Every finding on record at Yorktown Rehabilitation & Nursing Center

Based on interviews and record reviews during a survey, the facility failed to ensure residents were free from sexual abuse by a staff member for one (1) (Resident #1) of three (3) residents reviewed for abuse. Specifically, the facility incident report documented on 02/21/2026 at 6:53 AM., Certified Nurse Aide #1 observed Housekeeper #1 in bed with Resident #1 who had severe cognitive impairment, lying in prone position on top of Resident #1. Subsequently Resident #1 was transferred to the hospital on [DATE] for evaluation and treatment. It was determined that Resident #1's likelihood to experience actual psychosocial harm, using the reasonable person concept (referenced in the Centers for Medicare and Medicaid Services Psychosocial Outcome Severity Guide), occurred because of the alleged assault.The findings include The facility's policy and procedure titled The Seven Components of a Systemic Approach to Abuse Prohibition documented that the facility was committed to providing residents with an environment that is free from verbal, mental, and physical abuse, mistreatment, neglect, misappropriation of resident property, and exploitation through the following components of a systemic approach to abuse prohibition. The annual policy and procedure review sheet was dated as reviewed on 09/2025. Resident #1 had diagnoses including but not limited to non-traumatic brain dysfunction (brains normal function is disrupted), non-Alzheimer dementia (loss of cognitive function thinking, memory, mood and behavior), and depression (mental health condition characterized by persistent low mood). The 11/22/2025 annual Minimum Data Set (a resident assessment tool) documented the brief interview of mental status could not be conducted. Staff assessment for mental status documented Resident #1 had short-, and long-term memory problems, and severely impaired cognitive skills for daily decision making. The Comprehensive Care Plan for impaired communication related to Alzheimer disease with increased risk for abuse revised on 11/26/2025 documented to incorporate visual prompting, cues, gestures and allow adequate time for response. Provide emotional support regarding impaired communication. The Comprehensive Care Plan for impaired cognition/function/impaired thought processes and communication related to Alzheimer disease and dementia with increased risk for abuse revised on 11/26/2025 documented to monitor for any changes in baseline presentation-mood, sleep, appetite, non-verbal signs and symptoms, agitation, withdrawal, changes in behavior and unexplained injuries. An undated Incident Report, documented on 02/21/2026 at 6:53 AM, Certified Nurse Aide #1 observed Housekeeper #1 lying in prone position on top of Resident #1 in Resident #1's bed. Housekeeper #1's pants were lowered to mid-thigh. Certified Nurse Aide #1 immediately intervened and had Housekeeper #1 leave the room. The incident report also documented Resident #1 was visually observed and monitored. Authorities called. No full body assessment as per law enforcement direction. Staff in their custody. Every 15-minute check is initiated. Resident #1 sent to the emergency room. Physician was notified at 8:00 a.m. Family notified by the Director of Nursing at 8:00 a.m. Review of a written statement (obtained by the facility) from Certified Nursing Assistant #1, dated 02/21/2026, revealed that they saw Housekeeper #1 walk onto the unit at 6:50 AM, entered another resident's room and walked right out. They thought Housekeeper #1 got on the elevator and left. They were doing last rounds and walked up the hall at 6:53 AM. They heard sounds, looked in the room and saw the curtain closed. They knew they did not close the curtain, so they went in and saw Housekeeper #1 on top of Resident #1. They asked, What are you doing? Housekeeper #1 jumped off the bed immediately. They pulled their pants up. They told Housekeeper #1 to get off the unit immediately. Housekeeper #1 was begging them not to say anything. They told Housekeeper #1 to get off the unit. They lowered Resident #1's bed. Resident #1 did not appear to be in any distress. Resident #1 was calm, no grimacing. They immediately told the nurse. The room-mates curtain was closed and they were asleep. An Internal Investigation dated 02/21/2026 documented an interview was conducted with Housekeeper #2 who reported at approximately 6:56 AM, Housekeeper #1 knocked on the locker room door in the basement and stated I did something bad. I am leaving it's my last day and exited the locker room. At approximately 6:57 AM the dietary cook observed Housekeeper #1 running by the kitchen and out the door. Registered Nurse Supervisor #1's progress note dated 02/21/2026 at 7:30 AM, documented that Resident #1 was alleged to be involved in an incident involving a staff member, upon immediate presentation, Resident #1 was calm and presented consistent with normal presentation, no pain, no facial grimacing, or sign of distress, will monitor. Director of Nursing's progress note dated 02/21/2026 at 8:00 AM, documented Resident #1 was resting in bed calmly. No signs of distress or pain noted. [Spouse] called and updated. Medical Doctor aware. Continue to monitor. Director of Nursing's progress note dated 02/21/2026 at 8:30 AM, documented Resident #1 left via emergency medical services to the hospital. The nursing supervisor spoke with the emergency department, [spouse] and medical doctor aware. A hospital General Emergency Department Discharge Instructions, dated 02/21/2026, documented Resident #1's diagnosis for the visit was sexual assault of an adult. Medications administered during the visit were Ceftriaxone 500 mg (antibiotic treat bacteria), dolutegravir 50 mg (antiviral: treats existing infection or prevents infection), doxycycline 100 mg (antibiotic: kills or inhibits the growth of bacteria to treat bacterial infection), Truvada 200-300 mg (fixed dose combination of two antiviral medications; manage and/or prevent human immunodeficiency virus) and metronidazole 500 mg (antibiotic and antiprotozoal: effective against bacterial and parasitic infections). During an interview on 02/25/2026 at 1:24 PM, the Director of Human Resources stated Housekeeper #1 was hired in 2005. They stated there were no negative findings in Housekeeper #1's personnel file. During an observation on 02/25/2026 at 1:55 PM, Resident #1 was on the 3rd floor in the common area with multiple other residents and was seated next to facility staff. Resident #1 was in a high back Broda chair resting with eyes closed and had a blanket covering their lap. Resident #1 did not respond when spoken to. During an interview on 02/25/2026 at 3:30 PM, the Administrator stated when it was reported, they needed to ask the name of Housekeeper #1 several times as this incident was something they never would have expected. During an interview on 02/25/2026 at 3:55 PM, Director of Environmental stated they heard background noise wind, cars, when Housekeeper #1 called them via telephone shortly after 7:00 AM on the morning of 02/21/2026 and told them they did something bad before they hung up the phone. The Director of Environmental stated there had been no prior incidents involving Housekeeper #1. They stated they worked with Housekeeper #1 for 8 years. They stated Housekeeper #1 was a supervisor at one time. During an interview on 02/26/2025 at 12:15 PM, the spouse of Resident #1 stated they could not say what Resident #1's awareness was of the incident but that their behavior did not seem to have changed. They stated it was hard to determine how this incident may have affected Resident #1 due to the resident's condition (no memory/recall). They stated prior to Resident #1's current condition, this would never have happened as Resident #1 would have kicked their butt. They stated Resident # 1 would have felt that they had been extremely violated/angry and outraged. During an interview on 02/27/2026 at 12:25 PM, the Director of Social Work stated that since the incident, staff have not reported concerns regarding Resident #1 not sleeping or eating. They stated they checked in daily, and Resident #1 was at baseline and continued to be calm and with smiles. They stated signs and symptoms to look out for would be change in mood, agitation, etc. Those signs would show that the resident may have been affected by sexual abuse. During an interview on 02/27/2026 at 2:17 PM, Physician #1 stated Resident #1 had early onset Alzheimer dementia and was alert and oriented x 0. They stated Resident #1 was eating/drinking and did not seem to be in any kind of distress. They stated Resident #1 had one (1) episode of emesis which was most likely due to the antiviral/antibiotic medications. They stated a person with no cognitive impairment would be very affected by the incident. They stated they did not feel Resident #1 had the brain function to understand what occurred. They stated they did not expect this from an employee. 10 New York Codes, Rules, and Regulations 415.4 (b)(1)(i)

Based on record review and interviews during an abbreviated survey (NY00348017/806183), the facility did not ensure assessments accurately reflected the resident's status for 1 out of 3 residents (Resident #1) reviewed for assessments. Specifically, Resident #1 who was cognitively impaired, had chronic confusion and gait/balance disturbances was not identified as a high risk for falls on admission. Resident #1 had an unwitnessed fall on 06/08/2024 and sustained a laceration to their left eyebrow and a bruise to their left elbow. Review of Resident #1's fall risk assessment dated [DATE] revealed it was not completed, reflecting inaccurate scoring on the assessment tool.The findings are:Resident #1 was admitted with diagnoses including but not limited to Chronic Obstructive Pulmonary Disease, Type 2 Diabetes Mellitus and Peripheral Vascular Disease.An admission Minimum Data Set, dated [DATE] documented Resident #1 had severe cognitive impairment. Resident #1 had impairment to their upper extremities on both sides and required a walker or a wheelchair for locomotion. The resident required set up assistance with meals, moderate assistance with toileting, maximal assistance with bed mobility and transfers. Review of a risk for falls care plan initiated 05/06/2024 documented Resident #1 was at a low risk for falls as evident by the scoring tool. Resident #1 had a fall risk score of 6 indicating a low risk for falls. Interventions listed included assist resident with ambulation and transfers utilizing therapy recommendations and determine resident's ability to transfer.Review of a fall risk assessment dated [DATE] documented Resident #1 was alert and oriented x 3 and chairbound. The gait/balance section and remainder of the assessment was not completed, indicating a partial fall risk score was tallied and incorrect. Review of an impaired cognition care plan initiated 05/07/2024 documented Resident #1 had an impaired thought process related to their Brief Interview of Mental Status score assessment. Interventions listed included ask yes/no questions in order to determine the resident's needs, communicate with and the resident/family/caregivers regarding resident's needs and monitor/document/report as needed any changes in cognitive function.Review of Resident #1's admission assessment dated [DATE] documented Resident #1 was chronically confused and had mild cognitive impairment.During a telephone interview on 08/27/2025 at 12:12 PM, the Director of Nursing stated the fall risk assessment, and the admission assessment were completed by Registered Nurse #2. The Director of Nursing stated they reviewed Resident #1's fall assessment and they noticed the assessment was incomplete because the balance/gait section was not completed by Registered Nurse #2. The Director of Nursing stated Resident #1 was not alert and oriented as indicated on the admission assessment by Registered Nurse #2. The Director of Nursing stated Registered Nurse #2 choose the wrong option out of the 3 choices indicated on the form for mental status. If they had performed the assessment, they would have chosen the option for intermittent confusion. With the fall risk assessment, the total tally will reflect the information documented during the assessment. Resident #1's fall risk assessment was incomplete and therefore the score tallied by the system was inaccurate. During a telephone interview on 08/28/2025 at 9:45 AM, Registered Nurse #2 stated they completed Resident #1's admission and fall risk assessments on 05/06/2024. Registered Nurse #2 stated during the admission assessment they asked the resident questions to check their mental capacity, and this is how they determine the resident's cognitive status. Registered Nurse #2 stated they documented Resident #1's mental status based on their answers to questions asked. On the fall risk score evaluation, Registered nurse #2 stated sometimes there are glitches within point click care (the electronic medical record system) and the system will generate a different score. The fall risk score of 6 for Resident #1 was inaccurate as it indicates the resident is a low fall risk. The facility is now using a different version of the fall risk assessment form which is shorter and all information to be gathered are located on the same form to avoid errors such as this. Registered Nurse #2 stated some of the errors encountered with the new system was when a section of the form was not completed, the system does not allow you to return to the uncompleted portion of the form to enter any updates. These omissions then generate inaccurate scores/tallies because of the omissions. The scores/tallies do not reflect the complete assessment.Registered Nurse #2 did not provide an answer as to why they documented Resident #1's cognitive status as alert and oriented x3 on the admission assessment and chronic confusion with mild cognitive impairment on the fall assessment on 05/08/202510 NYCRR 415.11(b)

