Waters of Syracuse Skilled Nursing Facility, The

In the surveyor’s words

From the most serious findings on record at Waters of Syracuse Skilled Nursing Facility, The, in the surveyor’s own words.

• Actual harm, isolatedF684May 21, 2026

  Based on interview and record review, the facility failed to assess a resident timely for 1 of 3 residents reviewed. This deficient practice resulted in a delay of treatment regarding sending the resident to hospital. The resident required acute medical care and remained in hospital for twenty days. (Resident 31) Finding includes:During an interview on 5/17/2026 at 11:07 A.M., Resident 31 indicated he had been recently hospitalized for sepsis, but could not recall the events that lead to him being sent to the hospital. Resident 31 indicated he woke up in the local Emergency Department and stayed in the hospital for over two weeks. Resident 31's record review was completed on 5/19/2026 at 10:00 A.M. […]

• Actual harm, isolatedF689Jan 10, 2025

  Based on record review, observation and interview, the facility failed to develop and implement interventions to reduce the risk of falls for 2 of 4 residents reviewed for accidents, (Resident 27 and 247). This deficient practice resulted in a fall requiring hospitalization for 1 of 4 residents reviewed for accidents. (Resident 247). Findings Include: 1. The record for Resident 247 was completed on 01/08/2025 at 9:40 A.M. Resident 247 was admitted on [DATE]. Diagnosis included, but were not limited to subarachnoid hemorrhage, cardiomegaly, falls, insomnia and polyneuropathy. […]

• No harm, potential for more than minimal, patternF812May 21, 2026

  Based on observation, interview and document review, the facility failed to ensure food was handled properly to prevent foodborne illness for 18 of 38 residents who consumed food being served at mealtime. Findings include:During a dining observation on 5/17/2026 between 11:48 A.M-12:02 P.M., Employees 4, 11, and 16 served a total of 14 cups and/or glasses of beverages and 6 plates of food touching the eating and drinking surfaces of the cups, glasses and plates. In addition, Employee 4's fingers were noted to be touching pudding and masked potatoes while she served food. During an interview with Administrator on 5/21/2026 at 11:05 A.M. he acknowledged that putting employee hands on the eating surface of plates of food was note a a proper way to serve food. […]

• No harm, potential for more than minimal, patternF812Jan 10, 2025

  Based on observation, record review and interview, the facility failed to ensure food was stored, prepared and served under sanitary conditions related to unsealed and undated items in the freezer/cooler,expired foods in use, and dirty cooking utensils and appliances in the main kitchen. This deficient practice had the potential to affect 44 of 44 residents who received meals out of the kitchen. Findings include: 1. During the initial tour of the kitchen, on [DATE] at 9:25 A.M., with the Dietary Manager the following was observed: - the reach in freezer had dirty seals along the bottom of the freezer and the freezer floor had food debris - the walk-in freezer had a box of sausage links that was not sealed properly - an entire bag of Salisbury steak not sealed. […]

• No harm, potential for more than minimal, isolatedF558May 21, 2026

  Based on interview and record review, the facility failed to make a reasonable accommodation for a resident who required a grab bar on his bed for self-transfers for 1 of 8 resident's reviewed. (Resident 32) Finding includes:During an interview on 5/18/2026 at 8:56 A.M. Resident 32 indicated he was unable to get out of bed to use the bathroom by himself because he did not have an enabler bar on his bed. Resident 32 indicated he had been told on two different occasions, by the Maintenance Director (MD), that an enabler bar for the bed had been ordered, but the enabler bar had not yet been installed on his bed. […]