Yonkers Gardens Center for Nursing and Rehab

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600May 28, 2025

  [NAME] Gardens Center for Nursing and Rehab F600 J, Event ID: DSWK11 Exit Date 5/28/2025 Due Date 6/11/2025 [NAME] NR /[NAME] Based on record review and interviews conducted during an abbreviated survey (NY00367662), the facility failed to ensure residents were free from abuse for one (1) of three (3) residents reviewed for abuse (Resident #1). Specifically, Resident #1 had a history of sexually inappropriate behaviors towards other residents on 9/20/2024 and 12/23/2024 and there was no documented evidence the facility revised care plans or implemented interventions and/or physician orders to prevent the resident from sexually abusing other residents. […]

• Immediate jeopardy, isolatedF689Feb 7, 2024

  Based on interviews and record reviews, the facility failed to ensure that the resident's environment was free of accident hazards for one Resident (#5) of 9 residents reviewed for accidents. Specifically, Resident #5 with a known history of polysubstance abuse was not supervised to prevent the availability of non-prescribed drugs and their usage within the facility. Resident #5 had suspected drug overdoses that occurred in the facility on 12/9/2023, 1/5/24,1/10/24, 1/18/24, 1/23/24, and 1/29/24 for which Narcan (an opioid reversal agent) had to be administered by facility staff. Resident #5 continued to obtain illicit drugs which required hospitalization . The facility failed to initiate an investigation into the drug overdoses or update the care plan for Resident #5. […]

• No harm, potential for more than minimal, widespreadF812Feb 12, 2026

  Based on observations and interviews conducted during the recertification survey from 2/5/2026 to 2/12/2026, the facility did not ensure that food was stored, prepared and distributed in accordance with professional standards for food safety practice. The facility also did not maintain essential kitchen equipment in a clean and sanitary condition. Specifically, observations revealed expired food items stored in the walk-in refrigerator. An opened and uncovered box of frozen vegetables was observed in the walk-in freezer. Sandwiches and cold cuts prepared for distribution were wrapped in plastic but lacked proper labeling. The glass doors of the countertop hot box food warmers were observed to be covered with large brown and black accumulations of burned grease. […]

• No harm, potential for more than minimal, patternF584Feb 12, 2026

  Based on observation, interview, and record review conducted during the recertification survey from 02/05/2026 to 02/12/2026, the facility did not ensure the resident's right to a safe, clean, comfortable and homelike environment on (2) two of (5) five resident floors (floors 3 and 4). Specifically,1) resident room/s on floor 3 had bathroom fixtures in disrepair, bedroom furniture, doors/walls with stains/scratches, and a soiled stained mechanical lift, and 2) resident room/s on floor 4 had a clock hanging off the wall, a damaged radiator, patched and mismatched wall paint, stained and warped ceiling tiles, dried rust-colored stains on walls/radiators, and a resident hall bathroom on floor 4 had a soiled and stained privacy curtain. […]

• No harm, potential for more than minimal, patternF677Feb 12, 2026

  Based on observations, interviews, and record review conducted during the recertification survey from 02/05/2026 to 02/12/2026, the facility did not ensure residents unable to carry out activities of daily living received necessary services to maintain good grooming and personal hygiene for three (3) of six (6) residents (Resident #11, #7, and #78) reviewed for activities of daily living. Specifically, 1) Resident #11 was not provided with staff assistance to perform facial hair grooming, 2) Resident #7 was not provided with staff assistance to take showers, and 3) Resident #78 was not provided with staff assistance to shower or groom their facial hair.The findings are:The facility policy and procedure, Activities of Daily Living Total Care last reviewed on 12/2025, documented all… […]