Syringa Chalet Nursing Facility

In the surveyor’s words

From the most serious findings on record at Syringa Chalet Nursing Facility, in the surveyor’s own words.

• Actual harm, isolatedF676Dec 5, 2024

  Based on observation, record review, and staff interview, it was determined the facility failed to ensure residents were given treatment and services to maintain or improve their ability to carry out activities of daily living (ADLs). This was true for 2 of 10 residents (#8 and #18) reviewed for decline in ADLs without services. This failure placed residents at risk for decreased range of motion, functional ability, and decreased quality of life. Findings include: 1. Resident #8 was admitted [DATE], with multiple diagnoses including schizophrenia and diabetes. Resident #8's Quarterly MDS, dated [DATE], section GG, documented no impairment to UE or LE. Resident #8's State optional MDS, dated [DATE], section G documented Independent with bed mobility, transfers, and toileting. […]

• No harm, potential for more than minimal, patternF550Dec 5, 2024

  Based on observation, policy review, resident, and staff interview, it was determined the facility failed to ensure residents were treated with dignity and respect. This was true for 4 of 36 residents (#1, #18, #21, and #23) reviewed for respect and dignity. This deficient practice placed residents at risk of embarrassment and diminished sense of worth. Finding include: The facility's Dignity policy, dated 5/9/24, documented the facility would promote care for residents in a manner and in an environment, that maintains or enhances each resident's dignity and respect in full recognition of his or her individuality. The following residents were observed in an open area of the facility and had received medication or had their blood sugar checked: 1. […]

• No harm, potential for more than minimal, isolatedF584Jan 22, 2026

  Based on observation and interview, the facility failed to provide a safe and functional environment. This was true for 1 of 4 resident rooms (room # 411) whose sharps containers were overfilled. This failure had the potential for injury and infections. Findings include:On 1/20/26 at 8:27 AM and on 1/21/26 at 12:55 PM, observed in resident room [ROOM NUMBER], the sharps container filled past the full line and the flip top not freely movable.On 1/21/26 at 1:59 PM, the DON and surveyor observed in resident room [ROOM NUMBER], the sharps container filled past the full line.On 1/21/26 at 2:01 PM, the DON stated the sharps container should have been changed when it was full and had not been.

• No harm, potential for more than minimal, isolatedF628Jan 22, 2026

  Based on record review and staff interview, it was determined the facility failed to ensure a bed hold notice was provided to residents or their representatives at the time of the resident's transfer to the hospital. This was true for 1 of 4 residents (Resident #26) reviewed for transfers. This deficient practice created the potential for harm if residents were not informed of their right to return to their former bed or room at the facility within a specified time. Findings include:Resident #26 was admitted to the facility on [DATE], with multiple diagnoses including paranoid schizophrenia (a psychiatric disorder characterized by persistent delusions of persecution, unwarranted suspicion, and hallucinations) and anxiety.Resident #26's medical record documented she had been transferred to… […]

• No harm, potential for more than minimal, isolatedF655Jan 22, 2026

  Based on policy review, record review and staff interviews, the facility failed to include person-centered care information on the baseline care plan for 1 of 8 residents (Resident #37) reviewed for baseline care plans. This failed practice had the potential for an adverse event if resident's mental health, safeguards, and safety measures were not addressed. Findings include:The facility's Baseline Care Plan policy, dated 7/11/24, documented The facility will develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meets professional standards of quality of care. The baseline care plan will: 1. Be developed within 48 hours of a resident's admission2. […]