Washington Center for Rehab and Healthcare

In the surveyor’s words

From the most serious findings on record at Washington Center for Rehab and Healthcare, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678May 23, 2023

  Based on record review and interviews during the abbreviated survey (Case #NY00316364), the facility failed to provide basic life support, including cardiopulmonary resuscitation (CPR) to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the resident's advance directives for 1 (Resident #1) of 3 residents reviewed for CPR. Specifically, for Resident #1, whose advance directive status was a full code (full support including CPR, if the resident had no heartbeat and was not breathing), the facility failed to ensure CPR was initiated by Registered Nurse (RN) #1 in a timely manner upon recognition of cardiopulmonary arrest on [DATE] at 9:05 AM. […]

• Actual harm, isolatedF600Sep 12, 2025

  Based on record review and interviews conducted during the recertification and abbreviated survey (Case # 677094), the facility failed to ensure the residents' right to be free from neglect for one (1) (Resident #128) of six (6) residents reviewed for neglect. Specifically, Resident #128 was care planned for falls with intervention including the resident's bed being in the lower position, bolsters placed on both sides, and high-profile floor mats. On 02/12/2025, Certified Nurse Aide #2 left the resident unattended with the bed in a high position while providing care. The resident fell out of bed and sustained a hematoma (a localized pool of blood) on the head, and bruising in both knees. This resulted in actual harm to Resident #128 that was not Immediate Jeopardy. […]

• No harm, potential for more than minimal, isolatedF550Sep 12, 2025

  Based on record review and interviews conducted during the recertification survey, the facility did not ensure each resident was treated with respect and dignity in a manner and environment that promoted maintenance or enhancement of their quality of life for one (1) (Resident #22) of six (6) residents reviewed. Specifically, Resident #22 reported that some staff did not treat them with respect, they were impolite and mean to them. The resident expressed concern over being treated worse if they talked about it. This is evidenced by: The Policy and Procedure titled, Quality of Life/Dignity, revised 5/28/2024, documented each resident would be cared for in a manner that promoted or enhanced quality of life, dignity, respect and individuality. […]

• No harm, potential for more than minimal, isolatedF695Sep 12, 2025

  Based on observations, record review, and interviews conducted during a recertification survey, the facility did not ensure that a resident who needed respiratory care was provided such care consistent with professional standards of practice and the comprehensive person-centered care plan for one (1) (Resident #2) of two (2) residents reviewed for respiratory care. Specifically, for Resident #2, the facility did not ensure the physician's order for oxygen administration was followed. This is evidenced by: The Policy and Procedure titled, Oxygen - concentrators, dated 8/14/2025, documented that oxygen equipment would be checked daily for the correct flow and concentration. […]

• No harm, potential for more than minimal, isolatedF814Sep 12, 2025

  Based on observation and staff interview conducted during the recertification survey, the facility did not dispose of garbage and refuse properly. Specifically, the trash compactor was leaking and the area around was not clean. This is evidenced by: During observations on 09/08/2025 at 11:25 AM, a white and yellow fluid and a black fluid were leaking from the trash compactor. A food decomposition odor was detected in the area surrounding the compactor. During an interview on 09/08/2025 at 11:26 AM, Food Service Director #1 stated that they would place a work order with the maintenance department to contact the vendor to have the compactor replaced or repaired and to have the area cleaned. New York Codes, Rules, and Regulations Title 10 S415.14(h)