Salem Hills Rehabilitation and Nursing Center

Inspectors wroteBased on observations and interviews conducted during the recertification survey from 4/21/2026 to 4/28/2026, the facility did not ensure that food was stored in accordance with professional standards for food safety practice. Specifically, the walk-in freezer and walk-in refrigerator had open and undated items.

Inspectors wroteBased on observation, record review and interviews during the recertification survey from 4/21/2026 through 4/28/2026, the facility did not ensure residents had the right to a dignified dining experience for one (1) (Resident #67) of four (4) residents reviewed for dignity. Specifically, the Certified Nurse Aide was observed standing over Resident #67 while assisting the resident with their meal.

Inspectors wroteBased on observations, record reviews and interviews conducted during the recertification survey from 04/21/2026 to 04/28/2026, the facility did not ensure a person-centered comprehensive care plan was developed and/or implemented for two (2) of seven (7) residents (Resident #93 and #87) reviewed for activities of daily living. Specifically, 1) for Resident #93 a care plan was not developed for refusal of nail care. 2) for Resident #87 a comprehensive care plan was not developed to address the use of side rails.

Inspectors wroteBased on observations, record review, and interviews conducted during the recertification survey from 04/21/ 2026 to 04/28/2026, the facility did not ensure each resident who was unable to carry out activities of daily living received the necessary care and services to maintain good personal hygiene for one (1) of seven (7) residents (Resident #25) reviewed for activities of daily living. Specifically, Resident #25, required dependent assistance with activities of daily living was observed sitting in a wet soiled diaper.

Inspectors wroteBased on observations, record reviews, and staff interviews conducted during the recertification survey from 4/21/2026 to 4/28/2026, the facility did not ensure residents were assessed for side rails and the resident or resident representative were informed of the risks and benefits of side rails or that they obtained informed consent prior to the installation of side rails for three (3) of five (5) residents (Residents #16, #63, and #77) reviewed for accident hazards. Specifically, Residents #16, #63, and #77 had bilateral side rails on their beds and there was no documented evidence they were assessed for the use of side rails prior to installation. There was no documented evidence that the residents and/or their representatives were informed of the risks and benefits of side rails, or that informed consent was obtained prior to installation of side rails. [...]

Inspectors wroteBased on observation, interview, and record review conducted during the recertification and abbreviated survey (NY00323734) from 5/9/24 to 5/16/24, the facility did not ensure adequate supervision was provided and that the resident's environment remained as free of accidents hazards as possible for 3 of 7 residents (Residents #89, #72, and #3) reviewed for accidents. Specifically,1) Resident #89 did not receive 1:1 supervision as per plan of care, resulting in a fall, 2) Resident #72 had multiple oral medications and eye drops (left by nursing) in their room on a dementia unit with twelve residents with wandering behaviors, and 3) Resident #3 had medicated creams (left by nursing) in their room on a dementia unit with twelve residents with wandering behaviors.

Inspectors wroteBased on observation, record review and interview conducted during the recertification survey from 5/9/2024 to 5/16/2024, the facility did not ensure each resident was treated with respect and dignity in an environment that promotes maintenance of their quality of life for 2 of 3 residents (Resident #33 and #105) reviewed for dignity. Specifically, 1, Resident #33 was observed on several occasions wearing socks with name labels that were visible on the outside of both socks, and 2, Resident #105 was noted with photographs depicting the resident in positioning devices on the wall above the head of the bed and visible from the door.

Inspectors wroteBased on observation, record review and interview conducted during the recertification survey from 5/9/24 to 5/16/24, the facility did not ensure that the call bell system was accessible for 1 of 5 residents (Resident #123) reviewed for environment. Specifically, multiple observations revealed that the call bell designated for Resident #123, was not within the resident's reach.

Inspectors wroteBased on observation, interview and record review conducted during the recertification survey from 5/09/24-5/16/2024, it was determined that for one (Resident #3) of seven residents reviewed for accidents, the facility did not ensure a comprehensive care plan that included measurable goals and interventions based on resident assessment was provided to maintain the resident's highest practicable physical well-being. Specifically, Resident #3 did not have a care plan in place for self-medication administration. The Findings Are: Resident #3 was admitted with diagnosis including but not limited to bilateral primary osteoarthritis of the knee, polymyalgia rheumatica, and primary osteoarthritis of the shoulder. [...]

Inspectors wroteBased on observation, record review and interview conducted during the recertification survey from 5/9/24 to 5/16/24, the facility did not ensure 1 of 3 residents (Resident #57), reviewed for positioning, received treatment and care in accordance with professional standards of practice. Specifically, Resident #57 was observed on multiple occasions sitting in their wheelchair without their footrest extender.

Inspectors wroteBased on observation, record review and interview conducted during the recertification survey from 5/9/2024 to 5/16/2024, the facility did not ensure that residents received treatment and services to prevent pressure ulcers for 2 of 8 residents (Residents #105 and #33 ) reviewed for pressure ulcers. Specifically, 1)Resident #105 was observed without a thigh cushion to off load their heels as ordered by the physician, and 2) Resident #33 who was assessed at high risk for pressure ulcers was observed on multiple occasions with their right heel resting on the metal wheelchair foot rest.

Inspectors wroteBased on observation, record review, and staff interview during the recertification survey from 5/9/24 to 5/16/24, the facility did not ensure that needed services, care and equipment were provided to assure that a resident with limited range of motion and mobility maintained or improved function based on the resident's clinical condition for 1 of 3 residents (Resident #89) reviewed for position and mobility. Specifically, Resident #89 was observed on 3 occasions without a right resting hand splint in place as ordered by the physician to prevent further contractures.

Inspectors wroteBased on observation, interview, and record review during the recertification survey from 5/9/24 to 5/16/24, the facility did not properly establish and/or maintain an infection prevention and control program designed to provide a safe and sanitary environment. Specifically, 1) the facility did not ensure that an infection surveillance plan based on facility assessment was implemented for identifying, tracking, and monitoring infections, communicable diseases, and outbreaks, 2) the facility water management plan had not been reviewed or updated since 2019, and 3) staff did not perform proper hand hygiene during dining for Resident #21.