Absolut Center for Nursing and Rehabilitation at T

Inspectors wroteBased on observations, interviews, and record review conducted during a Recertification Survey from 02/24/2025 to 02/28/2025, for four (Residents #16, #45, #79, #100) of seven residents reviewed, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections. Specifically, Resident #45 had respiratory symptoms, tested positive for Covid-19, and was not placed on enhanced droplet/contact precautions (a strategy used by nursing homes to prevent the spread of infectious diseases). [...]

Inspectors wroteBased on observations, interviews, and record reviews conducted during the Recertification Survey from 02/24/2025 to 02/28/2025, for one (Resident #66) of four resident reviewed, the facility did not ensure that all alleged violations involving potential abuse, neglect, exploitation, or mistreatment were reported to the New York State Department of Health in accordance with state law. Specifically, the facility did not report a resident falling out of bed during care that was being provided by one Certified Nursing Assistant opposed to two Certified Nursing Assistants per the resident's person-centered Comprehensive Care Plan. This is evidenced by the following: [...]

Inspectors wroteBased on observations, interviews, and record review conducted during a Recertification Survey from 02/24/2025 to 02/28/2025, for one (Residents #15) of seven residents reviewed, the facility did not ensure that residents who were dependent on staff for assistance received the necessary services to maintain grooming and personal hygiene. Specifically, Resident #15 did not receive consistent assistance with nail care. This is evidenced by the following: The facility policy Nail Care, dated 04/10/2011, documented routine nail care is to be done following bath and/or shower whenever possible. Resident #15 had diagnoses including vascular dementia, congestive heart failure, and traumatic brain injury. The Minimum Data Set Resident Assessment, dated 01/04/2025, documented the resident had severely impaired cognition and was dependent with personal hygiene. [...]

Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey from 02/24/2025 to 02/28/2025, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for one (Resident #51) of one resident reviewed for edema. Specifically, the facility did not ensure the resident received the highest practical, physical, mental, and psychosocial wellbeing, including ace wraps to both lower extremities. This is evidenced by the following: Resident #51 had diagnoses including congestive heart failure, atrial fibrillation (irregular heartbeat), and edema (swelling due to excess fluid in the tissues). The Minimum Data Set Resident Assessment, dated 02/07/2025, documented the resident had moderately impaired cognition. [...]

Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey from 02/24/2025 to 02/28/2025, for one (Resident #36) of one resident reviewed, the facility did not ensure that dialysis services provided were consistent with professional standards of practice, the comprehensive care plan and physician orders. Specifically, the facility did not have evidence of consistent monitoring of the resident's ordered 24-hour fluid restriction, did not have physician's orders or a care plan for having a tunneled dialysis catheter (surgically inserted catheter into the chest wall used to perform dialysis), did not have documented evidence of monitoring the catheter and dressing for potential complications, and were not following the vascular physician's recommendations. This is evidenced by the following: [...]

Inspectors wroteBased on observation, interview and record review conducted during a Recertification Survey completed on 1/13/23 it was determined that the facility did not ensure that one of two residents reviewed for vision and hearing received proper treatment and assistive devices to maintain vision and hearing abilities. Specifically, Resident #46 who has a diagnosis of glaucoma, (a disease that damages the eyes optic nerve and can cause blindness) did not receive any eye examinations since admission to the facility on 4/21/21 to ensure the resident maintained adequate vision without complications. The finding is: Review of the facility Policy Consultants dated 3/1/20 documented that the facility arranges for qualified professional personal to furnish specific services to the residents in the facility. Consultant services are utilized in the following areas: [...]

Inspectors wroteBased on observation, interview and record review conducted during a Recertification Survey completed 1/13/23, the facility did not ensure that a resident who enters the facility without a Foley catheter (an indwelling urinary catheter inserted into the bladder to drain urine) is not catheterized unless the resident's clinical condition demonstrates that catheterization was necessary or who subsequently received one is assessed for removal of the Foley catheter as soon as possible unless the resident's clinical condition demonstrated that catheterization was necessary. Specifically, one (Resident #361) of one resident reviewed for catheters did not have a documented valid medical justification for a continueing Foley catheter. [...]

Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey completed on 5/3/21, it was determined that for four of four residents (Residents #34, #7, #83, and #48) reviewed, the facility did not provide food and drink that was palatable and at a safe and appetizing temperature. Specifically, the issues involved food that was unpalatable, not served at preferable temperatures and not served as ordered. Additionally, it was determined that facility equipment to keep the food warm had not been repaired or replaced as needed. This is evidenced by, but not limited to, the following: Review of the facility policy, Food Preparation, Service and Distribution, dated May 2021, revealed facility staff will serve hot foods hot and cold foods cold in accordance with resident preference. 1. [...]

Inspectors wroteBased on interviews and record reviews conducted during the Recertification Survey completed on 5/3/21, it was determined that one (Resident #7) of four residents reviewed for dignity, the facility did not make prompt efforts to resolve a grievance. Specifically, the resident's concerns regarding treatment received by a specific staff member were not documented, investigated, or resolved in a timely manner. This is evidenced by the following: Resident #7 was admitted with diagnoses including diabetes, diabetic neuropathy (nerve damage), and depression. The Minimum Data Set Assessment, dated 4/15/21, revealed the resident was cognitively intact, had no behaviors or refusals of care, and required extensive assistance of two staff for activities of daily living. [...]

Inspectors wroteBased on interviews and record reviews conducted during a Recertification Survey it was determined that for two of two residents, the facility did not ensure that the residents or the residents' representative were notified of the transfer or discharge and the reasons for the move in writing in a language and manner they understand. The issue involved Residents #40 and #87 who were transferred to the hospital and written notice of the transfer was not provided. This was evidenced by the following: 1. Resident #40 had diagnoses that included advanced dementia, osteoporosis, and diabetes. The Minimum Data Set (MDS) Assessment, dated 2/15/21, revealed the resident had severely impaired cognition. Review of the medical record revealed that on 3/26/21, Resident #40 was transferred and admitted to the hospital. [...]

Inspectors wroteBased on interviews and record review conducted during a Recertification Survey completed on 5/3/21, it was determined that for two of two residents reviewed the facility did not provide written notice of the facility's bed hold policy to the resident or representative at the time of transfer to the hospital. The issue involved Residents #40 and #87 and their representatives who were not provided information regarding the facility's bed hold policy when transferred to the hospital. This was evidenced by the following: 1. Resident #40 had diagnoses that included advanced dementia, osteoporosis, and diabetes. The Minimum Data Set (MDS) Assessment, dated 2/15/21, revealed the resident had severely impaired cognition. Review of the medical record revealed that on 3/26/21 Resident #40 was transferred and admitted to the hospital. [...]

Inspectors wroteBased on observations, interviews, and record reviews conducted during the Recertification Survey, it was determined for one (Resident #31) of three residents reviewed, the facility did not ensure that a resident who is unable to carry out Activities of Daily Living (ADLs) received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene. Specifically, Resident #31 was not assisted with proper nail care. This is evidenced by the following: The facility policy Nail Care, dated March 2020, includes the purpose is to ensure cleanliness and to prevent infection. Routine nail care is to be done following a bath or shower whenever possible. Resident #31 had diagnoses including dementia without behavioral disturbance, major depressive disorder, and macular degeneration. [...]