Utica Rehabilitation & Nursing Center

In the surveyor’s words

From the most serious findings on record at Utica Rehabilitation & Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, patternF600Jan 14, 2025

  Based on record review, observation, and interviews during an abbreviated survey (NY00367007), the facility failed to ensure residents were free from abuse for 1 of 6 residents (Resident #1) reviewed. Specifically, Dietary Aide #4 witnessed Certified Nurse Aide #8 abuse Resident #1 and did not report the incident for three days. Additional staff were identified as having knowledge of the incident and failed to report to facility Administration timely. The facility's failure to protect residents from abuse resulted in harm that is Immediate Jeopardy and Substandard Quality of Care for Resident #1 and placed all 104 residents in the facility at risk for the likelihood of serious harm, serious impairment, serious injury, or death. […]

• Immediate jeopardy, patternF609Jan 14, 2025

  Based on record review and interviews during an abbreviated survey (NY00367007), the facility failed to ensure an incident of staff abuse toward a resident was reported to the State Agency and to law enforcement for 1 of 3 residents (Resident #1). Specifically, Dietary Aide #4 witnessed Certified Nurse Aide #8 abuse Resident #1 and did not report the incident to Administration for three days. Multiple staff were identified who were made aware of the abuse allegations and did not report to Administration. Upon receipt of the reported incident, the facility did not report the allegation of abuse to the State Agency or law enforcement as required. Additionally, Certified Nurse Aide #8 continued to have access to residents following the witnessed abuse. […]

• Immediate jeopardy, patternF600Oct 7, 2024

  Based on record review and interviews during the abbreviated survey (NY00330966), the facility failed to ensure that residents were free from sexual abuse and failed to protect residents from further abuse for 1 of 7 residents (Residents #4) reviewed. Specifically, Resident #5 had intact cognitive function, a history of sexually inappropriate behaviors, and continued to exhibit sexually inappropriate behaviors, including making verbal sexual requests to residents. There were no documented interventions to address the resident's ongoing behaviors or to protect other residents from abuse. Resident #4, a cognitively impaired resident, was found in Resident #5's room engaging in a sexual act. […]

• Immediate jeopardy, isolatedF689Feb 11, 2025

  Based on observations, record review, and interviews during the recertification survey conducted 2/3/2025- 2/11/2025, the facility failed to ensure the resident environment was free of accident hazards for three (3) of eight (8) residents (Residents #72, #75, and #98) reviewed. Specifically, Residents #72, #75, and #98 were served and Residents #72 and #98 consumed a cleaning solution stored in the kitchenette refrigerator in an unlabeled pitcher. This resulted in physical and psychosocial harm to Resident #72 that was Immediate Jeopardy and Substandard Quality of Care with the likelihood of serious harm, serious impairment, serious injury, or death to Residents #72, #75, and #98 and the additional 107 residents in the facility. […]

• Immediate jeopardy, isolatedF684Oct 7, 2024

  Based on record review and interview during the abbreviated survey (NY00340854, NY00335730, NY00340963, NY00330996, and NY00344094), the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 6 of 12 residents reviewed (Residents #1, #2, #3, #4, #5, and #6). -Resident #3, had episodes of vaginal/rectal bleeding, was not assessed by a qualified professional, and the medical provider was not notified timely of the bleeding (8 hours and 15 minutes following onset of bleeding). The provider ordered STAT (immediate) labs, the blood specimen could not be obtained from the resident, and the provider was not notified timely. […]