Father Baker Manor

Inspectors wroteBased on observation, interview, and record review conducted during an Abbreviated survey (Complaint #NY00383408) the facility did not ensure that all alleged violations involving abuse are reported immediately but not later than 2-hours after the allegation is made if the events that cause the allegation involve abuse, to the Administrator of the facility and to other officials (including to the State Survey Agency) for one (1) (Residents #1) of three (3) residents reviewed for abuse. Specifically, an allegation that a Certified Nurse Aide slapped a resident was not reported to the Administrator in the required timeframe and resulted in delayed reporting to the New York State Department of Health. The finding is: [...]

Inspectors wroteBased on observation, record review, and interview conducted during an Abbreviated survey (Complaint #NY00383408), the facility did not have evidence that all alleged violations were thoroughly investigated and did not prevent further potential abuse or mistreatment while the investigation was in progress in response to all allegations of abuse for one (1) (Resident #1) of three (3) residents reviewed. Specifically, there was a delay in initiating an investigation when a staff member reported they witnessed physical abuse of Resident #1, and the accused staff continued working after the allegation was made. Additionally, the facility investigation did not include interviews or assessments of other residents who the accused cared for and statements from all staff involved. The finding is: [...]

Inspectors wroteBased on interview and record review conducted during a Complaint investigation (#NY00359145) during a Standard survey completed on 11/6/2024, the facility did not ensure that each resident receives adequate supervision and assistive devices to prevent accidents for one (Resident #106) of five residents reviewed for accidents. Specifically, a gait belt (an assistive device used to help someone move) was not utilized by staff during a transfer as care planned and Resident #106 sustained skin tears to their left forearm. The finding is: The policy and procedure titled Gait Belt Use dated 3/28/2024 documented all patients/residents requiring touching, partial/moderate, substantial/maximal, or dependent times two people assistance will have a gait belt provided to them for use during transfers. [...]

Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed on 11/6/24, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one (Resident #138) of three residents reviewed for enhanced barrier precautions (interventions designed to reduce transmission of multi-drug resistant organisms including gown and glove use during high contact resident care activities). Specifically, a nurse did not wear proper personal protective equipment during care of the resident's feeding tube (a tube inserted into the stomach to provide nutrition). The finding is: [...]

Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey started on 11/8/22 and completed on 11/15/22 the facility did not ensure that the resident is free from physical restraints for purposes of discipline or convenience, and that are not required to treat the resident's medical symptoms When the use of restraints is indicated, the facility must use the least restrictive alternative for the least amount of time and document ongoing re-evaluation of the need for restraints. Specifically, for one (Resident #130) of two residents reviewed there was no documented evidence of a medical diagnose for the use of a restraint and there was no evidence the restraint was re-evaluated for safety after repeated falls on 9/18/22 and 9/19/22 with the seatbelt in place. The finding is: The facility policy and procedure (P&P) titled Community Based Care: [...]

Inspectors wroteBased on interview and record review during a Standard survey started 11/8/22 and completed 11/15/22, the facility did not ensure that all alleged violations including abuse or mistreatment are reported immediately, but not later than 2-hours after the allegation is made, if the events that caused the allegation involve abuse or not later than 24 hours if the events that caused the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to the appropriate officials (including the State Survey Agency). Specifically, one (Resident #3) of two residents reviewed for abuse were involved in allegations of mistreatment on 7/7/22 and 10/27/22 and were not reported to the Administrator and the New York State (NYS) Department of Health (DOH) as required.

Inspectors wroteBased on interview and record review conducted during a Standard survey started 11/8/22 and completed 11/15/22, the facility did not have evidence that all alleged violations of abuse or mistreatment were thoroughly investigated for one (Resident #3) of two residents reviewed. Specifically, there was a lack of evidence an investigation was completed into allegations of abuse and the lack statements/interviews with staff. The finding is: The policy titled Identification, Prevention, Investigation and Reporting of Victims of Potential Abuse, Neglect or Exploitation effective date 6/30/21 documented all cases of suspected or actual abuse, neglect will be reported to the immediate supervisor/manager and an investigation will begin immediately. An 'Occurrence Report' will be completed. [...]

Inspectors wroteBased on observation, interview, and record review conducted during a Standard survey completed on 2/4/20, it was determined that the facility did not ensure that a resident who was unable to carry out activities of daily living receives the necessary services to maintain good grooming, and personal hygiene. Specifically, one (Resident #20) of four residents reviewed for activities of daily living had issues with multiple one- inch long whiskers on her chin, upper lip, and left eye brow. The finding is: The facility policy and procedure titled Activities of Daily Living (ADL) Care dated 7/17/18 documented to ensure a patient/resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal hygiene. The decision to refuse care and treatment must be documented in the medical record. [...]