Based on record review and interviews during an abbreviated survey (NY00348017/806183), the facility did not ensure the resident environment remained as free of accident hazards as is possible; and that each resident received adequate supervision to prevent accidents for 1 out of 3 residents (Resident #1) reviewed for safety and supervision. Specifically, Resident #1 who had severe cognitive impairment with impaired thought process was assessed on admission as a low fall risk for fall. Resident #1 was left alone in their room on 6/8/2024. The resident had an unwitnessed fall and sustained a laceration to their left brow and bruising to their left elbow. Resident #1's room was located behind the nurse's station out of view from. Resident #1 had no specific measures in place for monitoring and oversight. The findings are:The facility Accident and Incident Prevention/Fall Risk policy last revised 11/21 documented it id the policy of the facility that safety is everyone's responsibility. Being alert and anticipating hazards can prevent most accidents. The best defense against injury is safety awareness. The facility cannot prevent all fall, but they can identify those at risk and place appropriate interventions to minimize the risk of falling and specifically minimize the risk of injury. Resident #1 admitted to the facility on [DATE] with diagnoses including but not limited to Chronic Obstructive Pulmonary Disease, Type 2 Diabetes Mellitus and Peripheral Vascular Disease.An admission Minimum Data Set, dated [DATE] documented Resident #1 had severe cognitive impairment. Resident #1 had impairment to their upper extremities on both sides and required a walker or a wheelchair for locomotion. The resident required set up assistance with meals, moderate assistance with toileting, maximal assistance with bed mobility and transfers. Review of a risk for falls care plan initiated 05/6/2024 documented Resident #1 was at a low risk for falls. Resident #1 was scored at a 6 indicating a low risk for falls. Interventions listed included assist resident with ambulation and transfers utilizing therapy recommendations and determine resident's ability to transfer.Review of an impaired cognition care plan initiated 05/7/2024 documented Resident #1 had an impaired thought process related to their Brief Interview of Mental Status score assessment. Interventions listed included ask yes/no questions in order to determine the resident's needs, communicate with the resident/family/caregivers regarding resident's needs and monitor/document/report as needed any changes in cognitive function.Review of Resident #1's admission assessment dated [DATE] documented interventions for safety as the call light will be in reach, the resident would have 1/2 side rails. Resident #1 had an unsteady gait and poor balance.During rounds in the facility Resident #1's room was observed to be behind the nurse's station out of staff view. There was no documented evidence of any supervision or monitoring of Resident #1's safety in place.During an interview on 08/7/2025 at 11:40 AM Licensed Practical Nurse #1 stated the morning of the fall Resident #1 was acting impulsive, but generally they were not impulsive. During an interview on 08/7/2025 at 11: 51 AM Registered Nurse #1 stated Resident #1 was a fall risk, and they were not safe to be left alone in their room.During an interview on 08/7/2025 at 12:45 PM the Director of Nursing stated Resident #1 was safe to be in the room by their self, but the resident was confused and impulsive. The Director of Nursing stated Resident #1's representatives would push them to walk a lot when they were visiting. The Director of Nursing stated the rehabilitation unit had private rooms, so Resident #1 was in a room by themself. The Director of Nursing stated Resident #1's room was moved to a viewed room near the nursing station after their fall, due to the resident getting up from the wheelchair.During an interview on 08/7/2025 at 2:40 PM the Administrator stated their investigation findings revealed that rounding is important.During a telephone interview on 08/27/2025 at 10:17 AM Certified Nurse Aide #1 stated the day of the incident, they were assigned to Resident #1. That was their first time taking care of the resident. The resident was a fall risk, so they were the first resident provided cares to and got them up. Certified Nurse Aide #1 stated they were informed during shift report from other certified nurse aides and Licensed Practical Nurse #1 that Resident #1 was a fall risk. Certified Nurse Aide #1 stated after they finished with Resident #1, they handed them their call bell and their urinal and left the resident in their wheelchair with the wheels locked. Certified Nurse Aide #1 stated they handed out the breakfast trays to the residents on the unit and there was a thirty-to-forty-minute time gap since they had last saw the resident. Certified Nurse Aide #1 stated they heard a commotion and went to Resident #1's room and found the resident on the floor. They wheeled the resident out to the nurses' station after their care and the nurse told them the family does not like it and wheel the resident back into their room. Certified Nurse Aide #1 stated Resident #1's representatives requested Resident #1 not be placed by the nurse's station and to leave them in their room. Certified Nurse Aide #1 stated usually residents that are a fall risk are left by the nurse's station so they can be observed by staff. 10 NYCRR 415.12(h)(1)

Based on observation, record review, and interview conducted during the abbreviated survey (NY00315980) the facility did not ensure that 1 of 3 residents (Resident #3) reviewed for quality of care, received treatment and care in accordance with professional standards of practice. Specifically, Resident #3 exited the building unnoticed and was found on the ground. There was no documented evidence the resident was assessed before being transferred to the wheelchair and taken back into the building. The resident was sent to the hospital over 12 hours later with a broken hip. Findings include: Resident # 3 was admitted to the facility on [DATE] with a diagnosis of Anxiety, Altered Mental Status and Diabetes Mellitus. The admission Minimum Data Set (an assessment tool) dated 5/1/2023 documented the resident had severely impaired cognition. The resident required two-person assistance for bed mobility and one-person physical assist for transfer, dressing, toilet use, and personal hygiene; and one-person physical assist for locomotion on and off the unit. The Incident Report dated 5/4/23 at 5:30 AM and completed by Staff #4 (Registered Nurse Supervisor) documented Resident #3 was found on campus grounds, unobserved. The description of the incident was the 2nd floor stairwell alarm sounded, staff observed the resident was not in their room, a Code 1000 (code for missing resident) was initiated, and staff proceeded to search for the resident until found. Steps taken to prevent recurrences included the resident was transferred to 320 for enhanced safety and psychiatric consult. The physician was notified and responded at 7 AM. The Incident Report was left blank in many areas and did not document an assessment of the resident, the type of incident, if there were injuries, treatment, or the disposition of the resident. Staff #4's (Registered Nurse Supervisor) progress note dated 5/4/2023 at 8:56 AM, documented the unit nurse on Unit 1A announced 3 times that the center stairway alarm was going off at around 5:28 AM. Staff checked the center stairway but did not see any resident. At 5:30AM the Certified Nurse Aide on unit 2A reported to the Registered Nurse Supervisor that Resident #3 was not in their room. The second alarm went off while staff started searching for resident. All the rooms in the facility were thoroughly searched room to room, the stairways, daycare building, and they were unable to locate the resident. Staff drove off the facility down the street and the surrounding neighborhood. The Director of Nursing was made aware within 15 minutes, Police was made aware the police came within 10 minutes. The family was updated. The resident was found at 6:55 AM by staff coming in for work, the resident was found kneeling on the pavement at the entrance to the facility. There was no further documentation by Staff #4, including an assessment of Resident #3's status when found outside. Review of staff statements regarding the incident included: -Staff #23 (Certified Nurse Aide) documented they were outside looking for the resident and Staff #2 (Registered Nurse) told them they saw someone outside and they (Staff #23) ran to the area and found the resident. The resident asked for help. Staff #23, Staff #6 (Nursing Supervisor) and Staff #24 (Physical Therapy Assistant) helped the resident get up and stand and get into the wheelchair. When an interviewed on 2/7/2024 at 2:28 PM, Staff #23 stated that the morning of the incident they saw the resident on the ground in the driveway around 6:50 AM. Staff # 24, Staff # 4, and Staff #25 (Certified Nurse Aide) approached the resident and Staff #6 ask the resident if they had pain. Three staff transferred the resident to the wheelchair and returned to the building. - Staff #24 (Physical Therapy Assistant) documented when they arrived to work the child care exit door alarm was sounding and they saw nothing. When they found out there was a missing resident, they saw the resident and Staff #23 and assisted Staff #23 to get the resident back in the building. When interviewed on 2/8/24 at 10:00 AM, Staff #24 stated that it had been a long time and could not remember the details of the incident. - Staff #25 (Certified Nurse Aide) documented when the resident was found they took a wheelchair out to the resident and staff. Staff brought the resident back into the building. A nursing progress note by the Registered Nurse Unit Manager, dated 5/4/2023 at 9:10 AM, documented a bodily assessment was done and the resident had a bruise to left knee, no swelling was noted on body or head. The physician was updated, and neurological checks were ongoing. (There was no evidence the resident's range of motion was assessed.) When interviewed on 2/7/2024 at 3:30 PM, the Registered Nurse Unit Manager stated that they assessed the bruise on the resident's left knee, they denied pain and was transferred to bed. Review of the Physician Assistant progress note dated 5/4/2023 (time unknown) documented the resident had eloped from the facility that morning, and at 10:33 AM the resident's blood pressure 132/68, pulse 74, and pain level of zero. The note documented the musculoskeletal assessment showed minimal movement of the lower extremities, no ecchymosis or swelling to joints, pain to palpation of left mid-thigh and hip joint, no obvious external rotation or leg shortening. The plan was to get x-rays of the left hip and femur and hold physical therapy. When interviewed on 2/7/24 at 2:39 PM, the Physician Assistant stated they were not sure when they examined the resident but usually came in around 8:30 AM. They stated they were updated on what transpired. The resident was in bed, had pain in the left leg, and an x-ray was ordered. The nursing progress note dated 5/4/23 at 2:27 PM documented the resident was given medication one time for hip pain and a new order for a STAT (immediate) x-ray of the left hip and femur. The physician order dated 5/4/24 at 2:34 PM documented STAT x-ray of the left hip and femur due to pain. The physical therapy note dated 5/4/23 at 3:21 PM documented the resident was seen in bed, unable to perform supine to sit due to increased pain on left hip area. Any movement caused the resident pain and the resident stated they fell, thus the bruising on left leg and pain on left hip and thigh. X-ray was ordered by nursing, pending results. The nursing progress note dated 5/4/2023 at 10:02 PM documented the X-ray revealed evidence of facture of the left hip and the resident was sent to the hospital at 9:55 PM. During an interview on 2/7/24 at 3:22 PM, Staff # 4 stated an employee coming in for work stated they saw someone at the end of the driveway on the ground with two certified nurse aides and the therapy assistant. They (Staff #4) asked the resident if they had pain and they said no. They (Staff#4) instructed the other staff to transfer her to the wheelchair and brought her back to the building. During an interview on 2/8/2024 at 10:17 AM, the Director of Nursing stated on the morning of 5/4/23, Resident #3 left the building and was found on the ground of the driveway. Resident #3 complained of pain in the left thigh upon assessment, an x-ray revealed a broken hip and the resident was transferred to the hospital. The Director of Nursing stated they did not think there was a delay in treatment and the resident was assessed timely. During a follow-up interview on 4/1/2024 at 11:48 AM, the Director of Nursing stated there was not a progress note documenting Staff #4's assessment. The Director of Nursing stated Staff #4's assessment was on Incident Report and pointed to the Incident Report review by the Nurse Manager that summarized the entire event up to the resident's transfer to the hospital. The Director of Nursing also stated the Registered Nurse Unit Manager also documented the bodily assessment done in the note that read no swelling was noted, and the left knee was bruised. 10 NYCRR 415.12

