The Pines at Glens Falls CTR for Nursing & Rehab

In the surveyor’s words

From the most serious findings on record at The Pines at Glens Falls CTR for Nursing & Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Mar 18, 2026

  Based on record review, observation, and interviews conducted during the survey, the facility failed to ensure the provision of sufficient nursing staff to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident throughout the facility. Specifically, residents reported during interviews that the facility was short-staffed at times, this resulted in call bells not being answered promptly with long wait times for care to be provided. This is evidenced by: The Facility Assessment Exhibit #1- Staffing, dated 07/2025, documented: 2nd Floor Rehabilitation unit desired staffing Day shift: Certified Nursing Assistants five (5) and two (2) Licensed Practical Nurses seven (7) days a week. […]

• No harm, potential for more than minimal, widespreadF755Mar 18, 2026

  Based on observation, record review and interviews conducted during the survey, the facility failed to ensure that drug records were in order; and that an account of all controlled drugs was maintained and periodically reconciled in six (6) of six (6) narcotic books reviewed on Units 2, 3, and 4. Specifically, the shift-to-shift staff signature form for controlled drugs, titled Shift Count did not consistently include the signatures of staff members at each shift change, validating the correct narcotic count. This is evidenced by: A facility policy titled, Controlled Substance Handling (including handling of dropped or refused doses), undated, documented that all controlled drugs would be subject to special receipt, handling, storage, disposal and record keeping. […]

• No harm, potential for more than minimal, widespreadF761Mar 18, 2026

  Based on observation, record review, and interviews conducted during the survey, the facility failed to ensure drugs and biologicals were labeled and stored in accordance with professional standards of practice. Specifically, (a.) for eight (8) residents (Resident #s 2, 6, 23, 45, 50, 93, 118, and 137), medications were left at resident bedsides without orders and/or evaluations indicating residents were capable of self-administration; (b.) insulin pens were not individually stored, separating resident pens from comingling; and (c.) Tylenol and Senna (an over-the-counter herbal stimulant laxative used for short-term relief of constipation) pills were loose in medicine cups in one (1) medication cart on the Unit four (4). […]

• No harm, potential for more than minimal, widespreadF812Mar 18, 2026

  Based on observation, record review and interviews during the recertification survey, the facility did not ensure that food was stored, prepared, distributed, or served following professional standards for food service safety in 3 of 3 resident unit nutrition rooms and the central kitchen. Specifically, proper food temperature tracking was not tracked, several expired items were identified, and proper dating of open items was not followed. This is evidenced by: During inspection in the central kitchen on 3/10/2026 at 1:00PM the following items were found to be out of compliance with New York State food safety regulations: Review of food temperature logs showed the production temperature logs nor the service logs located on the steam tables had been completed on four shifts since… […]

• No harm, potential for more than minimal, widespreadF880Mar 18, 2026

  Based on observations, record review, and interviews during a survey, the facility failed to ensure it maintained 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 for five (5) (Resident #s 29, 50, 58, 67, and 123) of 30 residents reviewed. Specifically, Resident #s 29 and 67's Foley bag (indwelling urinary catheter collection bag) was hanging under their wheelchair and touched the floor. Resident #s 50, 58, and 123's nebulizer device (coverts liquid medication into a fine mist for direct inhalation) mouthpiece (attached to medication reservoir) and/or mask and tubing were uncovered. […]