Sea View Hospital Rehabilitation Center and Home

Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey conducted from 04/15/2025 to 04/23/2025, the facility did not ensure that a resident is free from physical restraints imposed for discipline or staff convenience and not required to treat the resident's medical symptoms. This was evident in 1 (Resident #153) of 1 resident reviewed for Physical Restraints out of 38 total sampled residents. Specifically, Resident #153 was observed on several occasions, lying in bed with the left side of the bed against the wall.

Inspectors wroteBased on record review, and interviews during the Recertification Survey conducted from 04/15/2025 to 04/23/2025, the facility did not ensure that all alleged violations involving abuse, neglect, including injuries of unknown source were reported immediately, but not later than 2 hours after the allegation was made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the New York State Department of Health. This was evident for 1 (Resident #264) out of 4 residents reviewed for Accidents out of 38 total sampled residents. Specifically, Resident #264 had an unwitnessed incident on 12/26/2024 when they were observed on the floor and complained of pain to the right knee area. [...]

Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 04/15/2025 to 04/23/2025, the facility did not ensure that a resident who was fed by enteral means received the appropriate treatment and services to prevent complications of enteral feeding. This was evident for 1 (Resident #44) out of 10 residents reviewed during the Medication Administration task. Specifically, functioning of the Gastrostomy tube was not verified before administration of medication to Resident #44. The facility policy titled General Guidelines for Administering Medication Via Enteral Tube last revised 05/26/2023 documented that to assure tube is in the stomach, using syringe, inject 30 ml of air through the tube while auscultating the patient's stomach with a stethoscope, you should hear a whooshing sound. Aspirating stomach contents with a syringe also confirms placement. [...]

Inspectors wroteBased on observations and staff interviews conducted during the Recertification survey from 04/15/2025 to 04/23/2025, the facility did not ensure garbage and refuse were disposed of properly. This was evident during the Kitchen Observation task. Specifically, the facility's waste compactor was not kept closed when not in use on multiple occasions which exposed garbage and refuse and had the potential to attract pests.

Inspectors wroteBased on record review and interviews during the Recertification Survey conducted from 04/15/2025 to 04/23/2025, the facility did not ensure that residents had the right to send and promptly receive mail. This was evident in 8 (Residents #27, #80, #87, #88, #90, #193, #205, and #221) out of 38 total sampled residents. Specifically, the facility did not have a procedure in place for residents to send and receive mail on Saturday.

Inspectors wroteBased on observation record review, and interviews during an abbreviated survey (NY00358546), the facility failed to ensure that a resident was treated with dignity included being free from physical or chemical restraints imposed for the purposes of discipline or convenience and that are not required to treat the resident's medical symptoms. This was evident for one (1) out of 5 (five) residents (Resident #1) sampled. Specifically, on 10/26/2024 at approximately 7:10 AM Resident #1 was observed lying in bed with their left ankle tied with a bed sheet to the bed rail. Patient Care Technician #1 admitted to restraining Resident #1. Resident #1 was restrained for the purposes of discipline or convenience.

Inspectors wroteBased on record review and staff interviews conducted during the recertification and complaint survey conducted from 2/2/23 to 2/9/23, the facility did not ensure a person-centered Comprehensive Care Plan (CCP) was developed and implemented to meet the resident's goal, and address the resident's medical, physical, mental, and psychosocial needs. This was evident for 1 (Resident #175) of 1 resident reviewed for Dental out of 40 total sample residents. Specifically, there was no documented evidence that a CCP was developed and implemented for oral/dental concerns for a resident who was observed with multiple upper and lower teeth missing.

Inspectors wroteBased on observations, record review and staff interviews during the recertification and complaint survey conducted from 2/2/23 to 2/9/23, the facility did not ensure that routine dental service was provided to resident. This was evident for 1 (Resident #175) of 1 resident reviewed for dental out of a sample of 40 residents. Specifically, Resident #175, a resident with multiple missing teeth, did not receive an annual dental examination or follow-up regarding partial dentures.

Inspectors wroteBased on observation, interviews and record review conducted during the recertification survey, the facility did not ensure that a comprehensive person-centered care plan that included measurable objectives and time frames to meet a resident's medical, nursing, and mental and psychosocial needs was developed. Specifically, comprehensive care plans were not developed for a resident with hearing difficulty. This was evident for 1 of 38 sampled residents (Resident #214). The findings is: The facility's policy and procedure titled Comprehensive Resident Assessment MDS 3.0/CAAS and Person Centered Care Planning revised 1/21/20, documented the interdisciplinary team is responsible for the comprehensive resident assessment and person centered care planning in accordance with the procedures set forth below. [...]

Inspectors wroteBased on observation, and staff interview during the standard recertification survey, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, in the refrigerator sliced meats were stored after 6 days of initial use, turkey was stored after 4 days of initial use.