Based on observation, record review and interviews during the abbreviated survey ( NY00315980) the facility did not ensure residents were provided supervision to avoid accident hazards for 1 of 3 residents (Resident #3) reviewed for accidents. Specifically, Resident #3 exited the building on 5/4/23 at 5:28 AM, undetected by staff, and was found an hour and half later at the end of the driveway. Later it was determined the resident had a fractured (broken) left hip. Findings include: The Policy and Procedure titled Elopement Prevention and Protocol for Missing Resident revised 9/2022 documented the facility will assess each resident upon admission, readmission, quarterly, annually, and when there is a significant change, to identify residents who have the potential for wandering and elopement to safeguard the health and welfare of those entrusted in our care. Residents will be protected from actual potential harm in a safe and secure manner while encouraging a restraint free environment. Resident #3 was admitted to the facility on [DATE] with diagnoses including Anxiety, Altered Mental Status and Diabetes Mellitus. The admission elopement assessment dated [DATE] documented the resident was not at risk for elopement. The admission Minimum Data Set (MDS, an assessment tool) dated 5/1/2023 documented Resident #3 had severely impaired cognition. The resident required a two person assist for bed mobility and one-person physical assist for transfer, dressing, toilet use, personal hygiene, and locomotion on and off the unit. A progress note dated 5/1/2023 documented Resident #3 attempted to get on the elevator in their wheelchair twice and staff had difficulty redirecting the resident. The resident was given a WanderGuard (electronic monitoring device usually placed on the wrist or ankle) and placed on 15 minutes checks for safety. There was no documented evidence that further elopement risk assessment was completed. A physician order dated 5/1/23, documented to apply a WanderGuard and to check placement and function every shift. The Close Observation Watch form (15-minute check sheet), dated 5/4/23, documented resident was in bed sleeping from 12 AM to 1:15 AM, in the bathroom at 1:30 AM, in bed sleeping from 1:45 AM to 4:00 AM, in the bathroom at 4:15 AM, in bed awake at 4:30 AM, and in bed sleeping from 4:45 AM to 5:15 AM. There was no documentation regarding the resident's whereabouts after 5:15 AM until 7:00 AM. The Registered Nurse Supervisor's progress note dated 5/4/2023 at 8:56 AM, documented the unit nurse on Unit 1A announced 3 times that the center stairway alarm was going off at around 5:28 AM. Staff checked the center stairway but did not see any resident. At 5:30AM the Certified Nurse Aide on unit 2A reported to the Registered Nurse Supervisor that Resident #3 was not in their room. The second alarm went off while staff started searching for resident. All the rooms in the facility were thoroughly searched room to room the stairways, daycare building, and they were unable to locate the resident. Staff drove off the facility down the street and the surrounding neighborhood. The Director of Nursing was made aware within 15 minutes, Police was made aware the police came within 10 minutes. The family was updated. The resident was found at 6:55 AM by staff coming in for work, the resident was found kneeling on the pavement at the entrance to the facility. The nursing schedule dated 5/3/2023 beginning 11 PM to 7 AM, documented Staff #6 (Licensed Practical Nurse), and Staff #1 and #3 (Certified Nurse Aides) were working on Unit 2A, where Resident #3 resided; and Staff #4 was the Regisitered Nurse Supervisor. The physical therapy note dated 5/4/23 at 3:21 PM documented the resident was seen in bed, unable to perform supine to sit due to increased pain on left hip area. Any movement caused the resident pain and the resident stated they fell, thus the bruising on left leg and pain on left hip and thigh. X-ray was ordered by nursing, pending results. Review of the progress note dated 5/4/2023 at 10:02 PM documented X-ray result revealed evidence of facture of the left hip and the resident was sent to the hospital at 9:55 PM. Review of the physical therapy (PT) Discharge note dated 5/4/24 documented prior to the incident the resident could ambulate approximately 75 feet with a contact guard. The physical therapy note also documented that prior to the incident, a care plan meeting was held with the resident's spouse and the spouse stated the resident was observed toileting themselves without assistance. During an interview on 1/19/24, the Director of Nursing walked with the surveyor from Resident #3's room to where the resident was found outside. The Director of Nursing stated the resident went past the elevator and opened the alarmed exit door, wearing a bathrobe and sneakers, went down 2 flights of stairs, through another door and then a third alarmed door. The resident was found outside the main entrance down the driveway. During an interview 1/22/24 at 10:05AM Staff #3 (Certified Nurse Aide) stated Resident #3 was assigned to them and on 15 minutes checks. Staff #3 stated they did not remember exactly when they last saw Resident #3 and was doing cares for another resident, heard the alarms go off and then an announcement. They checked the resident's room and bathroom but were unable to locate resident. They told the nurse and they searched for the resident in the building and outside. The resident was finally found in the driveway. During an interview on 1/23/24 at 2:00PM Staff #6 (Licensed Practical Nurse) stated they were passing morning medications and heard the alarm go off and then the page. Staff started looking in rooms, and Staff #3 stated the Resident #3 was missing. They stated the resident had a WanderGuard and it only worked for the elevator. They stated they searched inside and got in their care outside the building. Resident was finally found by a staff coming into work. During an interview on 1/22/24 at 10:13 AM Staff #2 (Registered Nurse) stated on 5/4/23 they were coming into work and saw a body lying in the driveway flailing her arms. They parked their car told the supervisor and the staff went outside and brought the resident back to the building. During an interview on 1/22/24 at 10:11AM Staff #4 (Registered Nurse Supervisor) stated it was about 5:30AM the alarm went off and they were notified by staff they could not find Resident #3. Code 1000 (code for missing resident) was immediately called and the search for the resident began in the building first then outside. The census that night was about 13 residents and three staff members on the unit. The resident was finally found by a staff member coming into work she was missing for about an hour and half. During an interview on 1/22/24 at 11:45AM the Director of Nursing stated the resident was exit seeking on 5/1/23 and was put 15 minutes checks and applied a WanderGuard. The elopement risk assessment and care plan were not updated. During an interview on 1/22/24 at 11:14AM the Administrator stated the staff did everything as per protocol to keep the resident safe. 415.12(h)(a)

Based on observations, interview, and record review, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. Specifically, 1) Food brought into the facility for use by staff was stored in a freezer unit, 2) Two (2) soiled cooling coil fans were in use in the dairy refrigerator, and this presented a risk for food contamination. 3) Open, perishable foods were not appropriately labeled. 4) a. For 4 of 4 microwaves in use on the resident units, there were no thermometers available to check food temperatures when reheating foods to ensure safe temperatures for food service, and b. for 3 of 4 microwaves there were no procedures or guidance posted for microwave use. Findings include: The initial tour of the kitchen was conducted on 1/17/24 at 10:21 AM with Staff #5 (Food Service Director) in attendance. The following were observed: 1) On 1/17/2024 at 10:29 AM, an opened, unlabeled, undated, plastic bag containing pieces of an uncooked, reddish-colored item was observed stored on a shelf in a freezer unit. In an interview, Staff #22 (Cook) stated the reddish-colored item was goat, and Staff #14 had brought it in for a staff holiday party. During a follow up tour of the kitchen on 1/23/2024 at 11:58 AM, Staff #14 (Dietary Supervisor) stated that the goat belonged to them, they had brought it in for the holiday party for co-workers, the freezer was only to store food for the residents' use, but they brought the goat in and did not want to take it back home as they had co-workers on the weekend that they wanted to make the goat for. 2) On 1/17/2024 at 10:46 AM, during an inspection of the dairy refrigerator the grills on two (2) cooling coil fans (a component of an air conditioning or refrigeration system) were observed to be soiled with gray-ish colored dust. Surveyor requested that Staff #12 (Director of Maintenance) turn off the cooling coil fans in order to observe the cooling coil fan blades, and the cooling coil fan blades were observed to be soiled with a gray-ish colored residue. In interviews conducted at that time, Staff #5 stated that maintenance was responsible to clean the cooling coil fans. Staff #5 stated the fans were dusty and there was potential for the dust to get into the food. Staff #5 stated that they call an outside company that comes out to make repairs as needed on all refrigerators and, when they came to make repairs, they would clean the cooling coil fans. Staff #12 stated that cleaning the fans would be the responsibility of kitchen staff unless maintenance was asked to clean the fans. Staff #12 stated that if Staff #5 notified them that the cooling coil fans needed to be cleaned, then they would call the outside company and have them clean the cooling coil fans. 3) On 1/17/24 at 11:06 AM during an inspection of the dairy refrigerator the following were observed: -An open, 5-pound bag of parmesan blend grated cheese did not have a manufacturers expiration date or use by date, the facility labeled open date was 1/13/2024, and there was no facility use by labeling on bag. At that time, Staff #5 covered the bag with plastic wrap, returned it to the refrigerator, and stated they would call the company that made the cheese and ask them what their food dating code system was. - An open, 5-pound bag of low moisture mozzarella cheese had a manufacturer packed on date of 12/4/2023 and did not have a manufacturers expiration date. The facility opened date was 1/14/2024. At that time, Staff #5 stated they should have labeled the cheese with a use by date. 4) Inspections of the unit pantries and dining rooms were conducted on 1/23/2024 between 9:05 AM and 10:02AM and the following were observed: - The 3rd floor unit pantry had a microwave, no policy or guidance was posted for use of the microwave, and no food thermometer was found in the pantry. In an interview, Staff #15 (Licensed Practical Nurse) stated they would check the temperature of the heated foods with a gloved hand and would use common sense and clinical judgement in heating foods for the residents, and they did not have a thermometer to check the food temperature. - The 3rd floor unit dining room had a microwave, and no food thermometer was found. In an interview, Staff #19 (Activities Aide) stated that they would put the microwave on for 30 seconds. They had not been told to use a thermometer to check the temperature of heated foods, and they had not seen a thermometer in the pantry or dining room. - The 2nd floor unit pantry had a microwave, no policy or guidance was posted for use of the microwave, and no food thermometer was found in the pantry. In an interview, Staff #17 (Certified Nurse Aide) stated that they put the microwave on a number that was not too hot and not too cold. Staff #17 stated that if they were heating a hot beverage they would feel the cup, and if they were heating a plate of food, they would gauge the temperature by the number on the microwave that they felt was good. Staff #17 stated they had not seen a thermometer in the pantry, and they had not been told to check the temperature of the reheated food. - The 1st floor unit pantry had a microwave. No food thermometer was found in the pantry. The microwave policy posted next to the microwave did not specify how to check the temperature of the food or the temperature the food should be heated to. In an interview, Staff #18 (Certified Nurse Aide) stated they would put the food on for 30 seconds and put their hand over the food to see if it was too hot. Staff #18 stated they had not been told to use a thermometer to check the temperature of heated foods. 10 NYCRR 415.14(h)

