The Grand Rehabilitation and Nursing at Mohawk

In the surveyor’s words

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

• Immediate jeopardy, patternF689Sep 4, 2025

  Based on observations, record review, and interviews during the abbreviated (IQIES 2600078) survey, the facility failed to ensure a resident received adequate supervision and assistance devices for one (1) of three (3) residents (Resident #1) reviewed. Specifically, Resident #1 required supervision at meals due to hyperphagia (insatiable hunger) and dysphagia (difficulty swallowing) and was on aspiration precautions (inhaling food into the lungs). Specifically, the resident was left unattended in the dining room on 08/23/2025 with access to inappropriate food consistency and the Resident began choking, showed signs of distress, and staff did not intervene to assist the resident. […]

• Immediate jeopardy, patternF695Sep 1, 2021

  Based on observation, record review, and interview during the recertification and extended survey conducted from 8/24/21- 9/1/21, the facility failed to ensure that residents who need respiratory care, including [CONDITION(S)] care and tracheal suctioning, were provided with such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals, and preferences for 2 of 2 residents (Residents #92 and 320) reviewed. Specifically, the facility failed to have emergency equipment available for two residents with tracheostomies and staff were unaware of the location of emergency equipment, and their role in performing routine and emergency [CONDITION(S)] care. […]

• Actual harm, isolatedF678Sep 4, 2025

  Based on observations, record review, and interviews during the abbreviated (IQIES 2600078) survey, the facility did not ensure provision of emergency basic life support immediately when needed, for one (1) of three (3) residents (Resident #1) reviewed. Specifically, Resident #1 was found in the dining room unresponsive and without a pulse and staff did not initiate cardiopulmonary resuscitation (chest compressions and rescue breathing) immediately and moved the resident to their room to start cardiopulmonary resuscitation.Findings include: The facility policy Cardiopulmonary Resuscitation. […]

• No harm, potential for more than minimal, widespreadF880Nov 7, 2023

  Based on record review and interview during the recertification and abbreviated (NY00326912) surveys conducted 10/30/2023-11/7/2023, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, the facility's water Legionella (a type of bacteria usually found in water causing Legionnaires' disease) quarterly testing had positive Legionella results for the second quarter of 2023 and the facility water was not resampled. […]

• No harm, potential for more than minimal, patternF677Jun 30, 2025

  Based on observations, record review, and interviews during the recertification and abbreviated (NY00340946 and NY00374215) surveys conducted 6/23/2025-6/30/2025, the facility did not ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for five (5) of eight (8) residents (Residents #7, #23, #55, #57, and #75) reviewed. Specifically, Residents #23 was not provided with shaving and showers as planned; Resident #75 did not receive assistance at meals as planned; Residents #57 and #7 had unclean fingernails; and Resident #55 was not offered a lunch meal. […]