Roscoe Regional Rehab & Residential H C F

Inspectors wroteBased on observations, interviews, and record reviews during the recertification and abbreviated surveys (NY00371177/803531, NY00331127/803522) from 08/21/2025 to 08/25/2025, the facility did not ensure that the facility had sufficient nursing staff to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident. Specifically, the staffing of certified nurse aides from 07/26/2025 to 08/28/2025 during the night shift were at minimal levels on 24 of 34 shifts. The staffing of certified nurse aides on the evening shift, during the same period, fell below the minimum for a portion of the shift on 24 of the 34 shifts. The staffing of nurses on the night shift during the same period were at minimal levels for 26 of 34 shifts. [...]

Inspectors wroteBased on observations, interviews, and record review during the recertification survey from 08/25/2025 to 08/29/2025, the facility did not ensure each resident was treated in a manner and in an environment that maintained or enhanced each resident's dignity and respect for four (4) residents (Resident #11, Resident #20, Resident #64, Resident #74) observed during dining. Specifically, during dining observations for lunch in the main dining room on 08/25/2025 and 08/26/2026, staff did not serve all residents sitting at tables together, and residents were observed waiting while other residents at the same table were eating and finishing their meals.

Inspectors wroteBased on interview, observation and record review during the recertification survey from 08/25/2025 to 08/29/2025, the facility did not ensure residents received care consistent with professional standards of practice, to prevent pressure ulcers and to prevent worsening of pressure ulcers for two (2) of three (3) residents (Residents #7 and #76) reviewed for pressure ulcers. Specifically 1) for Resident #7, treatments recommended by the wound care physician were not ordered and there was no documented evidence that the treatments were administered, and 2) for Resident #76, the physician's order to offload their heels was not implemented as evidenced by observation. [...]

Inspectors wroteBased on observations, interviews, and record review conducted during the recertification survey from 08/25/2025 to 08/29/2025, the facility did not ensure each resident received adequate supervision to prevent accidents. This was evident for two (2) of four (4) residents (Resident #18 and #4) reviewed for accidents and hazards. [...]

Inspectors wroteBased on observations, interviews, and record reviews during the recertification survey from 08/21/2025-08/25/2025, the facility did not ensure that the menus were followed for five (5) of 13 residents (Resident #65, Resident #19, Resident #29, Resident #44, and Resident #33) observed during dining. Specifically, 1) Resident #65 had requested a vegetarian diet and received meat items during meals, 2) Resident #19 did not receive cranberry juice as specified on their meal ticket and received soup that was not on their meal ticket; 3) Resident #29 received pureed tuna salad rather than pureed grilled cheese as specified on their meal ticket; 4) Resident #44's lunch meal ticket listed tomato soup on multiple occasion and tomato soup was not observed on the resident's food tray, and 5) Resident #33 received a baked potato rather than rice as specified on their meal ticket.

Inspectors wroteBased on observations, interviews, and record reviews during the recertification survey from 08/21/2025 to 08/29/2025, the facility did not ensure that food was stored in accordance with professional standards for food service safety. Specifically, during observations of the main kitchen refrigerators and the North and South unit refrigerators, unlabeled, undated, and improperly dated food was discovered.

Inspectors wroteBased on interviews and record review during the recertification survey from 8/25/25 to 8/29/2025, the facility did not ensure that resident grievances were acted on promptly, or responded to, for one (1) of one (1) resident (Resident #42) investigated for personal property. Specifically, Resident #42 reported a missing blanket and clothing to the Unit Manager/Assistant Director of Nursing and did not receive the results of the investigation or replacement of the items. Additionally, the facility ensure an inventory of the resident's personal property was conducted on admission or when items were brought in.

Inspectors wroteBased on observation, record review and interview during the recertification survey from 08/25/2025 to 08/29/2025, the facility did not ensure the development and implementation of comprehensive person-centered care plans for each resident, consistent with resident rights that included measurable objectives and time frames to meet a resident's needs for two (2) of five (5) residents (Resident #28 and Resident #5) reviewed for unnecessary medications and medication regimen review. Specifically, Residents #28 and #5 were on anticoagulant therapy and there was no documented evidence that a care plan to address the risk of bleeding was developed with measurable objectives, goals and interventions.

Inspectors wroteBased on observation, record review and interview conducted during the recertification survey from 08/25/2025 to 08/29/2025, the facility did not ensure that necessary assistance and care were provided to carry out activities of daily living for one (1) of six (6) residents (Resident #37) reviewed for activities of daily living. Specifically, Resident #37 was observed lying in bed with urine soiled adult brief, pants and sheets.

Inspectors wroteBased on observation, record review, and interviews conducted during the recertification and abbreviated surveys (NY00331127/803522)) from 8/25/2025 to 8/29/2025, the facility did not ensure that a resident received treatment and care in accordance with professional standards of practice for one (1) of six (6) residents reviewed for medications. Specifically, Resident #85 had a physician's order for Levothyroxine Sodium Tablet 125 mcg by mouth daily, and there was no documented evidence that the resident received the medication as ordered on 12/30/2023.

Inspectors wroteBased on observations, interviews, and record review conducted during the recertification survey from 08/25/2025 to 08/29/2025, the facility did not ensure all drugs and biologicals were stored in locked compartments. This was evident for one (North Unit) of two units during dining observation. Specifically, Resident #44 was observed with a cup of medication at their bedside during lunch.

Inspectors wroteBased on observation, record review, and interviews conducted during the recertification and abbreviated surveys (NY00331127/803522, NY00371177/803531) from 08/25/2025 to 08/29/2025, the facility did not ensure the facility-wide assessment was updated to determine what resources were necessary to care for residents competently during day-to-day operations. Specifically, the facility assessment did not indicate whether sufficient qualified staff were available on the night shift to meet resident needs.

Inspectors wroteRevised 10/13/2023 IDR Based on observation and interviews conducted during the recertification survey from 8/10/23 to 8/16/2023, it was determined that the facility failed ensure that the garbage storage area was maintained in a sanitary condition. Specifically, the ground surrounding the loading dock located near the door to the back of the facility was heavily littered with solid debris, the trash bin was uncovered, and multiple insects were observed around bird feathers/remains near the recycling dumpster.

Inspectors wroteBased on observations, record review, and interviews during the recertification survey from 8/10/23 to 8/16/23, the facility failed to ensure that infection control practices were maintained during dining. Specifically, staff was observed feeding more than one resident at a table and not performing hand hygiene in between feeding residents.

Inspectors wroteBased on observation, interviews, and record reviews conducted during a recertification survey, the facility did not ensure that each resident had the right to a dignified existence and each resident was cared for in a manner and environment that promoted maintenance or enhancement of his or her quality of life for 2 of 8 residents ( #15 and #22) reviewed for dignity. Specifically 1) Resident # 15's urinary catheter drainage bag was observed twice with no privacy cover 2) Resident # 22 was noted with wet and stained gowns that allowed his underwear visible whenever he ambulated in the hallway.