The Grand Rehabilitation and NRSG at Guilderland

In the surveyor’s words

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

• Immediate jeopardy, isolatedF760Mar 7, 2025

  Based on observations, record review, and interviews during a recertification and abbreviated survey (Case #'s NY00363829, NY00364424, and NY00347964), the facility failed to ensure residents were free of any significant medication errors for five (5) (Resident #s 12, 23, 47, 77, and 327) of 10 residents reviewed for medication administration. Specifically, (a.) Resident #47 was not administered 12 days-worth of psychiatric medication from 11/25/2024 to 12/06/2024. Over the 12 days, the resident decompensated psychiatrically, and on 11/29/2024 at 9:00 AM, the resident requested to be sent to the hospital. (b.) Resident #12 was not administered their antibiotics (medication to treat active infections) 10 of 20 times as prescribed. […]

• No harm, potential for more than minimal, widespreadF725Mar 7, 2025

  Based on observation, record review, and interviews during a recertification and abbreviated survey (Case #NY00347964), the facility did not ensure the provision of sufficient nursing staff to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident throughout the facility. Specifically, the facility's minimum staffing levels were not met each day from 2/22/2025 through 3/06/2025 per facility assessment and New York State Nursing Home Minimum Staffing and Direct Resident Care. This is evidenced by: Upon entrance to the facility on [DATE] there were 123 residents residing on 3 units. Nursing Homes are required by New York State Public Health Law and Regulations to meet minimum staffing standards. […]

• No harm, potential for more than minimal, patternF550Mar 7, 2025

  Based on observation, record review, and interview during the recertification survey, the facility did not ensure each resident was treated with respect and dignity and cared for in a manner that promotes maintenance or enhancement of quality of life for two (2) (Resident #s 39 and 61) of 32 residents reviewed. Specifically, Resident #s 39 and 61 were not cared for in a manner that promoted maintenance or enhancement of quality of life by staff providing care. This is evidenced by: The Policy and Procedure titled, Resident Rights, reviewed 1/2025, documented employees would treat all residents with kindness, respect and dignity. Federal and state laws guaranteed certain basic rights to all residents in the facility. […]

• No harm, potential for more than minimal, patternF584Mar 7, 2025

  Based on observation, record review, and interviews conducted during the recertification and abbreviated survey (Case # NY00347964), the facility did not provide effective housekeeping and maintenance services on 3 (A, B, and C) of 3 resident units. Specifically, floors, walls, window blinds, ceilings, and dining tables were not clean or maintained and obnoxious odors were detected. This is evidenced by: During observations on 2/23/2025 at 1:52 PM, a urine and fecal odor was detected on the B-Wing corridor, an unwashed body odor was detected by room B13, and trash was found on the floor in room B19. During observations on 02/24/2025 from 9:45 AM through 11:39 AM: Strong urine odors were detected in the corridor outside rooms A01 through A05 and rooms B14 through B19. […]

• No harm, potential for more than minimal, patternF656Mar 7, 2025

  Based on record review and interviews during the recertification and abbreviated survey (Case #NY00363829), the facility did not ensure that the development and implementation of comprehensive person-centered care plans included measurable objectives and timeframes to meet residents' medical, nursing, mental, and psychosocial needs for eight (8) (Residents #12, 20, 23, 37, 47, 53, 110, and #231) of 32 residents reviewed for comprehensive care plans. Specifically, (a.) for Resident #12, there was no care plan developed and implemented for urinary tract infection with antibiotic treatment, diagnosed on [DATE]. […]