The Grand Pavilion For Rehab & Nursing at Rockvill

In the surveyor’s words

From the most serious findings on record at The Grand Pavilion For Rehab & Nursing at Rockvill, in the surveyor’s own words.

• Actual harm, isolatedF697Jan 10, 2025

  Based on observations, record review, and interviews during the Recertification Survey, initiated on 1/5/2025 and completed on 1/10/2025, the facility did not ensure that pain management was provided to each resident who requires such services, consistent with professional standards of practice, and the comprehensive person-centered care plan. This was identified for one (1) (Resident #234) of four (4) residents reviewed for Pressure Ulcers. Specifically, Resident #234 had a Stage 3 pressure ulcer to the sacrum (a large, triangular bone at the base of the spine). The resident was heard from the hallway loudly complaining of pain and they wanted to die. The resident did not have a physician's order for pain medications. […]

• No harm, potential for more than minimal, patternF550Jan 10, 2025

  Based on observations, record review, and interviews during the Recertification Survey initiated on 1/5/2025 and completed on 1/10/2025, the facility did not ensure that each resident was treated with respect and dignity and in a manner and in an environment that promotes maintenance or enhancement of their quality of life. This was identified for three (Resident #335, Resident#283, and Resident #284) of three residents reviewed for Dignity. Specifically, Resident #335, Resident #283 and Resident #284 were not provided a privacy cover for their urinary catheter bags. Both residents' urinary catheter bags contained urine and were visible from the hallway. […]

• No harm, potential for more than minimal, patternF656Jun 28, 2023

  Based on record review and interviews during the Recertification Survey initiated on 6/21/2023 and completed on 6/28/2023, the facility must develop and implement a Comprehensive Person- Centered Care Plan (CCP) for each resident that includes measurable objectives and time frames to meet a residents medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment. This was identified for one (Resident #42) of one resident reviewed for Advance Directives; for one (Resident #79) of two residents reviewed for Communication-Sensory care area; and one (Resident #22) of four residents reviewed for Positioning/Mobility care area. Specifically, 1) Resident #42 had no CCP developed for their Advance Directives. […]

• No harm, potential for more than minimal, patternF684Jun 28, 2023

  Based on observation, record review, and interviews during the Recertification Survey and Abbreviated Survey ( Complaint #NY00297167 and NY00313454) initiated on 6/21/2023 and completed on 6/28/2023, the facility did not ensure that each resident received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #107) of two residents reviewed for Pressure Ulcers; one (Resident #292) of five residents reviewed for Accidents; and one (Resident #22) of four residents reviewed for Positioning/Mobility. […]

• No harm, potential for more than minimal, isolatedF584Jul 10, 2026

  Based on observation, record review, and interviews, the facility failed to ensure that each resident has a safe, clean, comfortable and homelike environment and received maintenance services necessary to maintain an orderly and comfortable interior. This was identified for one (Resident #1) of three residents reviewed for Environment. Specifically, on 06/17/2026, a bed remote was observed with exposed wires for the bed and room where Resident #1 had resided prior to their discharge from the facility.Complaint # 755933 The findings include:A facility policy titled Preventative Maintenance dated 10/2025 documented furnishings, equipment, and accessories shall be maintained in good order.Resident #1 was admitted to the facility with diagnoses including generalized osteoarthritis, difficulty… […]