Corning Center for Rehabilitation and Healthcare

Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey and complaint investigation (NY00328090), it was determined that for one (Resident #93) of two residents reviewed, the facility did not ensure that the resident was free from significant medication errors. Specifically, Resident #93 did not receive an antibiotic medication as ordered by the physician for several days. This is evidenced by the following: The facility policy and procedure, Medication Errors, dated August 2019, included that the staff and practitioner should strive to minimize adverse consequences by following relevant clinical guidelines and manufacturer's specifications for use, dose, administration, duration, and monitoring of the medication; defining appropriate indications for use; and determining that the resident receive the medication as prescribed and timely. [...]

Inspectors wroteBased on observations, interviews and record review conducted during the Recertification Survey, it was determined that for one (Resident #84) of one resident reviewed, the facility did not assist with obtaining dental services to meet the needs of each resident. Specifically, Resident #84 reported a broken tooth to facility staff on or around 2/12/24 and the resident was not evaluated by a provider or assisted with scheduling an appointment for dental services until following surveyor intervention. This is evidenced by the following: [...]

Inspectors wroteBased on observations, interviews and record review conducted during the Recertification Survey, it was determined for two (2nd floor and 3rd floor) of two residential units reviewed, the facility did not ensure that an accurate reconciliation of all controlled substances was maintained. Specifically, the narcotic count logs which included reconciliation of narcotic medications and the signatures of staff members for each shift-to-shift count, were not consistently signed to indicate the count was complete and the correct count was verified. This was evidenced by the following: The facility policy and procedure, Medication - Narcotic Management, dated April 2019, included that narcotics and schedule two medications would be counted with two professional nurses and documentation that the count was completed and accurate would be completed at the beginning and end of each shift. [...]

Inspectors wroteBased on observations, interviews, and record reviews conducted during the Recertification Survey, completed on 1/7/22, it was determined that for one (Resident #47) of one resident reviewed for hearing aids, the facility did not ensure the resident's care plan was implemented regarding their hearing aid. Specifically, a hearing-impaired resident did not have their hearing aid provided to optimize communication abilities. This was evidenced by the following: Resident #47 had diagnoses including a stroke, depression, and anxiety disorder. The Minimum Data Set Assessment, dated 11/4/21, revealed the resident was moderately impaired cognitively, had minimal difficulty hearing and required the use of a hearing aid. The current Comprehensive Care Plan and the Certified Nursing Assistant (CNA) [NAME] documented that the resident wore a hearing aid in their right ear. [...]

Inspectors wroteBased on observations, interviews, and record reviews conducted during the Recertification Survey and complaint investigations (#NY00272699 and #NY00277038) completed on 1/7/21, it was determined that one (Resident #64) of four residents reviewed for Activities of Daily Living (ADLs) did not receive the necessary services to maintain good grooming and personal hygiene. Specifically, Resident # 64 was not provided with assistance for facial hair and nail care. This is evidenced by the following: The facility policy, ADL-Bath (Shower)'' dated July 2019, included that showers are given to residents to cleanse and refresh the resident, observe the skin, and to provide increase circulation. The facility policy, ADL-Nail Care'' dated March 2021, included that nail care is done to clean the nail bed, to keep nails trimmed, and to prevent infections. [...]

Inspectors wroteBased on interviews and record reviews conducted during the Recertification Survey, it was determined that for eight (Residents #33, #50, #85, #89, #99, #259, #309 and #315) of ten residents reviewed for Baseline Care Plans, the facility did not develop a Baseline Care Plan within 48 hours of admissions that included the minimum required information, and/or the resident or resident's representative were not provided with a written summary of the plan. This is evidenced by, but not limited, to the following: 1. Resident #33 was admitted to the facility on [DATE] and had diagnoses including chronic kidney disease, hypertension, and urinary retention. The Minimum Data Set (MDS) Assessment, dated 7/10/19, revealed the resident was cognitively intact. [...]

Inspectors wroteBased on interview and record review conducted during the Recertification Survey, it was deteremined that for one (Resident #315) of six residents reviewed for admission Comprehensive Assessments, the facility did not ensure that a comprehensive assessment was completed within 14 calendar days after admission. This was evidenced by the following: Resident #315 was admitted to the facility on [DATE] with diagnoses that included facial burns, chronic obstructive pulmonary disease and heart failure. The Minimum Data Set (MDS) Assessment, dated 9/10/19, was coded as the admission assessment with an entry date of 9/3/19. Review of the MDS Assessment revealed as of 9/25/19 the assessment had not been completed. When interviewed on 9/25/19 at 11:12 a.m., the Registered Nurse MDS Coordinator, stated an admisson MDS Assessment should be completed within 14 days of admission. [...]

Inspectors wroteBased on observations, interviews and record reviews conducted during the Recertification Survey and complaint investigation (#NY00241411) completed on 9/27/19, it was determined that for one (Resident #79) of three residents reviewed for pressure ulcers, the facility did not provide care and services to address the resident's skin and wound care needs in accordance with professional standards of practice based on the comprehensive assessment, person-centered care plan and the resident's choice. Specifically, multiple areas of skin breakdown were not assessed and/or treated according to medical orders and/or wound clinic recommendations. Additionally, an ointment was utilized that was on the resident's list of allergies despite complaints that it burned and itched. This is evidenced by the following: [...]

Inspectors wroteBased on observations, interviews and record reviews conducted during the Recertification Survey and complaint investigation (#NY00235650), it was determined for one of one resident (Resident #27) reviewed for enteral nutrition, the facility did not have a mechanism in place to ensure that the administration of enteral nutrition and additional water ordered for flushes was consistent with and followed physician orders. This is evidenced by the following: Resident #27 was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease, cerebrovascular disease with hemiplegia and hemiparesis and dysphagia (difficulty swallowing) with placement of a feeding tube. The Minimum Data Set Assessment, dated 7/3/19, revealed the resident was cognitively intact, had no significant weight loss or gain in the past one or six months. [...]

Inspectors wroteBased on interview and record reviews conducted during the Recertification Survey, it was determined that for three of three residents reviewed for resident rights, the facility did not provide the appropriate liability and appeal notices to Medicare beneficiaries to notify them of their appeal rights under the regulations. Specifically, the facility did not provide Advanced Beneficiary Notices (ABN) to Residents #77 and #260 following termination of Medicare benefits and did not provide a Notice of Medicare Noncoverage (NOMNC) to Resident #261 prior to discharge home. This is evidenced by the following: Resident #261 was admitted to the facility on [DATE] under Medicare A benefits and discharged home on 7/10/19. There was no evidence that a NOMNC was provided prior to discharge to notify them of their appeal rights under the regulations. [...]

Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey, it was determined that the facility did not post the required daily staffing information for licensed and unlicensed nursing staff directly responsible for resident care. Specifically, the facility staffing sheets were not updated at the beginning of each shift to include the actual hours worked by nursing staff. This is evidenced by the following: Observations of the posted staffing information on 9/23/19 at 11:32 a.m., 9/24/19 at 1:31 p.m., 9/25/19 at 11:54 a.m., and 9/26/19 at 11:57 a.m., did not include the actual hours worked for Licensed Practical Nurses (LPN), Registered Nurses (RN), and Certified Nurse Aides (CNA) for the day, evening, and night shifts on each of the corresponding dates. [...]