Based on observation and interview conducted during the Recertification Survey from 01/17/24 to 01/24/24, the facility failed to ensure that the residents were informed and educated about their rights for 7 of 7 residents (Residents #44, #33, #91, #43, #32, #12, and #17) attending the Resident Council meeting. Specifically, the Residents' [NAME] of Rights was not posted on two of three floors in the facility. Findings include: The facility policy and procedure for Federal and State Rights of Residents, dated 05/09/22, documented the facility must furnish a written description of residents' legal rights which includes a posting in a conspicuous place in the facility. During the Resident Council meeting on 01/18/24 at 11:05 AM with 7 (#44, #33, #91,#43,#32,#12, #17) residents in attendance, all 7 stated they were unaware of the residents' legal rights. During an interview on 01/18/24 at 11:39 AM, Staff #11 (Activities Director) stated the Residents' Rights were posted on each floor in the shadow box. During an observation on 01/18/24 at 12:30 PM, the Residents [NAME] of Rights was posted on the first floor in a shadow box, however they were not posted on the second and third floor. During a follow-up interview on 1/23/24 at 9:48 AM, Staff #11 stated the Residents' [NAME] of Rights were removed from the second and third floor during the facility construction and could not recall how long ago. 10 NYCRR 415.3

Based on observation, interview, and record review conducted during the recertification and abbreviated (NY00309033) surveys from 1/17/24 to 1/24/24, the facility did not maintain a safe, clean, and comfortable environment in 2 (Rooms 137, and 138) resident rooms. Specifically, room [ROOM NUMBER] had a hole in the wall, and room [ROOM NUMBER] had a hole on the window soffit ceiling. Findings include: During an observation on 01/17/24 at 11:01 AM, room [ROOM NUMBER] had a rectangular shaped opening in the wall facing the resident bed. The opening measured approximately 2.5 inches X 4 inches, and red, white, and black electrical wires were visible; a metal lamp shade was hanging from the opening. During an observation on 01/17/24 at 11:06 AM, room [ROOM NUMBER] had a round hole on the window soffit ceiling. The hole was approximately 5 inches wide and had black debris around the edge circumference. During an interview on 01/19/24 at 2:43 PM Certified Nurse Aide #21, stated they were assigned to the resident in room [ROOM NUMBER] and stated if they noticed any problems with the environment, they would report it to their nursing supervisor. Certified Nurse Aide #21 observed the hole with the surveyor and stated they had not noticed it before. During an interview on 01/19/24 at 2:46 PM Registered Nurse Unit Manager #10 observed the presence of the hole on window soffit ceiling of room [ROOM NUMBER] and stated she would send an email to maintenance. When interviewed on 01/19/24 at 2:48 PM, the resident residing in room [ROOM NUMBER] stated they were admitted to the facility in October 2023 and noticed the hole in the ceiling upon admission and did not like looking at it and thought something might crawl out of it. During an interview on 01/22/24 at 9:23 AM, the Director of Maintenance stated the facility did not have a worklog for maintenance issues and that the staff communicated any problems via email. The Director of Maintenance stated they received an email for work needed for room [ROOM NUMBER], but not for room [ROOM NUMBER]. During an interview on 01/24/24 at 9:42 AM the Director of Maintenance stated they were not aware of the open electrical wall mount box in room [ROOM NUMBER]. The Director of Maintenance stated it should have been reported by housekeeping or nursing. 10 NYCRR 415.3

Based on observations, interviews, and record reviews conducted during the recertification survey from 1/17/24-1/24/24, the facility did not ensure that the menus met the nutritional needs and preferences for 1 of 2 residents (Resident #4) reviewed for food. Specifically, Resident #4 did not receive double portions of food as planned. Findings include: The facility policy titled Nutritional and Hydration Policy dated 4/2018 documented the intent of this policy is to ensure, to the extent possible, that acceptable nutritional and hydration status and that the facility provides a therapeutic diet that take into account the resident's clinical condition, and preferences when there is nutritional indication. Resident #4 was admitted to the facility on [DATE] with diagnoses including cervicalgia, pulmonary embolism, and heart disease. The 12/19/2023 admission/5-day Minimum Data Set (MDS) assessment documented the resident's cognition was intact, and they required supervision with bed mobility and eating, and moderate assistance with toileting and transfers. The comprehensive care plan dated 12/14/23, and updated on 1/4/23, documented Resident #4's diet was to include double portions. The Nutritional Comprehensive assessment dated [DATE] and signed on 12/17/23 by the dietitian documented that food preferences for Resident #4 were to be implemented as able and did not document double portions. Review of meal tickets for breakfast, lunch, and dinner from 1/17/24 thru lunch on 1/22/24 did not document that Resident #4 received double portions. When interviewed on 01/17/24 at 10:53 AM, Resident #4 stated that they had been receiving double portions of food and was now receiving single portions. Resident #4 was unable to recall when they stopped receiving double portions. During lunch observations on 01/17/24 at 12:08 PM, 01/18/24 at 12:20 PM and 01/22/24 at 12:30 PM, Resident #4 was eating in the dining room. The resident received single portions of food and the meal ticket did not document double portions. When interviewed on 01/22/24 at 01:03 PM, Resident #4 stated they spoke to the dietitian about their food preferences and was not receiving their preferences. When interviewed on 01/22/24 at 01:05 PM, Staff #5 (Food Service Director) stated they were unaware Resident #4 was supposed to receive double portions. When interviewed on 01/22/24 at 02:24 PM, the Director of Nursing stated that Resident #4 was care planned for double portions and was supposed to receive double portions. When interviewed on 01/22/24 at 04:17 PM, Staff #13 (Registered Dietitian) stated that when they received individual food preferences from the residents, they would update nutritional management or email the Director of Food Services to implement the changes on the meal tickets. Staff #13 stated Resident #4 was supposed to receive double portions of food and that the food preference was not communicated to food services. 10NYCRR 415.14(c) (1-3)

Based on observations, record review and interviews conducted during the recertification survey from 1/17/24-1/24/24, the facility did not ensure that they were adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area for 1 of 2 residents (Resident #72) reviewed. Specifically, the call system unit at the bedside for Resident #72 was not operational and the call system push button was broken and not accessible. Findings include: The facility's policy titled Call Bell Procedure dated 5/2017 documented the availability of the call light/bell is mandatory by this facility and if a call bell is defective, report immediately to maintenance or designee, and provide tap bell until fixed. Resident #72 was admitted to the facility on [DATE] with diagnoses including atrial fibrillation, major depressive disorder, and muscle weakness. The 11/1/23 quarterly Minimum Data Set (MDS) assessment documented the resident's cognition was moderately intact, and the resident required supervision with eating, toileting, and transfers, and was independent with bed mobility. The falls care plan dated 11/8/23 documented Resident #72 was at risk for falls. Interventions included the resident's call light to be within reach and to encourage the resident to use it for assistance as needed. During observations on 01/17/24 at 11:15 AM and 01/18/24 at 09:23 AM, Resident #72 was observed lying in bed, awake. The call system push button was observed to be broken/missing and Resident #72 stated that the call system push button had been broken for a long time. They stated they wanted someone to repair it because when they needed help, they had to get up out of bed and go in the hallway to request help. Resident #72 stated they mentioned the broken call bell to staff on multiple occasions and no one came to repair it. When interviewed on 01/18/24 at 09:30 AM, Staff #9 (Certified Nurse Aide) stated that Resident #72 should always have their call bell in place to call for assistance and that they did not realize the call bell was broken. When interviewed on 01/18/24 at 10:06 AM, Staff #10 (Registered Nurse Unit Manager) stated they were not aware Resident #72's call bell was broken and was just told by Staff #9 a few minutes ago and then put in a work order for the call bell to be repaired. When interviewed on 01/23/24 at 11:12 AM, the Director of Nursing stated that Resident #72 should always have their call bell within reach and functioning. The Director of Nursing stated that nursing staff should have been checking to make sure that the call bell was functioning properly, and they were unaware that Resident #72's call bell was not functioning. When interviewed on 01/24/24 09:41 AM, the Director of Maintenance stated that they received a work order for Resident #72's call bell on 1/18/24. They stated that the nursing supervisor had access to the storage room where the call bells were kept and could replace a call bell if needed. 10NYCRR 415.29

