The Hamlet Rehabilitation and Healthcare Center at

In the surveyor’s words

From the most serious findings on record at The Hamlet Rehabilitation and Healthcare Center at, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Sep 8, 2023

  Based on record review and interview during an abbreviated survey (NY00323094), the facility did not have an effective system to monitor resident's bowel movements adequately. This issue was identified for one resident (Resident #1) out of the five residents reviewed. Specifically, Resident #1 was assessed to have constipation according to the Minimum Data Set (MDS). The Certified Nursing Assistant (CNA) records documented Resident #1 had no Bowel Movements (BM) or the bowel movement section was left blank on 15 days in [DATE]. There was no documented evidence that Resident #1's Physician or Nurse Practitioner were notified or that the facility implemented their bowel protocol. On [DATE], Resident #1 was diagnosed with a rectal fecal impaction based on an abdominal x-ray. […]

• Actual harm, isolatedF600Apr 5, 2024

  Based on record review, and interviews during an abbreviated survey (NY00321603), the facility failed to prevent and protect an incident of verbal abuse for one (Resident #1) out of three residents reviewed for abuse. Specifically, the facility failed to immediately remove Certified Nursing Assistant #1 from Resident #1's room when Certified Nursing Assistant #1 was verbally abusive and displaying signs of physical aggression towards Resident #1. The incident was captured on a video recording made by Resident #1. The facility's census was 221. […]

• No harm, potential for more than minimal, patternF656Nov 22, 2023

  Based on observations, record review, and interviews during the Recertification Survey and Abbreviated Survey (NY00326793) initiated on 11/16/2023 and completed on 11/22/2023, the facility did not ensure that a comprehensive person-centered care plan for each resident was developed or implemented that included measurable objectives and time frames to meet the resident's current needs. This was identified for one (Resident #391) of two residents reviewed for Urinary Catheter, one (Resident #81) of 2 residents reviewed for physical restraints and for one (Resident #130) of two residents reviewed for communication. Specifically, 1a) Resident #391 was readmitted on [DATE] with a Peripherally Inserted Central Line (PICC) for Antibiotic Therapy. […]

• No harm, potential for more than minimal, isolatedF686Feb 20, 2025

  Based on observation, record review, and interviews during the Recertification Survey initiated on 2/12/2025 and completed on 2/20/2025, the facility did not ensure that a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practices, to promote healing and prevent infections. This was identified for one (Resident #11) of four residents reviewed for Pressure Ulcer/Injury. Specifically, Resident #11 had a Stage 4 Pressure Ulcer (full-thickness tissue loss that exposes bone, tendon, or muscle) on the left buttock and sacrum (bottom of the spine). […]

• No harm, potential for more than minimal, isolatedF694Feb 20, 2025

  Based on observation, record review and interview during the Recertification Survey initiated on 2/12/2025 and completed on 2/20/2025, the facility did not ensure care and services for the provision of parenteral fluids were consistent with the professional standard of practice for each resident. This was identified for one (Resident #323) of two residents reviewed for Hydration. Specifically, Resident #323 was admitted on [DATE] with a Peripherally Inserted Central Catheter (a thin flexible tube inserted into a vein in the upper arm and threaded into a large vein near the heart) inserted to the left upper arm. […]