Yorktown Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Yorktown Nursing and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF689Sep 7, 2024

  Based on interviews, observation, and record reviews the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 (Resident #1) of 3 residents reviewed for accidents. The facility failed to ensure Resident #1 received 2-person assistance when CNA A transferred the resident from the wheelchair to the bed independently with a mechanical lift with the wrong sized sling. This failure could place residents at risk of injuries, falls, and a decline in quality of life. The noncompliance was identified as PNC. The noncompliance began on 08/25/2024 and ended on 08/27/2024. […]

• No harm, potential for more than minimal, widespreadF812Apr 24, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen, in that: 1. The facility ice machine that provided ice for resident beverages at meals had visible rust on the outside and inside of the machine and contained large sections of yellow and brown ice. This failure could place residents who drink beverages with ice from the kitchen at risk for becoming sick from contaminated ice. […]

• No harm, potential for more than minimal, patternF641Feb 20, 2026

  Based on observations, interviews and record reviews, the facility failed to ensure assessments accurately reflected the resident's status for 3 of 16 residents (Residents #6, #28 and #34) reviewed for resident assessments. 1.The Facility failed to ensure Resident #6's active diagnosis of depression and her number of falls between assessments was accurately reflected on her quarterly MDS assessment, dated 01/12/2026. 2. The facility failed to ensure Resident #28's oxygen use was accurately reflected on her Significant Change MDS assessment, dated 01/16/2026. 3. […]

• No harm, potential for more than minimal, patternF880Feb 20, 2026

  Based on observations, interviews and record reviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infections for 2 of 7 residents (Residents #6 and#10) reviewed for infection control. 1. The facility failed to ensure CNA B took off her soiled gloves, sanitized her hands, and put on clean gloves prior to placing a clean brief on Resident #6 during catheter care. 2.The facility failed to ensure the ADON took off and replaced her gown after leaving the room to get more gloves when she performed wound care for Resident #6 who was on EBP. 3. […]

• No harm, potential for more than minimal, patternF812Nov 21, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the kitchen. The facility failed to ensure dietary staff used proper hand hygiene during meal preparation. This failure could place residents who received meals and/or snacks from the kitchen at risk for food borne illness. The findings included: Observation on 11/20/2024 at 11:20 a.m. revealed the DM assisting with the meal tray preparation. The DM had washed her hands and put on gloves for cutting the bread, after cutting the bread she assisted with taking plates from the cook and placed them on trays. […]