Based on interviews and record reviews conducted during an abbreviated survey (NY00314913), the facility did not ensure that a resident was allowed to return to the facility after having their hospital stay. This was evident for 1 of 3 residents (Resident#1). Specifically, Resident #1 was transferred to the hospital on 04/15/2023 for psychiatric evaluation. On 04/17/2023 the facility refused to allow Resident#1's return to the facility. The Findings are: A facility policy and procedure titled, Readmission to Facility dated 10/13/2023, documented Residents who have been discharged to the hospital or for therapeutic leave will be readmitted to the facility based on the facilities ability to meet the resident's needs. Resident #1 was admitted to the facility on [DATE] with diagnoses that included anxiety disorder, major depressive disorder, delusional disorder, schizoaffective disorder. The Minimum Data Set (MDS, an assessment tool) on 04/15/2023 documented Resident #1 had a Brief Interview for Mental Status (BIMS, used to determine attention, orientation, and ability to recall information) score of 13/15, associated with moderate impairment of cognition (00-7 severe impairment, 08-12 moderate impairment and 12-15 cognitively intact). The Facility undated Statement of Intent (SOI) documented the facility was aware of Resident #1' s history of suicidal ideation prior to admission. The SOI revealed the resident had suicidal ideation on 3/4/2023 with intent to jump off a balcony and was placed on constant 1:1 observation. Resident#1 was seen by hospital psychiatrist on 4/6/2023 and was deemed low suicidal risk and no longer on constant 1:1 observation and was cleared by psychiatrist. Resident#1 was admitted to facility on 4/12/2023 for short term rehabilitation. Physician Order with start date 04/12/2023 documented every 15-minute safety checks every shift for monitoring. Review of Close Observation Watch documentation for Resident #1 for 4/12/2023 through 4/15/2023 was completed as ordered. Licensed Practical Nurse note dated 4/15/2023 documented writer was notified by Certified Nurse Aide (CNA) about resident punching the window screen because they were trying to get out of here and go home through the window Screen observed partially ripped, window open. MD aware, received orders to send resident via 911 to psych hospital for evaluation Physician Progress Note dated 04/17/2023 documented Resident #1 had recent psychiatric hospitalization in November 2022 and January 2023 and was admitted to the facility after a fall. Psychiatry services cleared Resident #1 for discharge and denied any suicidal risk. Resident #1 had an attempt to jump out of window from second floor and was taken by EMS to hospital. Discussions were had with Resident #1's son and hospital social worker to offer alternate discharge plan: Resident #1 could probably benefit from inpatient psychiatric hospitalization . Options included discharging home. Resident #1's son refused any alternate options provided. Facility unable to offer higher level of psychiatric help for Resident #1. Hospital Final Report Physician notes dated 04/17/2023 documented Resident #1 referred by facility for evaluation of suicidal attempt. Resident #1 stated I wanted to go home, and they were guarding the door so I was trying to get out and leave through the window. I didn't like being imprisoned. Resident #1 denied suicidal or homicidal ideations. Resident #1 was admitted to hospital over the weekend from nursing home for medical and mental health assessment. Resident #1 remained under observation and was seen 4/17/2023. Resident #1 appeared comfortable, not in distress, anxious, no suicidal or homicidal ideation, denied history of non-suicidal self-injurious behavior. Resident #1 absolutely denied that they tried to jump out of window. Resident #1 stated they felt stuck, confined. Resident #1 was concerns about who was going to pay for their stay at the hospital. Hospital Referral Response History dated 04/17/2023 documented communication between hospital and facility admissions departments documented Resident #1 was not cleared by facility IDT team and needed clearance from DON and Psychiatrist. Facility will be unable to provide 1:1 observation with Resident #1. Facility did not have an available room on the first floor for Resident #1 and they needed prior authorization before Resident #1 could be returned to the facility. Resident had been out of the facility for over 24 hours. The facility indicated in the referral response for the hospital to contact Resident #1's son to set up a discharge plan for Resident #1 to go home. Resident #1's psych needs require 1:1 supervision which the facility could not accommodate. If hospital needs additional information from Medical Director or Psychiatrist, they will provide their contact information. Nurse Practitioner Progress Note dated 04/17/2023 documented Resident#1's case was discussed with interdisciplinary team. Although resident was cleared by hospital for discharge, it was their professional determination that Resident #1 required a higher level of psychiatric care and monitoring that cannot be provided in the facility to maintain their safety. Interview with Director of Admission (DOA) on 5/1/23, DOA stated Resident #1 wasn't readmitted due to their suicidal attempt and being a threat to themselves. DOA stated Resident #1 was not cleared for readmission by Medical Director. Interview with Hospital Social Worker (HSW) on 5/1/23, HSW stated the facility refused to take Resident #1 back because they felt they needed 1:1 supervision. HSW stated Resident #1 stayed in the hospital until 4/21/2023 and the resident ended up going home because the hospital could not keep them any longer. HSW stated the facility gave options to send Resident #1 home but refused to take the resident back, basically dumping Resident #1 at the hospital emergency room . An Interview was conducted with the Director of Nursing (DON) on 5/1/2023 at 1:23 PM. The DON stated that when they admitted Resident #1 their suicidal ideations were passive. Resident #1 tried to commit suicide at the facility. DON stated when Resident #1 was initially admitted to the facility they were a low suicidal risk but that changed when Resident #1 had a suicidal attempt in the facility. DON stated the facility had a meeting with the IDT team and they decided Resident #1 needed a higher level of care. DON stated the hospital stated Resident #1 was cleared for discharge from their standpoint but clinical staff at the facility felt Resident #1 needed a higher level of care. An Interview was conducted with the Medical Director (MD), on 5/1/23 at 1:38 PM. MD stated Resident #1 was cleared by the hospital to come back to the facility however they felt that was not valid. MD stated Resident #1 had prior suicide attempt before being admitted to the facility before they admitted them. MD stated after admission to the facility Resident #1 tried to attempt suicide. MD stated they felt the hospital clearing Resident #1 to return to the facility was not valid due to what happened previously. MD stated they did not trust Resident #1 being cleared back to the facility due to the bad experience (suicidal experience) with the resident. An Interview was conducted with the Administrator (ADM) on 5/1/2023 at 1:54 PM. The ADM stated Resident #1 was admitted with passive suicidal ideations however when they were admitted the plan became active and Resident #1 was attempted to commit suicide. ADM stated the hospital notified the facility Resident #1 was ready for discharge on 04/17/2023. ADM stated the IDT team which consisted of themselves, Psychiatric Nurse Practitioner and Medical Director made the decision that Resident #1 needed a higher level of psychiatric inpatient care. ADM stated they spoke to the hospital and explained why they could not readmit Resident #1. Additional documents requested received from facility on 6/1/2023. 415.3(h)(4)

Based on observation, interview and record reviews conducted during an abbreviated survey (NY00296050), the facility failed to exercise reasonable care for the protection of resident property from loss for 1 of 1 resident (Resident #1) reviewed. Specifically, Resident #1 expired in the facility and the Power of Attorney (POA) never received the residents' belongings. There was no documented evidence that Resident #1 and/or Resident #1's representative received the items from the facility. The findings are: The undated facility policy titled Resident Personal Belongings documented that upon admission, any clothing that is brought into the facility must be clean and inventoried using the resident clothing inventory form. All items will be placed in a clear bag in the room for a nursing aide to pick up on the day of admission or following morning at placed at nursing station for laundry pick up. Review of the facility admission packet revealed a notice stating all personal belongings including clothing and electronics must be properly inventoried by staff. Resident #1 was admitted to the facility on [DATE] with diagnoses of cellulitis of abdominal wall, cellulitis of left lower limb, congestive heart failure and type 2 diabetes. There was no Minimum Data Set (MDS, an assessment tool) documented for the resident. Resident #1 was admitted after 5PM on [DATE] and expired at 5AM on [DATE]. Review of Resident #1 electronic health record revealed there was no Inventory Form completed for Resident #1 on admission on [DATE]. Review of the Social Service Progress notes dated [DATE] documented Resident #1 died in the facility on [DATE]. Staff spoke with Resident #1' son who stated they would be picking up Resident #1's personal belongings. Review of the Missing Personal Item Report form dated [DATE] completed by the Social Worker (SW) documented, I was contacted by Resident #1's daughter, who is not on Resident #1's contact list to report that a cell phone and outfit was missing from were Resident #1 was in the facility. Resident # was admitted on [DATE] and died the next morning on [DATE]. I received an email on [DATE]. I received email on [DATE] from nursing reporting that Resident #1's son was picking up their cell phone and hospital bag with outfit. On Monday [DATE], I was informed by nursing that over the weekend Resident #1's family called asking where the personal belongings were, and nursing informed them they were picked up. On [DATE], Resident #1's daughter left a voice message and on [DATE] I called them back. Resident #1's daughter asked where Resident #1's cell phone and outfit were, and I explained that Resident #1's son told nursing they were coming to pick them up in the morning. I was informed that the family called but nothing has turned up and I wasn't aware of anything else. I informed Resident #1's daughter that the team was aware and will continue to search for Resident #1's personal belongings. No inventory sheet was found in Resident #1's medical chart. The facility did not provide documentation that Resident's belongings were picked up by family During an Interview conducted with SW on [DATE] at 10:39 AM, SW revealed they were told by nursing that Resident #1's son was going to pick up their belongings. SW stated they thought the belongings had been picked up already until Resident #1's daughter called stating no one had picked up the belongings. SW stated they initiated a grievance for Resident #1's belonging and there was no inventory sheet completed. SW stated Resident #1' son never reached out to the facility on the daughter. SW stated they never heard anything else from the son or daughter regarding the belongings and they were never located within the facility. During an interview with the Registered Nurse (RN) on [DATE] at 2:21 PM, the RN stated when a resident is newly admitted there is supposed to be an inventory sheet completed with a list of all their belongings. RN stated they completed the admission information for Resident #1. The RN stated they did not complete an inventory sheet for Resident #1's belongings because they were admitted after 3:00 PM and the RN's shift ended at 3:00 PM. The RN stated they stayed after 3:00 PM on that day to complete the admission forms in the computer and they thought the evening shift would complete the inventory sheet. The RN stated Resident #1 did have a cell phone at the time of admission. The RN stated usually when a resident expires their belongings are either packed up and left at the nursing station or in the room. The RN stated they did not know what happened to Resident #1's cell phone. The RN stated they were questioned by the Assistant Director regarding Resident #1's cell phone and s/he informed them that the resident was admitted with a cell phone. An Interview was conducted with the Director of Nursing (DON) on [DATE] at 2:42 PM. The DON stated that when a resident is admitted to the facility there should be an inventory sheet filled out with all the items that they bring with them. The DON stated the inventory form should be completed within the first 24 hours of being admitted to the facility. The DON stated the SW and RN supervisors are responsible for ensuring inventory forms are complete. The DON stated they completed a grievance for Resident #1's items which were a cell phone and a clothing outfit. DON stated they would expect to see documentation in the EMR if the personal items were picked up. DON stated if items are not located after the grievance process, they are replaced by the facility. DON stated normally they will write on the inventory sheet that the facility is not responsible for missing items but since Resident #1 expired within 24 hours nothing was able to be completed. A follow up interview was conducted with the DON on [DATE] at 12:11 PM. The DON revealed the SW, or the Nursing staff are responsible for reaching out to see if resident items were picked up. The DON stated resident items that are waiting to be picked up are usually left in the room or held by the SW. The DON stated ongoing documentation regarding if the items were picked up or not can be documented in the health records but doesn't have to be. The DON stated the staff communicates amongst each other regarding items, sometimes they document and sometimes they don't. 415.5(h)(1)

Based on observations, record review and interviews conducted during an abbreviated survey (Complaint # 9), the facility did not provide a safe, functional, sanitary and comfortable environment for residents, staff and the public. Specifically, the hallways on all four units of the facility contained numerous resident care equipment which cluttered the hallways causing a potential accident hazard for residents, staff and visitors. Additionally, some of these items were not maintained in clean and orderly condition, including the elevator and the recreation area, respectively. Findings are: During a tour of the facility on 10/15/21 at 8:30 AM, the following conditions were observed: 1.) On all 4 units of the facility, there were numerous items on the hallways including, but not limited to, washable linen bins, soiled linen bins, clean linen carts, Hoyer lifts, Broda chairs, and wheelchairs; 2.) The metal bases on the entrance of the elevators were full of dust and accumulated dirt; 3.) Unit 3A, a strong smell of urine was noted across the nursing station. A Hoyer lift next to shower room was dusty with dried residue; a Broda chair was blocking the fire exit door; outside of Room 358 were pieces of clothing and other resident items contained in a plastic bag was placed on the floor; the recreation/lounge area between Units 3A and 3B were various recreation materials on the floor, with soiled blankets on a chair and used tissue paper next to the phone; 4.) Unit 3B, the wheelchair of Resident #3 was dusty with whitish residue on the wheelchair's seat cushion; there was a missing section on the wall next to the 3rd floor elevator on unit 3B; and dust with dried brownish residue was found on a Hoyer lift. The bases of 4 overbed tables were dusty with brownish residue and the top was worn out. 5.) Outside the Rehab Department was a Sci-Fit bike that was dusty and with whitish residue; and 6.) Four (4) dinner meal trays used by residents from the night before was left on a table in the lounge area on the First Floor. The facility policy and procedure for Cleaning Equipment stated that the facility will ensure that all equipment utilized by residents is properly cleaned and disinfected as per CDC guidelines; all used resident care equipment soiled with blood, body fluids, secretions or excretions are to be handled in a manner that prevents skin and mucous membrane exposure and contamination of clothing; all equipment/supplies used in patient care shall be clean. A review of the monthly housekeeping wheelchair cleaning schedule for 9/19/21 - 10/16/21 revealed that weekly schedule for each unit was designed to make sure that residents' wheelchairs are cleaned. The Unit 3A Registered Nurse (RN) Manager was interviewed on 10/15/21 at 10:00 AM and stated that white residue found on the resident's wheelchair cushion needs to be removed immediately for cleaning. The RN unit manager stated that cleaning of wheelchairs on her unit is usually scheduled on Fridays but does not necessarily have to wait for the schedule for the chairs to be cleaned. The administrator was interviewed on 10/15/21 at 2:00 PM and stated stated that the environmental issues identified during the surveyor's tour needed to be addressed by housekeeping immediately. (A request to interview the Director of Maintenance was made but did not return calls.) 415.29

