Chasehealth Rehab and Residential Care

Inspectors wroteBased on observations and interviews during the recertification survey conducted 2/11/2025-2/13/2025, the facility did not ensure residents were provided food and drink that was palatable, flavorful, and at an appetizing temperature for 2 of 2 meals reviewed (the 2/11/2025 1st floor dining room lunch meal and the 2/12/2025 1st floor dining room breakfast meal). Specifically, food was not flavorful and was not served at palatable and appetizing temperatures during the lunch meal on 2/11/2025 and breakfast meal on 2/12/2025. Additionally, 11 anonymous residents during a resident council meeting and four residents (Residents #8, #12, #51 and #54) interviewed stated the food did not taste good, it was often served cold, and the vegetables were overcooked.

Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 2/11/2025-2/13/2025, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards in the main kitchen. Specifically, the main kitchen had multiple uncleanable surfaces, a leaking sink drain, stored pet beds, and unclean dishware.

Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 2/11/2025 - 2/13/2025, the facility did not ensure residents received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for 1 of 1 resident (Resident #57) reviewed. Specifically, Resident #57 was observed wearing their thoracolumbar sacral orthosis brace (TLSO brace, a spinal brace worn to limit movement of the spine to help with healing of spinal fractures) incorrectly, the comprehensive person-centered care plan did not address interventions for the thoracolumbar sacral orthosis brace, and staff involved in Resident #57's care were not educated on the application of the thoracolumbar sacral orthosis brace.

Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 2/11/2025-2/13/2025, the facility did not review the risks and benefits of bed rails with the resident or resident representative and obtain informed consent prior to installation of bed rails for 1 of 2 residents (Resident #12) reviewed. Specifically, there was no documented evidence risks and benefits were reviewed and informed consent was obtained prior to the placement of bilateral bed rails on Resident #12's bed. Additionally, the comprehensive care plan did not include the use of bed rails.

Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 2/11/2025-2/13/2025, the facility did not ensure the safe and secure storage of medications in accordance with currently accepted professional principles and include the expiration date when applicable for 1 of 3 medication carts (Unit 1 medication cart) reviewed. Specifically, multiple eye drops in the Unit 1 medication cart were not appropriately labeled or dated.

Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 2/11/2025-2/13/2025, the facility did not ensure they were adequately equipped to allow residents to call for staff assistance through a communication system which relayed the call directly to a staff member or to a centralized work area for 1 of 23 resident rooms (room [ROOM NUMBER] on Unit 1) reviewed. Specifically, resident call bell systems did not function as designed and residents did not have a means to contact direct caregivers while in the bathroom.

Inspectors wroteBased on observation, interview, and record review during the recertification conducted on 6/13/23 - 6/16/23, the facility did not ensure a safe, functional, sanitary, and comfortable environment for residents, staff, and the public for 2 of 2 resident units (Units 1 and 2) and for 2 of 2 (Residents #15 and 57) resident wheelchairs reviewed. Specifically, hot water temperatures were outside the acceptable range of 95-120 degrees Fahrenheit (F) on 6/15/23; and Residents #57's and #15's wheelchair armrests were in disrepair.

Inspectors wroteBased on observation, interview, and record review during the recertification survey conducted 6/13/23-6/16/23, the facility did not ensure drugs and biologicals were stored in accordance with currently accepted professional standards for 2 of 2 medication carts (1st and 2nd floor) and 2 of 2 medication rooms (1st and 2nd Floor) observed. Specifically, the 1st and 2nd floor medication carts and the 1st and 2nd medication storages room had expired medications.

Inspectors wroteBased on observation, interview, and record review during the recertification survey conducted 6/13/23-6/16/23, the facility did not ensure each resident had the right to a dignified existence for 5 of 13 residents (Residents #9, 24, 28, 41, and 226) reviewed. Specifically, Residents #9, 24, 28, 41, and 226 waited for their meals to be served 24-28 minutes after their tablemates were served and eating their meals. Additionally, Resident #24 did not receive assistance with eating for 39 minutes after their meal was served and placed in front of them.

