The Grand Rehabilitation and NRSG at Chittenango

In the surveyor’s words

From the most serious findings on record at The Grand Rehabilitation and NRSG at Chittenango, in the surveyor’s own words.

• Immediate jeopardy, patternF578Jan 26, 2024

  Based on record review and interviews during the recertification survey conducted 1/22/2024- 1/26/2024 the facility failed to ensure residents' advance directives were documented for 6 of 14 residents reviewed (Residents #172, #174, #222, #223, #224, and #320). Specifically, Residents #172, #174, #222, #223, #224, and #320 were admitted within the last 30 days (12/26/2023- 1/23/2024) and did not have physician orders for advance directives. Subsequently, during a cardiac emergency event, staff would not know Residents #172's, #174's, #222's, #223's, #224's, and #320's wishes for life-sustaining treatment. This placed Residents #172, #174, #222, #223, #224, and #320 at risk for the likelihood of serious harm or death that was Immediate Jeopardy. […]

• No harm, potential for more than minimal, patternF761Nov 18, 2025

  Based on observations and interviews during the recertification survey conducted [DATE]-[DATE], the facility did not ensure drugs and biologicals were labeled and stored in accordance with currently accepted professional principles for one (1) of two (2) medication rooms (Units A and B medication rooms) and one (1) of one (1) medication carts (Unit A South) reviewed. Specifically, the Unit A medication room had medications stored on the floor, discontinued medications were placed on a shelf with a resident's unlabeled personal medications stored in an emesis bag (used to collect vomit), and the medication refrigerator temperatures were out of range and contained frozen insulin pens; the Unit A South medication cart had an unlabeled insulin pen in the top drawer, and a licensed practical… […]

• No harm, potential for more than minimal, patternF812Nov 18, 2025

  Based on observation, record review, and interview during the recertification survey conducted 9/22/2025-9/25/2025, the facility did not ensure food was stored, prepared, distributed, and served in accordance with professional standards in one (1) out of one (1) main kitchen and for two staff (Dietary Aide #5 and Dietary Aide #6). Specifically, in the main kitchen staff did not wash their hands before preparing food; food was not labelled and dated; and food contact surfaces were not sanitized appropriately. […]

• No harm, potential for more than minimal, patternF919Nov 18, 2025

  Based on observation, record review, and interview during the recertification survey conducted 9/22/2025-9/25/2025, the facility did not ensure residents had a means of directly contacting staff for assistance for one (1) of one (1) residents (Resident #9) reviewed. Specifically, Resident #9's call bell was out of reach and not accessible. Additionally, Residents #10, 24, 62's call bells were observed to be out of reach one day of survey and Resident #63's call bell was observed to be out of reach two days of survey. […]

• No harm, potential for more than minimal, patternF582Jan 26, 2024

  Based on record review and interview during the recertification survey conducted 1/22/2024 through 1/26/2024, the facility did not provide the appropriate liability and appeal notices to Medicare beneficiaries for 3 of 3 residents (Residents #271, 272, and 273) reviewed. Specifically, Residents #271, #272, and #273 were discharged to home and were not provided with Notice of Medicare Non-Coverage (Centers for Medicare and Medicaid Services-10123) for Medicare Part A as required. […]