Based on observations, record review and interviews conducted during an abbreviated survey (Complaint # 9), the facility did not ensure that devices used to alert the staff of the resident's unsafe bed mobility was consistently applied in accordance with the resident's comprehensive care plan. It was determined that the electronic bed alarm, used to monitor the bed mobility of a resident assessed as at high risk for falls, was not applied. This was evident for 1 of 2 residents reviewed for accidents. (Resident #1) The finding is: Resident #1 is [AGE] years old who was readmitted to the facility on [DATE] with diagnoses including Dementia, [CONDITION(S)], and [CONDITION(S)]. The Quarterly MDS (Minimum Data Set; a resident assessment tool) of 9/13/21 documented the resident's BIMS (Brief Interview for Mental Status; used to test the resident's cognitive level) score was 8 which denoted that the resident has moderately impaired cognitive level. Resident #1 required extensive assistance of two persons for bed mobility; totally dependent on two persons with transfer; totally dependent on one person for toileting and personal hygiene; and limited assistance of one person for eating. The resident is always incontinent of bowel and bladder. The nursing progress notes of 6/2/21 documented that Resident #1 was observed by staff lying on the floor at 1:05 AM. The resident stated that s/he leaned over, rolled off the bed, and fell . Resident #1 was observed with a large hematoma on the right forehead, abrasion under the right eye, and laceration on the back of the left hand. The attending physician was notified at that time and ordered to send the resident to the hospital for further evaluation and treatment. The resident's family member was notified at 1:35 AM. The facility investigation Incident Report dated 6/2/21 documented that Resident #1 did not call for assistance prior to the fall, which was the cause of the fall. According to this investigation report, the resident was in bed. The investigation report documented that the resident stated s/he tried to lean over and fell off the bed. The resident was found lying on the floor next to his bed with a hematoma on the right forehead, laceration on the left hand, and abrasion under the right eye. The resident was assessed by a Registered Nurse, who notified the attending physician, and ordered to transfer the resident to the hospital for further evaluation and treatment. The Fall Risk Assessment was updated on 6/2/21 and identified the following risk factors - resident is always disoriented, 1-2 falls in the past 3 months, chair bound; decreased muscular coordination, requires assistive devices, and resident takes 3-4 medications that may alter the blood pressure. The investigation report further documented that the corrective actions that will be implemented upon the resident's readmission to the facility will include a 15-minute neurological check for 72 hours and the use of floor mats. The facility concluded there was no abuse, neglect, or mistreatment. The resident was then readmitted on [DATE]. The falls care plan initiated on 1/21/21 was reviewed and revised by the care team on 6/2/21 and had interventions including to apply floor mats to the left and right side of the bed and perimeter mattress in place; call light should be within reach and encourage the resident to use it; use of chair and bed electronic alarm, and ensure the devices are in place; appropriate footwear; bed in low position at night; and ensure that personal items are within resident's reach. During an observation on 10/15/21 at 8:20 AM, Resident #1 was in bed having breakfast. There were floor mats placed on both sides of the bed. The electronic bed alarm, as called for in the care plan, was not in place. The Director of Nursing was interviewed on 10/15/21 at approximately 10:15 AM and stated that the resident's care plan was reviewed and revised when the resident returned to the facility after the fall on 6/2/21 and that this care plan is current. The care plan interventions initiated on 1/21/21 are the same, with the addition of floor mats to the left and right sides of the bed. The use of the chair and bed electronic alarm and ensuring the device is in place was already included in the care plan initiated on 1/21/21. During further observation on 10/15/21 at 10:00 AM while Resident #1 was in bed, revealed there was no bed alarm in place. The assigned Certified Nursing Aide (CNA #1) was interviewed on 10/15/21 at 10:30 AM and was asked to find the resident's electronic bed alarm. CNA #1 stated the bed alarm was not in place when s/he arrived this morning at 7:00 o'clock when s/he checked the resident during her/his rounds. CNA #1 stated s/he removed the alarm and put it away in a cabinet because the battery was not working and did not place a new one. When asked if s/he reported the broken bed alarm to the nurse for replacement, CNA #1 stated she will report it now. When asked why s/he did not report the broken bed alarm for immediate replacement, CNA #1 did not provide any explanation and stated it was her fault. In an interview with the assigned unit Licensed Practical Nurse on 10/15/21 at approximately 10:35 AM, s/he stated that the resident must have an electronic bed alarm in place to prevent falls and injuries. The CNA (CNA #2) who worked on both shifts on the 3-11 shift on 10/17/21 and on 11-7 shift was interviewed on 10/18/21 5:05 PM. CNA #2 stated that s/he checked the resident's care plan of care that included the use of bed alarm. CNA #2 stated s/he makes sure the bed alarm is present and it is working. CNA #2 stated that the bed alarm was working during his/her shift and that s/he did not know what happened after his/her shift ended on 10/15/21. 415.12(h)(2)

Based on interview and record review conducted during the recertification survey, it cannot be ensured that the facility did developed a person-centered comprehensive care plan with measurable goals, time frames and appropriate interventions based on the resident's comprehensive assessment or ensured that interventions were implemented as per the plan of care for 1 of 4 residents (Resident #99) reviewed for positioning/range of motion and 1 of 6 residents (Resident #69) reviewed for unnecessary medications. Specifically, 1) Resident #99 did not have a care plan to address the use of assistive devices to prevent further upper extremity contractures, 2) Resident #69 did not have a care plan with measurable goals and appropriate interventions to address multiple [DIAGNOSES REDACTED].#65 was not provided transfer assist and the use of a chair alarm as per the plan of care. Review of a facility Policy and Procedure (P/P) dated 11/28/2019 showed that an individualized person-centered Comprehensive Care Plan (CCP) must be initiated by an RN (Registered Nurse) upon admission for all residents which, will include measurable objectives and timetables in order to meet the resident's medical, nursing, and psychosocial needs that are identified from admission assessments, the Comprehensive assessment (MDS 3.0) and application of the Resident Assessment Protocols (CAAs), and the CCP will be completed no later than 7 days following completion of the admission comprehensive assessment. The findings are: 1. Resident #99 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The 7/3/2020 Admission Minimum Data Set (MDS; an assessment tool) and 10/2/2020 Quarterly MDS assessments indicated that Resident #99 had severely impaired cognition, received total assistance for bed mobility and transfers, had functional limitation of bilateral upper and lower extremities and received 4 days of Occupational and Physical therapies. Review of the physician's orders [REDACTED]. physician's orders [REDACTED].#99's left hand at all times to prevent further contracture, check skin every shift and remove for hygiene. Review of the October 2020 Treatment Administration Record (TAR) indicated that the nurse signed daily for Right upper extremity resting hand splint being worn during the day as tolerated to prevent contractures and removed at night, apply stockinette before placing splint, check skin integrity every shift and remove during cares, place gauze in left hand at all times to prevent further contracture to left hand, check skin every shift and remove for cares. Review of Resident #99's care plans revealed that no care plans with measurable goals and interventions to address the use of a left-hand roll or right resting hand splint. An interview was conducted on 10/26/2020 at 10:12AM with the Registered Nurse Unit Manager (RNUM #1). RNUM #1 indicated that she was responsible for developing care plans. When asked if she had completed a care plan to address Resident #99's use of a right resting hand splint and left hand roll for prevention of further contractures, she indicated if it was not in the resident record then she did not complete the care plan. During observation on 10/22/2020 at 2:00PM, 10/23/20 at 12:00PM, 1:30PM and 4:00PM Resident #99 had a closed left hand (in a fist position) without the use of the physician ordered left hand roll. Observation at the above-mentioned times also revealed that Resident #99 had the physician ordered right upper extremity resting hand splint applied improperly, not allowing the right hand to remain in a functional position. Resident #99's right had was observed to be closed, in a fist position. 2. Resident #69 is [AGE] years old and was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The Admission Minimum Data Set (MDS; an assessment tool) dated 9/11/2020 revealed that Resident #69 had moderately impaired cognition for decision making and mild depression. The MDS also noted that Resident #69 had active [DIAGNOSES REDACTED]. Resident #69 received scheduled and as needed (prn) pain medications, insulin injections daily, anticoagulant therapy 6 of 7 days per week, antibiotic therapy 5 of 7 days per week and a diuretic 6 of 7 days per week. The resident's CCPs were reviewed on 10/23/2020 and despite several requests, no Plans of Care were available for review that address the following [DIAGNOSES REDACTED]. a. [DIAGNOSES REDACTED]. [REDACTED]. b. [DIAGNOSES REDACTED]. 2.5 mg 1 tablet po 1x/day). c. [DIAGNOSES REDACTED]. d. [DIAGNOSES REDACTED]. e. [DIAGNOSES REDACTED]. f. [DIAGNOSES REDACTED]. g. [DIAGNOSES REDACTED]. h. [DIAGNOSES REDACTED]. The Admission MDS had a completion date of 9/18/2020. As per the facility Policy and Procedure, the CCP was to be completed within the following 7 days (9/25/2020). The Registered Nurse (RN#2) responsible for development and implementation of the residents' CCP was interviewed on 10/23/2020 at 3:06 PM. At that time, RN#2 reviewed the residents CCP and reported that she had not fully developed and implemented the CCP for Resident #69 as of 10/23/2020. 3. Resident #65 was admitted to the facility on [DATE] and had [DIAGNOSES REDACTED]. The 9/24/2020 Significant Change Minimum Data Set assessment (MDS; an assessment tool) indicated that Resident #65 had severe cognitive impairment, received total staff support from 2 staff, assist for transfers, bed mobility, and toilet needs. Resident #65 has had no falls since the previous assessment. The 9/18/2020 Fall Risk Assessment indicated Resident #65 had a score of 19 (high risk). Review of the physician's orders [REDACTED].#65 requires extensive assist from 2 staff for transfers. The 5/10/2019 care plan titled High Risk For Falls, updated on 9/1/2020, showed that Resident #65 sustained a fall on the previous shift while attempting to self-ambulate using the rolling bedside table without staff assistance. No injuries we noted and Resident #65 was to continue with bed and chair alarms. Staff are to encourage Resident #65 to sit in a supervised area when out of bed. The 2/3/2019 Care Plan titled, Activities of Daily Living (ADL) Self-Care Performance Deficit Related to Dementia included interventions for the use of bed and chair alarms and was updated 10/14/2020 to include transfers with extensive assist of 1 staff for support. Review of the 10/2020 Certified Nursing Assistant (CNA) care guide flow sheet indicated that transfers require moderate assist of 2 staff for support and a chair alarm is to be utilized every shift. Review of the 10/2020 Visual/Bedside Kardex Report indicated that the resident requires extensive assist of 1 staff for support and precautions/safety chair alarm. Observation on 10/23/2020 at 12:48PM showed that CNA #1 guided the Resident #65 to her wheelchair without first putting the chair alarm in place. After the resident was seated in the wheelchair, CNA #1 left the room. Follow up observation on 10/23/2020 at 2:15PM showed that Resident #65 remained in the wheelchair without the application of the chair alarm. During the above-mentioned observations, the chair alarm was resting on the top of the dresser in the Resident #65's room. Observation on 10/27/20 at 12:22PM showed Resident #65 sitting in her wheelchair next to the unit 3 nursing station without the chair alarm. The chair alarm was observed to be on top of the dresser in Resident #65's room. An interview was conducted on 10/23/2020 at 3:58PM with the Physical Therapy Aide (PTA). The PTA indicated that the transfer recommendation for Resident #65 was to have extensive assistance of 1 staff for support. He further indicated that the resident was a fall risk due to impaired cognition and maladaptive behavior. An interview was conducted on 10/27/2020 at 11:20AM with CNA #2. She indicated that the CNA assignment sheet had 1 staff assist for Resident #65's transfers but did not indicate how much assistance was needed. She further indicated approximately 2 weeks ago she had Resident #65 on her assignment and at that time she provided limited assistance for transfers. An interview was conducted on 10/27/2020 at 12:17PM with CNA # 1. CNA #1 indicated she had transferred the resident with limited assistance. She indicated that she followed the CNA assignment sheet to determine that the resident needed 1 staff for assistance. When asked how much transfer assist the resident required, she indicated that she thought limited assistance. When asked if the resident should use the chair alarm, she stated that it was not on the resident's chair. An interview was conducted on 10/27/2020 at 12:30PM with the Registered Nurse Unit Manager (RNUM #1). RNUM #1 indicated that the CNAs are to follow the Kardex and Care Plan when providing cares. She indicated that the resident was a fall risk and should be transferred with assistance of 2 staff for support. She added that a chair alarm should be in place. RNUM #1 further indicated that she was responsible to update the directives for the residents' care on the Kardex. 415.11(c)(1)