Inspectors wroteBased on observation, record review, and interview during the recertification survey conducted 6/13/23-6/16/23, the facility did not determine if a resident's right to self-administer medications was clinically appropriate for 1 of 1 resident (Resident #65) reviewed. Specifically, there was a medication cup filled with several pills on Resident #65's walker and there was no documented evidence the resident was assessed to determine their ability to safely self-administer medications, or a physician order for self-administration of medications.

Inspectors wroteBased on observation, interview, and record review during the recertification survey conducted 6/13/23-6/16/23, the facility did not ensure the right to reside and receive services with reasonable accommodation of resident needs and preferences for 1 of 1 resident (Resident #39) reviewed. Specifically, Resident #39 was not able to verbally interact with staff and did not have access to communication devices as planned.

Inspectors wroteBased on observation, record review, and interview during the recertification survey conducted 6/13/23-6/16/23, the facility did not ensure residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 2 of 5 residents (Residents #10 and 69) reviewed. Specifically, Resident #10 was not assisted with toileting and Resident #69 was not assisted with bathing.

Inspectors wroteBased on observation, record review, and interview during the recertification and abbreviated (NY00318179) surveys conducted 6/13/23-6/16/23, the facility did not ensure residents received adequate supervision to prevent accidents for 1 of 2 residents (Resident # 14) reviewed. Specifically, Resident #14 was able to access a used phlebotomy needle (used to draw blood), placing themself and/or others at risk for injury, and the incident was not investigated to determine how the resident came to possess a used phlebotomy needle.

Inspectors wroteBased on observation, interview, and record review during the recertification and abbreviated (NY00308935) surveys conducted 6/13/23-6/16/23, the facility did not ensure residents were offered sufficient fluid intake to maintain proper hydration and health for 1 of 1 resident (Resident #124) reviewed. Specifically, Resident #124 was unable to feed themself due to bilateral arm immobility, was on isolation precautions and required meals in their room due to COVID-19, had inadequate fluid intake, and was hospitalized for dehydration.

Inspectors wroteBased on observation and interview during the recertification survey conducted on 6/13/23-6/16/23 the facility did not ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety for one walk in cooler in the main kitchen. Specifically, the diamond plate flooring and two sections of wooden 2 x 4 studs holding up bottom shelves of baker's racks in the walk in cooler were not smooth and easily cleanable.

Inspectors wroteBased on observation, interview, and record review during the recertification survey, the facility did not ensure each resident received food and drink that was palatable, attractive, and at a safe and appetizing temperature for 3 of 3 meals (breakfast, dinner #1, and dinner #2) reviewed. Specifically, meal temperatures were not maintained at acceptable parameters during the 3 meals.

Inspectors wroteBased on observation, interview, and record review during the recertification survey, the facility did not ensure residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 1 of 4 residents (Resident #8) reviewed. Specifically, Resident #8 was observed unshaven for 4 days.

Inspectors wroteBased on observation, interview and record review during a recertification and an abbreviated survey (NY00266833), the facility did not ensure each resident received adequate supervision to prevent accidents for 1 of 3 residents (Resident #147) reviewed. Specifically, Employee # 3 did not receive training and education on the use of assistive devices, provided a walker to Resident #147, did not assist the resident while ambulating with the walker as planned and the resident fell resulting in a laceration and skin tear.

Inspectors wroteBased on observation, interview, and record review during the recertification survey, the facility did not ensure a resident who needed respiratory care was provided such care consistent with professional standards of practice for 1 of 1 resident (Resident #8) reviewed. Specifically, Resident #8 became acutely ill and was placed on oxygen without a physician order for its use.

Inspectors wroteBased on record review and interview during the recertification and abbreviated (NY00269365) surveys, the facility did not ensure they provided or obtained laboratory services to meet the needs of its residents and ensure timeliness of the services for 1 of 3 residents (Resident #30) reviewed. Specifically, Resident #30 had a change in medical status, the medical provider ordered laboratory tests and they were not completed timely.