The Pines at Poughkeepsie CTR for Nursing & Rehab

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Aug 20, 2024

  Based on observations, record review, and interviews conducted during the Recertification Survey from [DATE]-[DATE], the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. Specifically, the walk-in refrigerator contained unlabeled, undated, and expired food products. The dry storage pantry contained expired and undated food products. Two employees were observed not wearing hair restraints, and one employee was leaning over dessert items with their apron touching items while they were wrapping the dessert items with cling wrap. […]

• No harm, potential for more than minimal, isolatedF655Aug 20, 2024

  Based on observations, record review, and interviews conducted during the Recertification and Abbreviated Surveys (NY 00335861) from 8/13/24-8/20/24, the facility did not ensure that they developed and implemented a baseline care plan within 48 hours of the resident's admission, that included the minimum healthcare information necessary to properly care for a resident including, but not limited to initial goals, a list of current medications, dietary instructions, and services/ treatments to be administered by the facility and personnel acting on behalf of the facility for 2 of 2 residents (Resident #241 and #392) reviewed for admission. […]

• No harm, potential for more than minimal, isolatedF686Aug 20, 2024

  Based on observation, record review and interview during the recertification survey from 8/13/24-8/20/24, the facility did not ensure 1 of 4 residents (Resident #123) reviewed for pressure ulcers, received care and services to prevent new pressure ulcers from developing. Specifically, Resident #123's heels were not off-loaded according to the physicians' orders. The findings are: Resident #123 had diagnoses of chronic obstructive pulmonary disease, fracture of neck of right femur, and muscle weakness. The 5/31/24 Quarterly Minimum Data Set (resident assessment tool) documented Resident #123 had severely impaired cognition and was at risk for pressure ulcers. […]

• No harm, potential for more than minimal, isolatedF689Aug 20, 2024

  Based on observations, record review, and interviews conducted during the Recertification Survey from 8/13/24-8/20/24, the facility did not ensure adequate supervision was provided and that the residents environment remained as free of accidents hazards as possible for 1 of 2 residents (Residents #170) reviewed for accidents. Specifically, for Resident #170 had a history of falls and was observed in their room alone in their room in their wheelchair, rolling wobbly over a floor mat that was beside their bed. […]

• No harm, potential for more than minimal, isolatedF695Aug 20, 2024

  Based on observation, record review and interviews during the recertification survey from 8/13/2024 to 8/20/2024, the facility did not ensure that each resident received necessary respiratory care including oxygen therapy that was in accordance with professional standards of practice and as ordered by the practitioner for 1 (Resident #392) of 2 residents reviewed for respiratory care. Specifically, Resident #392 received oxygen for 4 days without a physician order. Findings include: Resident #392 had diagnoses which included dependence on supplemental oxygen, heart failure, and difficulty in walking. The Nursing Admission Evaluation, dated 8/12/24 at 10:08 PM, documented the resident had oxygen at 4 liters/minute by Nasal Canula/Mask, for chronic use. […]