Seneca Health Care Center

Inspectors wroteBased on interviews and record review conducted during a Complaint investigation (2588244), the facility failed to ensure that each resident received adequate supervision to prevent accidents for one (1) of four (4) residents (Resident #1) reviewed for accidents. Specifically, Resident #1 was care planned not to be left alone in the bathroom while toileting. On 07/12/2025, Resident #1 was left unattended, fell off the toilet and sustained a left hip fracture requiring surgical intervention. This resulted in actual harm to Resident #1 that is not Immediate Jeopardy. The finding is:The policy titled Fall Prevention revised 08/2025, documented that all reasonable steps are taken to keep the resident safe from falls and related injury. Residents would be evaluated for their potential risk for falls to assure that measures were implemented to keep residents safe from falls and related injury. [...]

Inspectors wroteBased on interview and record review conducted during the Standard survey completed on 11/8/24, the facility did not ensure the resident has the right to exercise his or her rights as a resident of the facility and as citizen or resident of the United States for one (Resident #119) of one resident reviewed for voting. Specifically, Resident #119 was not afforded the right to vote in the November 2024 Presidential Election. The finding is: The policy and procedure titled Residents' Rights: Voting dated 10/2024 documented the facility affirm and support the right of residents to vote. The Activities Department, with the assistance of nursing, will evaluate the resident's voting ability and preferences upon admission and as needed. The resident's voting preferences will be documented on the care plan. [...]

Inspectors wroteBased on observation, record review, and interview conducted during the Standard survey completed on 11/8/24, the facility did not ensure residents had the right to choose activities, schedules, and health care consistent with their interests, assessments, and plan of care for two (Resident #3 and #119) of three residents reviewed for choices. Specifically, Resident #3 was provided bed baths instead of showers as planned and per their preference; Resident #119 was not provided with showers twice a week per their preference.

Inspectors wroteBased on observation, interview, and record review conducted during a Complaint investigation (#NY00351900) during the Standard survey completed on 11/8/24, the facility did not ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene for three (Resident #1, #16 and #96) of eight residents reviewed. Specifically, Resident #1 was observed with greasy hair, Resident #16 and Resident #96 were observed to have dried brown debris under their fingernails.

Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed on 11/8/24, the facility did not ensure that residents who had an indwelling (foley) catheter (tube inserted into the bladder to drain urine) received the appropriate care and services to manage catheters for two (Residents #27 & #53) of three residents reviewed. Specifically, there was a lack of a urology follow- up following a cystoscopy (diagnostic test to inspect the interior lining of the bladder and urethra), and a foley leg bag was not used during day time hours as planned (#53); and infection control practices were not maintained (#27 & #53). In addition, staff inaccurately documented the placement of the foley leg bag in the treatment record (#53). The finding is: [...]

Inspectors wroteBased on observation, interviews, and record review completed during a Standard survey completed on 1/12/23, the facility did not ensure that each resident received adequate supervision to prevent accidents for one (Resident #48) of 4 residents reviewed. Specifically, Resident #48 required 1:1 observation for safety as per their [NAME] (guide used by staff to provide care). Resident #48 had an unwitnessed fall in their room on 10/17/22 and sustained a right femur (long thigh bone) fracture that required hospitalization and surgical intervention. This resulted in actual harm to Resident #48 that was not Immediate Jeopardy. The finding is: The facility policy and procedure (P&P) titled Fall Prevention with a revised date of 04/2015, documented recommendations from the interdisciplinary team members will be incorporated into the resident's individual care plan. [...]

Inspectors wroteBased on interview and record review during the Standard survey started on 1/5/23 and completed on 1/12/23, the facility did not implement written policies and procedures for screening employees that would prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property. Specifically, the facility did not provide documentation that verified four (Employees A, B, C, D) of five employees reviewed who were hired in the last four months and were subject to the New York State Nurse Aide Registry had been screened through the New York State Nurse Aide Registry prior to their employment.

Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey started on 1/5/23 and completed on 1/12/23 the facility did not ensure that the resident is free from physical restraints for the 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 #122) of one resident reviewed there was no documentation identifying the medical symptom being treated and no signed physician's order for a trial of the seatbelt from 4/26/22 through 7/19/22. [...]

Inspectors wroteBased on observation, interview, and record reviews conducted during a Standard survey started on 1/5/2023 and completed on 1/12/23, the facility did not ensure that each resident who was unable to carry out Activities of Daily Living (ADL's) received the necessary services to maintain grooming and personal hygiene for two (Residents #48, #65) of four residents reviewed for ADLs. Specifically, there was lack of hand hygiene and glove changes in between fecal incontinence care and perineum (genital area) care. In addition, the CNAs (certified nursing assistants) touched objects (residents' clothing, lift sling, gym mat and pillowcases) while wearing the same gloves used to provide incontinence care.

Inspectors wroteBased on interview and record review conducted during a complaint investigation (Complaint #NY00245489) during the Standard survey completed on 3/12/20, the facility did not ensure that all alleged violations of abuse including injuries of unknown origin are reported immediately in accordance with State Law through established procedures. One (Resident #101) of two residents reviewed for abuse reporting had an issue. Specifically, the facility did not report an allegation of abuse to the New York State Department of Health (NYS DOH) within the 2-hour required time frame. The finding is: [...]