Waterview Hills Rehabilitation And Nursing Center

In the surveyor’s words

From the most serious findings on record at Waterview Hills Rehabilitation And Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF760Jun 9, 2026

  Based on observation, record review, and interviews, the facility failed to ensure that residents are free from significant medication errors for one of four residents (Resident #94) reviewed for hospitalization. Specifically, on 05/04/2025 at 9:00 AM and 9:00 PM, the facility failed to administer Levetiracetam (Keppra: medication used to help control seizures) 750 milligrams two tablets (1500 milligrams) every 12 hours to Resident #94 as per physician order. Subsequently, Resident #94 had a seizure on 05/05/2025 at approximately 12:20 AM and was transferred to the hospital. This resulted in actual harm to Resident #94 that was not Immediate Jeopardy. […]

• No harm, potential for more than minimal, patternF638Oct 10, 2024

  Based on interviews and record review, conducted during the recertification survey from 10/3/24 to 10/10/24, the facility did not ensure the residents' Minimum Data Set assessments were completed not less frequently than once every 3 months. This was evident for 3 (Residents # 11,14, and 23) of 18 residents reviewed for Resident Assessment. Specifically, Minimum Data Set assessments for Resident #11, Resident #14, Resident #23, were not completed within 14 days of the Assessment Reference Date. […]

• No harm, potential for more than minimal, isolatedF550Jun 4, 2025

  Based on record review and interviews conducted during the Abbreviated Survey (NY00375616), the facility did not ensure that a resident's right was supported by the facility for 1 or 3 residents reviewed. Specifically, Resident #1 filed a grievance which was reported to the Director of Nursing in January 2025 that they prefer not to receive cares from Certified Nurse Aide #1 because they were too strong in their touch and at times manhandled them. On 3/18/2025, Certified Nurse Aide #1 provided care to Resident #1 and the resident reported to their family representative that Certified Nurse Aide #1 came to their room at approximately 4:45 am, woke them out of their sleep and provided cares to them after they refused the care. […]

• No harm, potential for more than minimal, isolatedF600Jun 4, 2025

  Based on record review and interviews conducted during the Abbreviated Survey (NY00375616), the facility did not ensure for 1 (Residents #1) of 3 residents reviewed for abuse, had the right to be free from abuse, neglect, or mistreatment. Specifically, Resident #1 was awaken at 4:45am by Certified Nurse Aide #1 to provide personal hygiene care. Resident #1 refused cares but Certified Nurse Aide #1 continued to provide cares despite Resident #1's refusal. Resident #1 reported Certified Nurse Aide #1 mishandled them. […]

• No harm, potential for more than minimal, isolatedF609Jun 4, 2025

  Based on record review and interviews conducted during the Abbreviated Survey (NY00375616), the facility did not ensure for 1(Residents #1) of 3 residents reviewed for abuse, that all alleged violations involving abuse, neglect, exploitation, or mistreatment, including injuries of unknown source, were reported immediately, but not later than two hours after the allegation is made, to the State Survey Agency in accordance with State law through established procedures. Specifically, 1.) On 3/18/25, the facility initiated an investigation of alleged abuse due to a report from Resident #1's family on 3/18/25 that Resident #1 called them early in the morning on 3/18/25 upset that two certified nurse aides came into their room at approximately 4:45 am while they were asleep and insisted on… […]