Troy Center for Rehabilitation and Nursing

In the surveyor’s words

From the most serious findings on record at Troy Center for Rehabilitation and Nursing, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 10, 2026

  Based on record review and interviews conducted during survey, the facility failed to ensure the resident's right to be free from neglect for one (1) (Resident #1) of three (3) residents reviewed. Specifically, Resident #1 had a pressure ulcer on the heel of their right foot known to the facility on [DATE]. There was no documented evidence the facility completed wound assessments or management from a qualified wound care provider after 09/19/2025. The designated in-house wound care provider completed rounds on days when the resident was scheduled to be out of the facility for dialysis and no alternate arrangements were made. On 10/06/2025, Resident #1 reported increased right foot pain and was transferred to the hospital from the dialysis center on 10/10/2025. […]

• Actual harm, isolatedF773May 14, 2021

  Based on record review and interviews during an abbreviated survey (Case #NY 118), completed on [DATE], the facility did not promptly notify the ordering physician of a laboratory result that fell outside of clinical reference range for 1 (Resident #15) of 3 residents reviewed. Specifically, the facility did not notify the physician of a significantly low sodium level from [DATE] through [DATE]. Subsequently, on [DATE], the resident fell and sustained multiple injuries to the face, head, knees and elbows, and was admitted to the hospital intensive care unit for a critically low sodium level and altered mental status. This resulted in actual harm that is not immediate jeopardy. […]

• No harm, potential for more than minimal, patternF686Apr 10, 2026

  Based on record review and interviews during a survey, the facility failed to ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing and prevent infection for three (3) (Resident #s 1, 6, and 7) of three (3) residents reviewed. Specifically, the facility failed to provide daily care/treatment of a pressure ulcer in accordance with professional standards of practice and care planned interventions for (a.) Resident #1's unstageable pressure ulcer on the right heel, (b.) Resident #6's stage 3 pressure ulcer on the sacrum, and (c.) Resident #7's stage 3 pressure ulcer on the sacrum, that were present upon admission. […]

• No harm, potential for more than minimal, patternF550Feb 12, 2024

  Based on observations, interviews, and record review during the recertification survey from 2/05/2024 to 2/12/2024, the facility did not ensure treatment with respect, dignity, and care for each resident in a manner and in an environment that promoted maintenance or enhancement of their quality of life, recognizing each resident's individuality. Specifically, residents were observed to wear hospital gowns instead of personalized clothing; and staff entered resident rooms without knocking or conducting themselves in a way of dignified care and respect to the residents on 2 of 2 units. […]

• No harm, potential for more than minimal, patternF725Feb 12, 2024

  Based on observation, record review, and interviews during a recertification and abbreviated survey (Case # NY00327311 and NY00315143) from 2/05/2024 to 2/12/2024, the facility did not ensure sufficient nursing staff to provide nursing services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for all residents in the facility. Specifically, there was not sufficient staff to meet resident needs in activities of daily living; multiple residents stated there were long waits for call lights showers were not given, not gotten out of bed and dressed until late morning, long waits to return to bed, and not enough staff to provide care. […]