The Hurlbut

In the surveyor’s words

From the most serious findings on record at The Hurlbut, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF686Jul 31, 2025

  Based on observations, interviews, and record review conducted during the Recertification Survey from 07/24/2025 to 07/31/2025, the facility did not ensure each resident with pressure ulcers (ulcers on the skin due to prolonged pressure) received necessary treatment and services consistent with professional standards of practice to promote healing and prevent infection for two (2) (Residents #43 and #95) of three (3) residents reviewed. Specifically, for Resident #43, staff did not follow physician's orders when completing a pressure ulcer treatment. For Resident #95, there was a lack of consistent weekly pressure ulcer assessments (including staging, measurements, or a description of the wound) and ongoing monitoring of a left medial ankle pressure ulcer. […]

• No harm, potential for more than minimal, patternF756Jul 31, 2025

  Based on interviews and record review conducted during a Recertification Survey from 07/24/2025 to 07/31/2025, the facility did not ensure pharmacist reported irregularities were reviewed by the attending physician and acted upon timely for two (2) (Residents #69 and #77) of five (5) residents reviewed. Specifically, the facility could not provide documentation supporting the consultant pharmacist's monthly recommendations were acted upon by the facility's Medical Director, attending physicians, or designees. For Resident #77 the facility could not provide evidence the Director of Nursing or an attending physician had reviewed the consultant pharmacist's recommendations for ten (10) of twelve (12) months reviewed, and for nine (9) of twelve (12) months reviewed for Resident #66. […]

• No harm, potential for more than minimal, patternF607Feb 16, 2024

  Based on record review and interview conducted during the Standard Recertification Survey, it was determined that for three (Employees #1, #2, and #5) of six recently hired employees the facility did not implement written policies and procedures to prevent abuse, neglect, exploitation, and/or misappropriation of resident property related to screening of prospective employees. Specifically, a nurse aide registry abuse screening was not completed for recently hired employees prior to starting work. […]

• No harm, potential for more than minimal, patternF836Feb 16, 2024

  Based on observations, record review, and interview conducted during the Recertification Survey, it was determined that the facility did not ensure compliance with all applicable State codes. Specifically, the facility was not in compliance with Section 915 of the 2015 Edition of the International Fire Code as adopted by New York State, which requires the use of carbon monoxide detection in a building that has fuel-burning appliances. The findings are: On 2/13/24 from 8:35 AM to 11:50 AM the surveyor was provided with facility preventative maintenance, testing, and inspection records. A review of these records did not include testing documentation for carbon monoxide detectors located throughout the facility. […]

• No harm, potential for more than minimal, patternF868Feb 16, 2024

  Based on interviews and record review conducted during the Recertification Survey, the facility did not maintain a Quality Assessment and Assurance Committee consisting at a minimum of the Director of Nursing services, the Medical Director or his/her designee, at least three other members of the facility's staff, one of who much be an individual in a leadership role, and the Infection Preventionist. Specifically, the facility could not provide evidence that the Infection Preventionist attended the Quality Assurance Improvement Performance meetings on a regular basis. […]