The Grand Rehabilitation and Nursing at Utica

In the surveyor’s words

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

• Immediate jeopardy, widespreadF812Jun 5, 2025

  Based on observations, interviews, and record review during the recertification survey conducted 5/27/2025 - 6/05/2025, the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety in the main kitchen. Specifically, following a wastewater back up from the grease trap and drains flooding the main kitchen on 5/27/2025, the facility failed to adequately address wastewater cleanup including monitoring, evaluating, and sanitizing as necessary, cooking equipment and appliances in the main kitchen. Additionally, there was no detectable level of sanitizer in the 3-bay sink and dishwasher to adequately sanitize dishware. […]

• Immediate jeopardy, widespreadF812Dec 21, 2021

  Based on observation, interview, and record review during the recertification survey conducted on [DATE]-[DATE], the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety affecting the entire facility. Specifically, the facility failed to maintain a walk-in cooler in operating condition and was found to have an ambient air temperature above 45 degrees Fahrenheit (F). Milk from that walk-in cooler was found to be at 59.5 degrees F and was to be served to residents (required temperature: 45 F or less per New York State, NYS, code and 41 F or less per Food and Drug Administration, FDA, food code). […]

• Immediate jeopardy, isolatedF684Jul 1, 2024

  Based on record review and interview during the abbreviated survey (NY00343878), the facility failed to provide residents with treatment and care in accordance with professional standards of practice for 3 of 6 residents reviewed (Residents #1, #5, and #6). Specifically, - Resident #1 had an unwitnessed fall, the medical provider was not notified timely of the fall or outcome of the assessment, and there was no evidence neurological checks were implemented. Subsequently, the resident experienced a significant change in condition, the medical provider ordered the resident to be sent to the hospital, and Emergency Medical Services was not notified immediately for transportation. […]

• Actual harm, isolatedF689Feb 1, 2022

  Based on observation, interview, and record review during the abbreviated survey (NY 704) conducted on 2/1/22, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 6 residents (Resident #2) reviewed. Specifically, Resident #2 had approximately 15 unwitnessed and observed falls from 6/17/21-9/24/21 and the resident was not provided with adequate supervision to prevent reoccurrence. The resident had 4 falls on 10/11/21 resulting in hospitalization with diagnoses including a thoracic (upper spine) compression fracture, multiple facial bone fractures, and kidney trauma. This resulted in actual harm to Resident #2 that was not immediate jeopardy. […]

• Actual harm, isolatedF684Jan 11, 2021

  Based on interview and record review during the abbreviated survey (NY 380), the facility did not ensure residents received treatment and care in accordance with professional standards of practice for 1 of 3 residents reviewed (Resident #1). Specifically, Resident #1 sustained head and facial injuries after a fall. The resident was not assessed timely when their condition changed to rule out worsening head injury. When the resident was later sent to the hospital, they were diagnosed with [REDACTED]. The resident expired in the hospital from an acute right hemisphere infarct (stroke) associated with an acute clot. This resulted in actual harm to Resident #1. […]