The Grand Rehabilitation and Nursing at South Poin

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF584Jun 5, 2025

  Based on observations, record review, and interviews during the Recertification Survey initiated on 6/1/2025 and completed on 6/5/2025 the facility did not ensure that it provided a safe, clean, comfortable, and homelike environment. This was identified for two (Doric and Emerald Units) of five nursing units. Specifically, on the third floor, the Doric and Emerald Units were observed with damaged and dirty walls and doors, sticky floors, and urine odor. Additionally, room [ROOM NUMBER] and room [ROOM NUMBER] were observed with missing closet doors. The findings are: The facility policy titled Maintenance Services, last reviewed on 1/2025, documented that Maintenance services shall be provided to all areas of the building, grounds, and equipment. […]

• No harm, potential for more than minimal, isolatedF609Sep 12, 2025

  Based on observations, record review and interviews conducted during an abbreviated survey (2604348) the facility did not ensure that investigation and investigation results of all alleged violations involving abuse were reported within a timely manner to the New York State Department of Health. This was evident in 01(one) out of 05 (five) residents sampled (Residents #1). Specifically, the facility received a report on 08/05/2025 that Resident #1 alleged Licensed Practical Nurse #1 twisted their arm while redirecting Resident #1 to leave the room of another Resident. […]

• No harm, potential for more than minimal, isolatedF550Jun 5, 2025

  Based on observation, record review, and interviews during the Recertification Survey initiated on 6/1/2025 and completed on 6/5/2025, the facility did not ensure each resident was treated with respect and dignity and cared for in a manner and in an environment that promoted maintenance or enhancement of their quality of life for two (Resident #16 and #158) two residents reviewed for Dignity. Specifically, 1) Registered Nurse #1 was observed pulling Resident #16 in the Geri chair backward through the hallway to the dining room; and 2) Resident #158 was observed in their room sitting in a wheelchair and performing colostomy care in the presence of Certified Nursing Assistant #3. The privacy curtains were not drawn and the resident's exposed abdomen was visible from the hallway. […]

• No harm, potential for more than minimal, isolatedF559Jun 5, 2025

  Based on observations, record review, and interviews during the Recertification Survey and Abbreviated Survey (NY 00372615) initiated on 6/1/2025 and completed on 6/5/2025, the facility did not ensure each resident's right to receive written notices, including the reason for the changes, before the resident's room in the facility was changed. This was identified for one (Resident #61) of one resident reviewed for Notification of Change. Specifically, on 1/29/2025 Resident #61 was relocated to a new room on the same floor. […]

• No harm, potential for more than minimal, isolatedF686Jun 5, 2025

  Based on observation, record review, and interviews during the Recertification Survey initiated on 6/1/2025 and completed on 6/5/2025, the facility did not ensure that a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing. This was identified for one (Resident #65) of three residents reviewed for Pressure Ulcers. Specifically, Resident #65 was assessed to have a Stage 3 pressure ulcer (which involves full-thickness skin loss, exposing the subcutaneous tissue but not bone, tendon, or muscle) to the sacrum (the triangular bone at the lower back). […]