Syracuse Home Association

In the surveyor’s words

From the most serious findings on record at Syracuse Home Association, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF640Feb 9, 2024

  48895 Based on record review and interview during the recertification survey conducted 2/5/2024 to 2/9/2024, the facility did not complete or electronically submit encoded, accurate and complete Minimum Data Set (MDS) data to the Centers for Medicare and Medicaid Services System for 65 of 69 residents (Resident #1, 6, 7, 9-11, 13-18, 20-24, 27, 28, 30-39, 41, 43-45, 50-53, 55-59, 61, 62, 64, 66, 67, 70, 176, 182, 183, 186-188, and 373-383) reviewed. Specifically: - Residents #1, 6, 7, 9-11, 13-18, 20-24, 27, 28, 30-39, 41, 43-45, 50-53, 55-59, 62, 64, 66, 67, 70, 176, 182, 183, 186, 373-375, and 377-383 had Minimum Data Set assessments that were electronically submitted greater than 14 days following the completion of the assessment, or not submitted at all. […]

• No harm, potential for more than minimal, patternF761Nov 4, 2021

  Based on observation and interview during the recertification survey conducted 11/2/21-11/4/21, the facility failed to label drugs and biologicals in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable for 3 of 3 nursing units (Units 1, 2 and 3) reviewed. Specifically, the facility did not dispose of expired medications and biologicals in the medication storage area on Units 1, 2 and 3. Findings Include: The facility policy General Medication Administration updated 3/2015 documented before administering the medication, check for irregularities such as expiration date. […]

• No harm, potential for more than minimal, isolatedF700Jan 27, 2026

  Based on observations, record review, and interviews during the recertification survey, the facility failed to review the risks and benefits of bed rails with the resident or resident representative, obtain informed consent, and assess the resident for ability to safely use the rails prior to installation of bed rails for one (1) of one (1) (Resident #15) reviewed. Specifically, Resident #15 had bilateral enabler bars/side rails, and there was no documented evidence informed consent was obtained, education was provided, or an assessment was completed for the use of the enabler bars/siderails. Findings include:The facility policy Transfer Bar Policy, last reviewed 10/2025 documented the purpose of the transfer bar was to assist with mobility. […]

• No harm, potential for more than minimal, isolatedF577Feb 9, 2024

  Based on observation and interview during the recertification survey conducted 02/5/24-02/9/2024, the facility did not ensure the results of the most recent Federal/State survey were posted in a place readily accessible to residents, family members, and legal representatives of residents. Specifically, the results of the most recent Federal health recertification survey conducted 11/4/2021 were located within a chest of drawers that was not accessible to all residents without asking for assistance. Findings include: The facility policy Resident Rights, reviewed by the facility 10/2023, documented all residents of the facility would have their rights protected and promoted. Every resident would be encouraged and assisted to exercise their rights. […]

• No harm, potential for more than minimal, isolatedF656Feb 9, 2024

  Based on observation, record review, and interview during the recertification survey conducted 2/5/2024- 2/9/2024, the facility did not develop and implement a comprehensive person-centered care plan to meet a resident's medical and nursing needs for 1 of 3 residents (Residentv#66) reviewed. Specifically, Resident #66 did not have a comprehensive person-centered care plan that included a safety gate at the doorway to their room. Findings include: The 9/2023 facility policy Comprehensive Care Plan documented a comprehensive, person-centered care plan would be developed and implemented for each resident consistent with resident rights and include measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs that were identified in the… […]