Terence Cardinal Cooke Health Care Center

In the surveyor’s words

From the most serious findings on record at Terence Cardinal Cooke Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Oct 28, 2024

  Based on observation, record review, and interviews conducted during the Recertification Survey from 10/21/2024 to 10/28/2024, the facility did not ensure infection control practices and procedures were maintained. This was evident in 2 (Resident #208 and Resident #269) of 4 residents reviewed for Infection Control out of 37 total sampled residents. Specifically, 1.) Licensed Practical Nurse #6 failed to perform hand hygiene and glove changes while performing wound treatment for Resident #208 and 2. ) Enhanced Barrier Precautions were not maintained when Licensed Practical Nurse #5 flushed Resident #269's indwelling urinary catheter. In addition, Licensed Practical Nurse #5 failed to clean / sanitize the Resident's bedside table after using it for the procedure. The findings are: 1. […]

• No harm, potential for more than minimal, isolatedF842Jul 31, 2026

  Based on interviews and record review, the facility failed to ensure that medical records are maintained in accordance with accepted professional standards and practices to be complete and accurately documented. This was evident for one (Resident #5) of one resident investigated for medication error. Specifically, Registered Nurse #5 failed to accurately document the time Resident #5 received hydromorphone and Registered Nurse #5 failed to document that Resident #5 received a second dose of hydromorphone approximately two and a half hours later. […]

• No harm, potential for more than minimal, isolatedF550Oct 28, 2024

  Based on observation, record review, and interviews conducted during the Recertification Survey from 10/21/2024 to 10/28/2024, the facility did not ensure that residents are treated with respect and dignity and cared for in a manner that promotes maintenance or enhancement of their quality of life, recognizing each resident's individuality. This was evident in 1 (Resident #28) of 1 resident reviewed for dignity. Specifically, Resident #28 was observed wearing the same outfit two days in a row. […]

• No harm, potential for more than minimal, isolatedF600Oct 28, 2024

  Based on record review and interviews conducted during the Recertification and Abbreviated (NY00349557) Survey, the facility failed to ensure that a resident was free from sexual abuse. This was evident in 2 (Residents #447 and #463) of 6 residents reviewed for abuse out of 37 total sampled residents. Specifically, on 07/26/2024 at approximately 6:00 PM, Certified Nursing Assistant #4 observed Residents #447 and #463 lying in bed with no undergarments. Resident #447's hand was observed touching Resident #463's private area. […]

• No harm, potential for more than minimal, isolatedF656Oct 28, 2024

  Based on observation, record review, and interview conducted during the Recertification Survey from 10/21/2024 to 10/28/2024, the facility did not ensure that a person-centered Comprehensive Care Plan was developed and implemented to meet the resident's goals, and address the resident's medical, physical, mental and psychosocial needs. This was evident in 1 (Resident #28) of 2 residents reviewed for care planning out of 37 total sampled residents. Specifically, Resident #28 who had a diagnoses and was receiving treatment for Glaucoma, had no comprehensive care plan developed to address the Resident's impaired vision. […]