Based on record review and interview conducted during a recertification survey, it cannot be ensured that the facility reviewed and revised the residents' Comprehensive Care Plans (CCPs) with measurable objectives, time frames and appropriate interventions to address unplanned significant weight loss for 1 of 7 residents (Resident #88) reviewed for Nutrition, and to address the risk for Urinary Tract Infections for 1 of 4 residents (Resident #58) reviewed for hospitalization . The findings are: 1. Resident #88 is [AGE] years old and was readmitted to the facility on [DATE] with [DIAGNOSES REDACTED]. On 9/21/2020 Resident #88 was hospitalized and readmitted to facility on 10/1/2020 with [DIAGNOSES REDACTED]. The Significant Change Minimum Data Set Assessment (MDS: a resident assessment and screening tool) dated 10/5/2020 documented a Brief Interview for Mental Status (BIMS) score of 8 indicating moderately impaired cognition for decision making. The MDS also noted that Resident #88 had functional ability for eating with limited assistance of one person and no significant weight changes. Furthermore, Resident #88 had no dental issues or signs or symptoms of a swallowing disorder. Review of the facility policy and procedure dated 4/2018, revised 1/2020 and titled, Weights documented that each resident's Plan of Care will be reviewed and revised to ensure that it considers current clinical condition and that it is consistent with his/her current goals. The Nutrition Care Plan dated 2/11/2019 and revised 10/12/2020 documented that the goal for Resident #88 was to maintain adequate nutritional status as evidenced by maintaining weight within 117-22 pounds, no signs or symptoms of malnutrition, consuming at least 50-75% of all meals daily and no dehydration or fluid overload. The interventions included a regular diet, monitor/document/report signs or symptoms of dysphagia, obtain and monitor lab/diagnostic work as ordered. Report results to MD and follow up as indicated. Resident #88 is to be provided supplements as ordered including Boost, Vitamin C, Vitamin D and Multivitamin. The Registered Dietician (RD) is to evaluate and make recommendations as needed. Furthermore, Resident #88 is to be weighed at the same time of day, to be recorded weekly. Review of Resident #88's weights showed a 12.1% weight loss from 10/1/2020 through 10/27/2020. a. 10/1/2020 - 120.6 pounds (lbs) b. 10/3/2020 - 118.9 lbs (-1.7 lbs from 10/1/2020) c. 10/5/2020 - 118 lbs (-2.6 lbs from 10/1/2020) d. 10/20/2020 - 113.9 lbs (-6.7 lbs from 10/1/2020) e. 10/27/2020 - 106 lbs (-14.6 lbs from 10/1/2020) Review of the Nutritional Comprehensive assessment dated [DATE] showed that Resident #88's usual body weight (UBW) was 122 lbs, with an Ideal body weight (IBW) of 125 lbs. The report reflected no significant weight loss (5% or more in the last month or 10% or more in the last 6 months) noted over the one-month period. Resident #88's estimated dietary needs are 1431-1696 Kilocalories daily, 58-70 grams of protein daily and an average fluid intake of 1700 ml per day. He has inadequate energy intake related to poor appetite as evidenced by generally consuming 25-50% of meals. Resident #88 is at risk for unintended weight loss/malnutrition. The Registered Dietician (RD) was interviewed on 10/26/2020 at 1:53PM and revealed she had not addressed the resident's most recently recorded (10/20/2020) weight of 113.9 lbs which reflected a 4.1 lb (3.47%) loss since the previous weight reading (10/5/2020) and a 6.7 lb (5.56%) loss in 19 days. Surveyor review of Resident #88's 10/12/2020 CP on 10/27/2020 revealed that the plan of care had not been reviewed or revised to reflect significant weight loss had occurred and no changes to weight goal were documented. 2. Resident #58 was re-admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the 9/6/2020 Quarterly MDS showed that Resident #58 had severely impaired cognition, used a Foley catheter and received total assistance for transfers, bed mobility and toilet needs. The 8/22/2019 care plan titled, Resident has Bladder Incontinence Related to Confusion included establishing voiding patterns, undergarment changes every 2-4 hour and as needed, and to check every 2-4 hours and as needed for incontinence. The care plan did not include interventions to address measures to prevent urinary tract infections. An interview was conducted on 10/3/2020 at 12:30PM with the Registered Nurse Unit Manager (RNUM #1). She indicated that she was responsible for reviewing and revising all resident care plans but did not revise Resident #58's care plan to include measurable goals and interventions to prevent urinary tract infections. 483.21(b)(2)

Based on observation, record review and interview conducted during the recertification survey, it cannot be ensured that the facility applied assistive devices appropriately and/or applied per physician's orders [REDACTED]. Specifically, a physician ordered left hand roll was not applied and a right-hand resting hand splint was not applied appropriately for 1 of 4 residents (# 99) reviewed for positioning and limited mobility. The findings are: Resident #99 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The 7/3/2020 Admission Minimum Data Set (MDS; an assessment tool) and the 10/2/2020 Quarterly MDS assessment indicated that Resident #99 had severely impaired cognition, received total assistance for bed mobility and transfers, had functional limitation of bilateral upper and lower extremities and received 4 days of Occupational and Physical therapies per week. Review of the physician's orders [REDACTED]. The physician's orders [REDACTED]. The physician's orders [REDACTED].#99's left hand at all times to prevent further contracture, check skin every shift and remove for hygiene. Review of the facility's Adaptive Devices policy and procedure effective date 9/2017 and revised 10/2018 revealed that the Certified Nursing Assistant (CNA)/nurse assigned to the resident with an adaptive device is responsible for ensuring it is in place per orders, and 2) adaptive devices for arm extremities will be issued by the therapy department for application by nursing staff as ordered by the medical doctor. If there are any issues with application of the ordered device, therapy will provide in-servicing to the nursing staff to ensure appropriate application and care of the devices. Review of the October 2020 Treatment Administration Record (TAR) indicated that the nurse signed daily for the Right upper extremity resting hand splint to be worn during the day as tolerated to prevent contractures and remove at night, apply stockinette before placing splint, check skin integrity every shift and remove during cares and place gauze in Resident #99's left hand at all times to prevent further contracture to hand, check skin every shift and remove for cares Review of care plans revealed there were no care plans with measurable goals and interventions to address the use of a left-hand roll or right-hand resting hand splint. During observation on 10/22/20 at 2:00PM, and 10/23/20 at 12:00PM, 1:30PM and 4:00PM revealed resident # 99 had a closed left hand (in a fist position) without the use of the physician ordered left hand roll. Observation at the above-mentioned times also revealed that Resident # 99 had a closed right hand (in a fist position) while wearing the physician ordered right upper extremity resting hand splint which was not properly applied to allow the right hand to remain in a functional position. During an interview conducted on 10/23/2020 at 3:00PM with the Director of Physical Therapy, she indicated that the staff on unit 3 staff had not been provided an in-service for the use of the right-hand resting hand splint. An interview was conducted on 10/26/2020 at 10:12AM with the Registered Nurse Unit Manager (RNUM #1). RNUM #1 indicated that she was not familiar with the application/use of the resting hand splint and that the splint was always on the resident's right hand at the start of her shift. RNUM #1 indicated she did not check to see that the right hand was placed properly in the splint. She stated since the resident had been transferred to her unit therapy had not provided the staff an in-service on the proper use/application/placement of the resting hand splint. She indicated that the left-hand roll should always be in place . An interview was conducted on 10/26/2020 at 10:22AM with Certified Nursing Assistant (CNA #3). CNA #3 indicated she was a float and was not aware if Resident #99 was supposed to wear a resting hand splint or not. She indicated she was not familiar with the resting hand splint and had not been provided education for proper placement of the right resting hand splint. An interview was conducted on 10/26/2020 at 1:17PM with Licensed Practical Nurse (LPN #1). LPN #1 indicated that whenever he worked, the resting hand splint was in place to the right hand/arm and that he checked the Resident #99's skin but did not remove the resting hand splint. He further indicated that he had not been in serviced on the use of the devices, why the resident was wearing the devices or how the devices should be positioned on the right hand/arm. 415.12(e)(1)

