Sky View Rehabilitation & Health Care Center L L C

Inspectors wroteBased on observations, interviews, and record review conducted during the recertification survey from 02/24/2026 to 03/03/2026, the facility did not ensure a safe, sanitary, homelike environment for residents. This was evident for two (2nd and 3rd Floor) of four resident units during observations of the environment. Specifically, 1) wheelchairs on the 2nd and 3rd Floors were observed soiled with an accumulation of dried and crusted food particles; 2) the 2nd floor had dusty fans, a stained feeding tube pump, and a dining room with stained window shades, sagging wallpaper, and damaged windowsills; and 3) the 3rd floor resident rooms and bathroom doors/walls were observed with dried rust-colored stains/scratches, peeled wall paper, chipped sheetrock, stained ceiling and a broken drawer handle.

Inspectors wroteBased on record review and interviews during the recertification survey 02/24/2026 to 03/03/2026, the facility did not ensure Certified Nurse Aide performance reviews were completed at least once every 12 months. Specifically, four (4) of five (5) Certified Nurse Aides (#1, #2, #3, #4) did not have a performance review documented at least once every 12 months.

Inspectors wroteBased on observations, interviews and record reviews conducted during the recertification survey from 02/24/2026 to 03/03/2026, the facility did not ensure residents had a right to a dignified dining experience for five (5) of eight (8) residents (Residents #33, #54, #57, #85 and #118) observed during dining. Specifically, Residents #57 and #85 were served lunch 20 minutes after tablemate, Resident #118; and Resident #33 was served lunch 17 minutes after tablemate, Resident #54.

Inspectors wroteBased on observation, interview, and record review during the recertification survey from 02/24/2026 to 03/03/2026, the facility did not ensure residents who required dialysis (a process that filters the blood for people in kidney failure) received such services consistent with professional standards of practice for one (1) of two (2) residents (Resident # 4), reviewed for dialysis. Specifically, Resident # 4 received hemodialysis treatments at a community- based dialysis center and the facility did not have on-going communication with the dialysis center including assessments and oversight before and after dialysis treatments. Additionally, the facility was unaware the dialysis center documented the resident was on a fluid restriction.

Inspectors wroteBased on observations interviews and record conducted during the recertification survey from 02/24/2026 to 03/03/2026, the facility did not ensure drugs and biologicals were maintained in accordance with currently accepted professional standards for storage. Specifically, Resident #128 had bottles of Aspirin, Tums, Tylenol and Vitamin B3 that were stored at their bedside. Findings Include:The Medication Storage policy dated 04/15/2018, documents the medication supply is accessible only to licensed nursing personnel, pharmacy personnel or staff members lawfully authorized to administer medications. Medications are stored at proper temperatures and locked at all times except when under the direct supervision of staff. Resident # 128 had diagnoses including hypertension, major depressive disorder and vitamin D deficiency. [...]

Inspectors wroteBased on record reviews and interviews conducted during an abbreviated survey (NY00382163/ 656232), the facility failed to ensure that each resident received adequate supervision/assistance to prevent accidents for one (1) of three (3) residents reviewed for accidents. Specifically, Resident #1 who required two (2) person assistance for bed mobility was provided one (1) staff assist by Certified Nurse Aide #10 which resulted in a fall from bed. Resident #1 sustained a fractured vertebra and head laceration. This resulted in actual harm for Resident #1 that was not Immediate Jeopardy. [...]

Inspectors wroteBased on observation, interview, and record review conducted during the recertification survey 10/26/2023 - 11/2/2023, the facility did not ensure that foods were stored, prepared, distributed, and served in accordance with professional standards for food service safety. Specifically, 1) Equipment used for food service preparation, storage, and service was not maintained in a sanitary condition, 2) 1 of 4 nourishment refrigerators contained expired and undated food, and 3) Food was contaminated by server/cook's ID tag during prep and this server did not perform hand hygiene between glove changes.

Inspectors wroteBased on observations, record review, and staff interviews during the recertification survey on 10/26/2023-11/2/2023, 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 one of four residents (Resident #158) reviewed for range of motion. Specifically, Resident #158 was not provided with bilateral hand splint device as ordered by the physician to improve the resident's contractures.

Inspectors wroteBased on observation, record review and interview conducted during a recertification survey the facility did not ensure that care was provided in a manner that maintained dignity for 3 of 4 residents (#27, #61,158). Specifically, residents' drainage bags were not concealed to prevent direct observation by others.

Inspectors wroteBased on observation, interview, and record review conducted during the most recent recertification survey, the facility did not ensure that 1 resident (Resident #211) reviewed for hydration was provided the necessary care to prevent dehydration and complications related to insufficient fluids. Specifically, the resident who was being treated for a urinary tract infection had ongoing inadequate food and fluid intake at meal times. Further, no measures were developed and implemented to supplement the resident's intake between meals and to monitor the resident's total daily fluid consumption.

Inspectors wroteBased on observations, interviews and record review conducted during the recent recertification survey, the facility did not ensure that emergency equipment was readily available for 1 of 2 residents screened for respiratory care. Specifically, a resident with a tracheostomy did not have an Ambu bag (a hand-held device that provides positive pressure to residents who are not breathing) at the bedside. (Resident #158).

Inspectors wroteBased on observation, interview and record review conducted during the recertification survey the facility did not ensure that drugs were stored under proper temperature controls. Specifically, one of four refrigerators had temperatures below the manufacturers' specifications for the drugs stored inside (36 degrees Fahrenheit).