The Emerald Peek Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at The Emerald Peek Rehabilitation and Nursing Center, in the surveyor’s own words.

• Actual harm, patternF689Aug 28, 2024

  Based on record reviews and interviews during the abbreviated surveys (NY00321069), it was determined the facility failed to ensure each resident received adequate supervision and assistance to prevent accidents for one (1) of three (3) residents (Resident #1) reviewed for accidents. Specifically, Resident # 1 fell from their bed on [DATE] when the plan of care for a 2-person assist with bed mobility was not followed. Resident #1 sustained a subdural hemorrhage (brain bleed) and a lip laceration. The resident expired in the hospital on [DATE]. […]

• No harm, potential for more than minimal, patternF880May 12, 2026

  Based on observation and interview conducted during the survey, the facility did not ensure infection control prevention practices were maintained by one (1) of three (3) nurses (Licensed Practical Nurse #3) observed during medication administration, for one (1) of seven (7) resident reviewed for infection control, and two staff (Licensed Practical Nurse #5 and Certified Nurse Aide #6 during a meal observation. Specifically, 1) Licensed Practical Nurse #3 did not practice hand hygiene prior to administering medications; 2) Physical Therapist #4 did not wear a gown while performing range of motion exercises for Resident #52 who was on Enhanced Barrier Precautions; and 3) during meal observation Licensed Practical Nurse #5 touched the lip of cups with bare hands after touching the beverage… […]

• No harm, potential for more than minimal, patternF730Nov 8, 2024

  Based on record review and interview conducted during the recertification survey from 11/4/2024 to 11/8/2024, the facility did not ensure Annual Performance Reviews were completed at least once every 12 months. Specifically, the facility was unable to provide Annual Performance Reviews for 5 of 5 Staff Members ( #11, #12, #13, #14, #15) reviewed. The findings are: The facility policy titled Job Performance Review, dated 10/01/2024, stated: The job performance of each employee shall be reviewed and evaluated at least annually. During an interview with Assistant Director of Nursing/Nurse Educator on 11/06/24 at 4:14 PM, they stated the facility had just resumed Annual Performance Appraisals for nursing staff. […]

• No harm, potential for more than minimal, patternF812Dec 22, 2021

  Based on observations and interviews conducted during a recertification survey, the facility did not ensure food was stored in accordance with professional standards for food service safety in a manner to prevent contamination. Specifically, a 5-pound package of open cheese and 5-pound package of open boloney which were not dated to document date of having been opened were observed in the refrigerator in the kitchen, and 3 boxes frozen apple juice and 3 boxes frozen orange juice were observed sitting on a cart in the kitchen at room temperature. […]

• No harm, potential for more than minimal, patternF880Dec 22, 2021

  Based on observation, interviews, and record review, the facility did not ensure infection control/infection precautions were maintained to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, hand hygiene was not performed appropriately during wound care. This was evident for 2 of 5 residents reviewed for Pressure Ulcer/Injury. (Resident #4 & #30). The findings are: 1. Resident # 4 was admitted to the facility with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The Admission Minimum Data Set (MDS, a resource tool used to assess residents) dated 2/24/21 documented the resident was mildly cognitively impaired and had 1 Stage 2, 1 Stage 3 and 1 Stage 4 pressure ulcer. […]