Based on observations, record reviews and interviews conducted during a recertification survey, it could not be ensured that the facility stored foods in accordance with professional standards for food service safety to ensure prevention of foodborne illness. Specifically, 1) two kitchen refrigeration units contained expired or undated foods, 2) one kitchen refrigeration unit was found to have a) an internal thermometer reading greater than 41-degrees Fahrenheit (F), b) contain time and temperature controlled for safety (TCS) foods which were not maintained at 41 degrees (F) or less, and c) contain contaminated food and 3) inspection of 4 nourishment refrigerators identified: a) 2 of 4 contained unlabeled, undated or expired foods; b) 2 of 4 did not have internal thermometers. Review of an undated facility policy and procedure titled, Time and Temperature Control showed that, food temperature is in the danger zone whenever its temperature falls between 41 degrees F and 140 degrees F. It further notes to, check temperatures of all equipment. For example, refrigerators should be set to 41 degrees F or below and freezers should be at 0 degrees F and below. Review of an undated facility policy and procedure tilted, Food Supply and Storage showed that, all food items will be stored in a clean and sanitary storage area (dry storage, cooler, and freezer), all food items will be used by the manufacturers expiration date, and all storage areas are to be kept clean and in good working condition at all times. Review of a facility policy and procedure dated [DATE] and titled, Food Brought in by Family/Visitors: Updated for Covid-19 Pandemic showed that, arrangements will be made by family/designated representatives with the Dietitian/designee to drop off prepared, stored and labeled meals at the receptionist desk at a designated time; dropped off meals should be secured in a plastic bag or paper bag labeled with the resident's name, perishable foods must be stored in resealable containers with lids or sealable bags in the refrigerator. All containers will be labeled with the resident's name and date. These items are good for 48 hours only and will be discarded after such time, 'The Housekeeping Department will clean and inspect labeled food items in all unit refrigerators on a weekly basis. Any outdated items will be immediately discarded., and The Nursing Department will conduct daily inspections of the nourishment refrigerator temperatures on each unit to ensure that it is within range -- generally 40 degrees F or below is the optimal refrigerator temperature. Immediate action should be taken for any temperatures not within the specified range of 36 degrees F to 40 degrees F. The findings are: The initial tour of the kitchen on [DATE] at 9:21 AM revealed: 1. Refrigeration Unit #1 (dairy refrigerator) contained a five-pound container of sour cream dated ,[DATE] and the manufacturer best if used by date was [DATE]. The Food Service Director (FSD) was interviewed and reported that the ,[DATE] date was the day the sour cream was received. Refrigeration Unit #3 (meat refrigerator) contained a five-pound box of cooked bacon in multiple packages dated [DATE]. One package of cooked bacon was opened and partially used but was not labeled with an opened date or use by date. The FSD was interviewed and reported that the [DATE] date was the delivery date and that the bacon should have been used within 7 days of opening ([DATE]). Additionally, refrigeration unit #3 contained an opened package of deli turkey weighing 3 pounds and dated ,[DATE]. The Cook was interviewed and reported that the turkey should have been used within 4 days ([DATE]). 2. Review of an invoice dated [DATE] for work done on the walk-in refrigerator (Refrigeration Unit #2) showed that on [DATE] the technician found the unit at a high temperature due to low charge. The invoice also noted that the unit is, probably not worth fixing. Need new equipment. The Director of Maintenance was interviewed on [DATE] at approximately 10:10AM and reported that he was aware that 2 weeks ago, Refrigeration Unit #2's compressor was not working properly. He said that he cleaned the unit and it started to work better, then malfunctioned again. He stated that it would be expensive to replace Refrigeration Unit #2's compressor, so the facility is looking for parts to repair it. Multiple interviews were conducted with the FSD on [DATE] between 10:00AM and 10:50AM where she stated that she was aware of Refrigeration Unit #2's compressor not working properly. She went on to share that the maintenance department was aware as well, but she continued to use the unit because they needed the space. She stated that she was unaware that the Refrigeration Unit's compressor was leaking. a. Refrigeration Unit #2 was observed, and the thermometer read an internal temperature of 52° F. Furthermore, TCS foods were stored in the unit and their temperatures were obtained by the Dietary Aide (DA #1) including: i. egg salad sandwich with a temperature measured to be 57° F ii. turkey sandwich with a temperature measured to be 59° F iii. tuna salad sandwich with a temperature measured to be 59° F iv. 4 oz commercial shake with a temperature measured to be 56° F DA #1 was interviewed [DATE] at 9:43AM and explained that the sandwiches were made that morning and stored in Refrigeration Unit #2 at approximately 7:20AM. He said that the shakes, egg salad, tuna salad, and turkey are all perishable items that should be maintained at 39°-40° F. b. A 25-pound, open box of apples was observed to be stored on a shelf under the compressor area. Fluid was observed to be leaking from the compressor into the open box of apples. 3. On [DATE] between 4:15PM and 5:15PM, four of four nourishment refrigerators were inspected, and the following was identified: a. Unit 1A: On [DATE] at 4:16PM, two plastic bags dated [DATE] and labeled room [ROOM NUMBER] were found in the lower drawer of the refrigeration unit. The bags contained: i. Four - 8 oz chocolate milks dated [DATE] ii. Six - 8 oz chocolate milks dated [DATE] iii. Three - unlabeled, undated ham and cheese sandwiches in individual plastic bags iv. Four - unlabeled, undated, individual, cooked, brownish colored patties with a roll in individual plastic bags v. One - unlabeled and undated 12 oz. container of pasta with cheese vi. One - undated 12 oz. container of pasta with meatballs and cheese vii. One - undated 4 oz. containers of cooked broccoli An interview was conducted on [DATE] at 4:23PM with the Unit 1A Registered Nurse (RN) showed that nursing and dietary staff are to check the refrigerator. She explained that she did not check the refrigeration unit today ([DATE]) She went on to say that staff on the overnight shift are responsible to check the refrigeration unit and document. An interview was conducted with the Unit 1A Licensed Practical Nurse (LPN) on [DATE] at 4:24PM. She explained that she checked the refrigeration unit today ([DATE]) but did not check the lower drawer. LPN stated that items in the refrigeration unit should be labeled, dated and discarded in 2 days. Unit 2A: On [DATE] at 4:57PM the following items were observed in the refrigerator: i. One - unlabeled and undated sandwich with a light tannish colored filling ii. One - unlabeled and undated takeout container of cooked rice and black-eyed peas iii. One - unlabeled and undated container of a cooked brown food item iv. One - unlabeled and undated container of rice and vegetables. An interview conducted with the Unit 2A Nurse Manager (NM) on [DATE] at 4:57PM where she shared that she did not know where the items came from. An interview was conducted on [DATE] at 4:41PM with the Food Service Supervisor who stated that she checked the refrigeration unit on Unit 1A on [DATE] and did not see anything in the drawer. During interview with CNA #2 on [DATE] at approximately 5:05PM, he noted that he was assigned to Unit 2A. He further stated that the 3 cooked items belonged to him. b. Refrigeration units located on Units 3A and 3B did not have thermometers in their nourishment refrigerators. 483.60(i)(2)

Based upon observations, interviews and record reviews conducted during a recertification survey it could not be ensured that the facility maintained all mechanical, electrical, and patient care equipment in safe operating condition. Specifically, a kitchen refrigeration unit (Unit #2) was not maintained in good working condition to keep foods at or below 41 degrees. Review of an invoice dated 9/30/2020 for work done on the walk-in refrigerator (Refrigeration Unit #2) showed that on 9/30/20 the technician found the unit at a high temperature due to low charge. The invoice also noted that the unit is, probably not worth fixing. Need new equipment. The Director of Maintenance was interviewed on 10/21/2020 at approximately 10:10AM and reported that he was aware that 2 weeks ago, Refrigeration Unit #2's compressor was not working properly. He said that he cleaned the unit and it started to work better, then malfunctioned again. He stated that it would be expensive to replace Refrigeration Unit #2's compressor, so the facility is looking for parts to repair it. Multiple interviews were conducted with the FSD on 10/21/2020 between 10:00AM and 10:50AM where she stated that she was aware of Refrigeration Unit #2's compressor not working properly. She went on to share that the maintenance department was aware as well, but she continued to use the unit because they needed the space. She stated that she was unaware that the Refrigeration Unit's compressor was leaking. 483.90(d)(2)

Based on observation, interview and record review conducted during a recertification survey, it cannot be ensured that the facility provided the appropriate care to promote healing of an existing pressure ulcer for 1 of 3 residents (Resident #12) reviewed for pressure ulcers. Specifically, Resident #12 was observed several times to be positioned on his back without prescribed adaptive equipment as ordered. Review of the Minimum Data Set (MDS; an assessment tool) dated 4/13/2020 showed that Resident #12 was admitted on [DATE] with a Stage 3 pressure ulcer (PU). The MDS notes that Resident #12 is to utilize a pressure reducing device while in a chair and in a bed. Resident #12 also receives pressure ulcer/injury care, has a Turning and Repositioning program and has nutrition and hydration interventions to manage skin problems. Review of Resident #12's Braden Scale for Predicting Pressure Ulcers dated 7/21/2020, documents a risk score of 14 which means he is at moderate risk for pressure ulcers. The Braden Scale includes a clinical recommendation to turn and position Resident #12 at least every 2 hours while in bed. Review of a Wound Care Note dated 10/6/2020 showed that Resident #12's sacral pressure injury has progressed to a Stage 4 PU with bone exposed. Review of the Activities of Daily Living (ADLs) Care Plan, updated on 10/7/2020 documents that Resident #12 is to receive total assistance of 2 staff to turn and position in bed every 2 hours and as necessary. Review of the Significant Change in Status MDS dated [DATE] shows that Resident #12 is moderately cognitively impaired, requires extensive two-person assistance for bed mobility, transfer, and toilet use; extensive one-person assistance for dressing, personal hygiene, bathing and requires limited one-person assistance (2/2) for eating. Resident #12 has [DIAGNOSES REDACTED]. Resident #12 is frequently incontinent of bowel and bladder. Review of the Pressure Ulcer Care Plan updated on 10/16/2020 showed that Resident #12 had a Stage 4 PU to the sacrum. Interventions included to administer all treatments as ordered, encourage good nutrition and hydration, instruct resident on offloading techniques, keep skin dry and clean, keep nails short to reduce risk of scratching, turn and reposition from side to side every 2 hours while in bed avoiding the back. Resident #12 is also to use a Roho cushion on the wheelchair, a wedge cushion to his back and a soft cushion under the arm he is leaning toward. Resident #12 was observed on 10/23/2020 at 10:11AM and 12PM where the resident remained in bed, on his back and the wedge cushions were not in place nor was a soft cushion under his arm. On 10/23/2020 at 12:56 PM, the resident was observed to be in bed, propped up on two pillows, eating lunch. At 1:52PM, Resident #12 remained in bed, propped up on two pillows while on his back. On 10/26/2020 at 09:21AM Resident #12 was observed in bed on his back without the wedge cushions in place and the soft cushion was not under the arm that the resident leans toward. During observation on 10/27/2020 at 10AM, Resident #12 was in bed on his back. During observation on 10/28/2020 at 2:30PM, Resident #12 was in bed on his back, propped up on two pillows. The wedge cushions were located on the side table. During interview on 10/26/2020 at 11:14 AM, the Director of Rehabilitation stated that an Occupational Therapy (OT) evaluation was completed on 9/3/2020. The resident declined in his abilities from 7/19/2020 to 9/3/2020. She stated that Resident was referred by a nurse on 3A for concerns with wheelchair positioning and increased difficulty in functional mobility. During interview on 10/26/2020 at 01:36PM, Certified Nursing Assistant (CNA #1) stated that Resident #12 has one sacral ulcer which recently got worse. She stated that she noticed it during cares and reported it to the charge nurse who then informed the wound doctor. CNA #1 also explained that Resident #12 is to be turned every 2 hours which is to be recorded in the system. She stated that she tries to do it when she has the time but sometimes, she does not. On 10/28/2020 at 2:44PM, Licensed Practical Nurse (LPN #1) was interviewed. When questioned, LPN #1 could not explain why Resident #12 was in bed, on his back without the wedge cushion or any other pressure relieving device. She further stated that wedges are to be used to off load Resident #12. LPN #1 explained that residents with PUs are always to be off loaded from their backs. She stated that if a pressure relieving device is ordered in the care plan, that is what should be used. LPN #1 said that she has frequently observed the CNAs using rolled up towels because it is faster to place than the cushion or wedges.