026, during a Resident Council meeting, Resident's #11 and #63 reported Certified Nurse Aide #5 was rough with care. […]

• Actual harm, patternF686Aug 12, 2026

  Based on observations, record review, and interviews, the facility failed to ensure a resident with pressure ulcers received the necessary treatment and services, consistent with professional standards of practice, to promote wound healing, prevent infection and prevent new ulcers from developing for two of three residents (Resident #12 and Resident #32) reviewed. Specifically, Resident #12 developed a wound on the right buttocks that was identified as an unstageable (full-thickness tissue loss where the true depth cannot be seen because the dead tissue block the wound base) pressure ulcer on 04/14/2025. […]

• Actual harm, isolatedF686Sep 16, 2024

  Based on record review and interviews during the recertification and abbreviated (NY00350839) surveys conducted 9/9/2024-9/16/2024, the facility failed to ensure a resident with pressure ulcers received the necessary treatment and services, consistent with professional standards of practice, to promote wound healing, prevent infection and prevent new ulcers from developing for 2 of 6 residents (Residents #88 and #195) reviewed. Specifically, Resident #88's wound treatments were not consistently documented as completed; and Resident #195 developed impaired skin integrity on the sacrum (the triangular bone at the base of the spine) that was not assessed by a qualified professional to determine interventions and routine monitoring, and treatments were not consistently applied as ordered. […]

• No harm, potential for more than minimal, widespreadF725Aug 12, 2026

  Based on observations, record review, and interviews, the facility failed to ensure sufficient nursing staff to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being for eight of eight anonymous residents who expressed concerns regarding the lack of sufficient staffing, and one of one resident (Resident #137) who experienced prolonged wait time for care. Specifically, during a resident council meeting on 08/03/2026 with the survey team, eight anonymous residents stated the facility was frequently short-staffed, they missed activities because there were not enough staff to get them up in time to attend, and call bell wait times were often over an hour; and Resident #137 did not receive… […]