Union Plaza Care Center

In the surveyor’s words

From the most serious findings on record at Union Plaza Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF553Aug 28, 2024

  Based on observation, record review and interviews conducted during the Recertification survey from 8/21/2024 to 8/28/2024, the facility did not ensure that, to the extent practicable, the resident or resident representative participated in the development, review and revision of the comprehensive care plan. Specifically, Resident #54 and/or Designated Representative were not afforded the opportunity to participate in quarterly care plan meetings. This was evident in 1 out of 1 residents reviewed for Resident Assessment (Resident #54). […]

• No harm, potential for more than minimal, isolatedF609Aug 28, 2024

  Based on observation, record review, and interviews conducted during the Abbreviated survey (NY00320628 and NY00346784) and Recertification survey from 8/21/24 to 8/28/24, the facility did not ensure that all alleged violations involving abuse, neglect, exploitation, and mistreatment, are reported immediately, but not later than 2 hours after the allegation is made. This was evident in 3 out of 38 residents sampled (Residents #22, #147, and #44). Specifically, on 07/21/2023 approximately 5 minutes apart, Resident #22 and Resident #147 (who are roommates) reported that they were rough handled and hit by Certified Nursing Assistant #1. The facility did not report the allegations of abuse within 2 hours to New York State Department of Health. […]

• No harm, potential for more than minimal, isolatedF688Aug 28, 2024

  Based on observation, record review and staff interviews conducted during the recertification survey from 08/21/2024 to 08/28/2024, the facility did not ensure that a resident with limited range of motion received appropriate treatment and services to increase range of motion and/or prevent further decrease in range of motion. This was evident for 1 (Resident #190) of 2 residents reviewed for Activities of Daily Living out of 38 sampled residents. Specifically, Resident #190 was not provided hand rolls for bilateral hand contractures in accordance with physician's orders. […]

• No harm, potential for more than minimal, isolatedF689Aug 28, 2024

  Based on record review and interviews conducted during the Abbreviated (NY#00339083) and Recertification survey from 8/21/2024 to 8/28/2024, the facility did not ensure resident was free from accidents. This was evident in 1 (Resident #26) of 7 residents reviewed for Accident. Specifically, Resident #26 sustained 2 cm skin cut to the eyebrow during toileting when staff assisted without a second staff member. The findings are: The facility's policy titled Abuse, Neglect and Mistreatment reviewed 9/5/2023 documented every resident be free from verbal, sexual, physical, mental abuse, corporal punishment, misappropriation of property and involuntary seclusion. […]

• No harm, potential for more than minimal, isolatedF609Mar 28, 2023

  Based on interviews and record review conducted during the Recertification survey from 03/21/23 to 03/28/23, the facility did not ensure all alleged violations involving abuse were reported immediately, but not later than 2 hours after the allegation was made, to the New [NAME] State Department of Health (NYSDOH), if the events that cause the allegation involve abuse or result in serious bodily injury. This was evident for 1 (Resident #224) of 4 residents reviewed for Accidents out of 40 total sampled residents. Specifically, the facility did not report an incident where Resident #224 was found on the floor with rib fractures to NYS DOH. […]