Yorkview Nursing and Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Jun 29, 2022

  Based on review of established guidelines for cardiopulmonary resuscitation (CPR), the facility's policies, review of residents' clinical records, as well as staff interviews, it was determined that the facility displayed past non-compliance in its failure to ensure that CPR was provided in accordance with physician's orders and the resident's CPR declaration resulting in death for one of eight residents reviewed (Resident 1). Findings Include: Review of the facility's policy titled Emergency Procedure-Cardiopulmonary Resuscitation, recently revised [DATE], reads If an individual is found unresponsive, briefly assess for abnormal or absence of breathing. […]

• Actual harm, isolatedF600Jul 24, 2026

  Based on facility policy review, clinical record review, review of facility investigation documentation, review of hospital documentation, and resident and staff interviews, it was determined that the facility displayed past non-compliance in its failure to ensure each resident the right to be free from neglect for one of four residents reviewed (Resident 2), which resulted in actual harm for Resident 2 as evidenced by a fall with a femur fracture.Findings Include: Review of the facility's policy, titled Abuse, read, in part, The resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation as defined in this subpart. […]

• Actual harm, isolatedF689Jul 24, 2026

  Based on clinical record review, review of facility investigation documentation, review of hospital documentation, and resident and staff interviews, it was determined that the facility displayed past non-compliance in its failure to ensure that each resident receives adequate supervision and assistance to prevent falls based on individual needs for one of four resident's reviewed (Resident 2), which resulted in actual harm for Resident 2 as evidenced by a fall with a femur fracture.Findings Include: Review of Resident 2's clinical record revealed diagnoses that included hypertension (elevated blood pressure), difficulty walking and contracture of the left and right knees. […]

• Actual harm, isolatedF600Aug 27, 2021

  Based on clinical record review, select policy review, facility provided documentation review, resident interview and staff interview, it was determined that the facility failed to ensure each resident the right to be free from neglect resulting in the physical harm of one of three residents reviewed. (Resident R1). Findings Include: Review of the facility's abuse policy, most recently revised November 2017, defines abuse as the infliction of injury, unreasonable confinement, intimidation or punishment, with resulting harm, pain or mental anguish or deprivation by a caretaker of goods and services that are necessary to attain or maintain physical, mental or psychosocial well-being. […]

• Actual harm, isolatedF656Aug 27, 2021

  Based on clinical record review, review of facility provided documentation, resident interview and staff interview, it was determined that the facility failed to implement a comprehensive person-centered care plan for each resident, and provide services to maintain the resident's highest practicable physical well-being, resulting in harm, for one of three residents reviewed (Resident 1). Findings Include: Review of the facility's job description for Nursing Assistants, most recently revised March 22, 2018, summarizes the position as follows: The person holding this position is delegated the responsibility of carrying out the assigned duties and responsibilities in accordance with current existing federal and state regulations .: Also, Meets total health needs of residents. […]