Windsor Park Rehab & Nursing Center

In the surveyor’s words

From the most serious findings on record at Windsor Park Rehab & Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, patternF550Jun 30, 2024

  Based on record reviews and interviews conducted during an Abbreviated Survey (NY00342374), the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of their quality of life, recognizing each resident's individuality. The facility must protect and promote the rights of the resident. This was evident for 13 out of 13 Justice Involved Residents. Specifically, 13 Justice Involved Residents were not allowed to exercise their rights while residing in the facility. […]

• Immediate jeopardy, patternF561Jun 30, 2024

  Based on observation, record reviews, and interviews, conducted during an abbreviated survey (NY00342374), the facility failed to ensure that thirteen Justice Involved Residents (Residents 1-13) had the right to, and that the facility promoted and facilitated the residents self-determination through support of residents choices. The facility did not ensure that Justice Involved Residents had the right to make choices about aspects of their life that were significant to them. This was evident in 13 of 13 Justice Involved Residents sampled for self-determination. […]

• Immediate jeopardy, patternF578Jun 30, 2024

  Based on record reviews and interviews conducted during an Abbreviated Survey (NY00342374), the facility failed to ensure residents were afforded the right to formulate advance directives while residing in the skilled nursing facility. This was evident for 13 out of 13 Justice Involved Residents (Resident #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13) sampled. Specifically, a review of the medical record revealed that 13 Justice Involved Residents were designated as Full Code. The medical record did not document that the residents were provided written information that included their right to formulate advance directives in accordance with their wishes. […]

• Immediate jeopardy, patternF603Jun 30, 2024

  Based on record reviews and interviews conducted during an Abbreviated Survey (NY00342374), the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of their quality of life, recognizing each resident's individuality. This was evident for 13 out of 13 Justice Involved Residents. Specifically, 13 Justice Involved Residents were not allowed to exercise their rights while residing in the facility. Based on interviews with facility staff, residents and representatives of the Federal Bureau of Prison Services while residing in the facility, the residents remain in the custody and under the authority of the Bureau of Prisons. […]

• Immediate jeopardy, patternF604Jun 30, 2024

  Based on observation, record review, and staff interviews conducted during an Abbreviated Survey (NY00342374), the facility failed to ensure the residents were free from physical or chemical restraints imposed for purposes of discipline or convenience and are not required to treat the resident's medical symptoms. When the use of restraints is indicated, the facility must use the least restrictive alternative for the least amount of time and document ongoing re-evaluation of the need for restraints. This was evident for 13 out of 13 (Residents 1-13) sampled residents. Specifically, observations made at various times throughout the days on 06/06/2024, 06/26/2024, and 06/27/2024-06/28/2024 revealed that 11 Justice Involved Residents were wearing two-foot-long shackles around their ankles. […]