Woodside Manor Nursing Home Inc

Inspectors wroteBased on observations, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for one (1) of one (1) main kitchen, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, raw shell eggs and raw chicken were not stored in a sanitary manner to prevent cross contamination, temperature controlled for safety (potentially hazardous) foods were not hot-held for service at 140 degrees Fahrenheit ( ) or above, thermometers were not stored in a sanitary solution, there was a severely dented can of food, condensation was dripping onto a food container from a hole in a reach-in cooler, and food items were undated and unlabeled.

Inspectors wroteBased on observations, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for one (1) (Resident #48) of one (1) resident reviewed, the facility did not ensure the interdisciplinary team determined the Resident's right to self-administer medications was clinically appropriate. Specifically, Resident #48 was observed to have a bottle of antifungal powder at their bedside and the Resident stated they had been self-administering the medication. There were no medical orders in place for the powder, for the resident to self-administer or to keep medications at the bedside, and no comprehensive care plan was in place to address the self-administration of medications. This is evidenced by:Resident #48 had diagnoses including diabetes, chronic obstructive pulmonary disease (a disorder that restricts air flow in the lungs), and heart failure. [...]

Inspectors wroteBased on observation, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for two (2) (Residents #25 and #30) of two (2) residents reviewed, the facility did not ensure the residents' right to privacy and the confidentiality of their personal and medical records was maintained. Specifically, a computer stationed in a hallway by a resident's room was observed open, exposing Resident #25's personal and medical information, and there were no staff members present to secure the information for nine (9) minutes and a computer was observed open, exposing Resident #30's personal information and medication administration record and there were no staff members present to secure the information for several minutes.

Inspectors wroteBased on observations, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for one (1) (Residents #12) of one (1) resident reviewed, the facility did not ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene. Specifically, for multiple days, Resident #12 was observed with dark brown debris underneath their fingernails and was observed eating food with their hands. This is evidenced by the following:The facility policy Care of Finger and Toenails, dated October 2023, documented in part the purpose of this procedure is to clean the nail bed, keep nails trimmed, and prevent infections. Nail care is to be completed/offered on shower days and as needed. Nail care includes cleaning and regular trimming. [...]

Inspectors wroteBased on observations, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for one (1) (Resident #4) of one (1) resident reviewed, the facility did not ensure a resident with pressure ulcers received necessary treatment and services consistent with professional standards of practice to promote healing, prevent infection, and prevent new ulcers from developing. Specifically, a nurse was observed performing wound care to Resident #4's right heel pressure ulcer, did not follow the medical orders in place for the wound treatment, and did not change gloves or perform hand hygiene in between removing the old dressing and applying the new dressing. This is evidenced by: [...]

Inspectors wroteBased on observations, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for two (2) (Hallway A Medication Cart and Hallway B Medication Cart) of two (2) medication carts and one (1) of one (1) Medication Storage Room, the facility did not ensure all drugs and biologicals were stored in locked compartments in accordance with State and Federal laws and did not ensure an account of all controlled drugs was maintained. Specifically, medication carts were left unlocked and unattended on multiple occasions, medications stored on top of a medication cart were left unattended, and a narcotic log was missing several nurse signatures to verify the accuracy of the narcotic count at shift change.

Inspectors wroteBased on observations, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for one (1) (Resident #4) of two (2) residents reviewed, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, a nurse was observed removing an old dressing from a wound and applied a clean dressing without changing gloves. Additionally, staff was observed handling soiled and potentially contaminated laundry wearing gloves and no gown to protect clean laundry from potential contamination and themselves from potential exposure.

Inspectors wroteBased on observation, interview, and record review conducted during a Recertification Survey completed on 7/13/22, the facility did not ensure that for two (Resident #7 and Resident # 10) of two residents reviewed, each resident had the right to receive visitors of their choosing at the time of their choosing and in a manner that does not impose on other residents. Specifically, the facility had posted visiting hours, limited the number of visitors per resident, and required advanced scheduling of visitors. This is evidenced by the following: The Center for Medicare and Medicaid Services issued QSO-20-39 NH, revised on 3/10/22, documented facilities must allow indoor visitation at all times and for all residents as permitted under the regulations. [...]

Inspectors wroteBased on observations, interviews, and record reviews conducted during the Recertification Survey completed on 7/13/22, it was determined that for one (Resident #32) of five residents reviewed, the facility did not ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition. Specifically, Resident #32 did not receive the assistance with eating per their Comprehensive Care Plan (CCP). This is evidenced by the following: Resident #32 had diagnoses including vascular dementia, dysphagia, and left-hand arthritis. The Minimum Data Set Assessment, dated 6/15/22, documented that the resident had severely impaired cognition and required supervision and one-person physical assist for eating. [...]

Inspectors wroteBased on observations, interviews and record review conducted during the Recertification Survey completed on 7/13/22, it was determined that for one (Residents #7) of 37 residents reviewed for food allergies and one (Resident #15) of one resident reviewed for preferences, the facility did not ensure that food was provided that accommodated resident allergies, intolerances, and preferences. Specifically, Resident #7's lunch tray that was ready to be served prior to Surveyor intervention, contained seafood that Resident #7 had a noted allergy to, and Resident #15 was not care planned for or offered a diet specified by their religious preference.

Inspectors wroteBased on observations, interviews, and record reviews conducted during a Recertification Survey and complaint investigation (#NY00282014), completed on 7/13/22, it was determined that the facility did not establish and consistently maintain an infection control program designed to prevent the development and transmission of disease and infection. [...]

Inspectors wroteBased on observations and interviews conducted during a Recertification Survey completed on 7/13/22, it was determined that for one (first floor) of one resident use floors and one of one kitchen, the facility did not provide housekeeping and maintenance services necessary to maintain a safe, clean, comfortable and homelike environment. Specifically, an exhaust ventilation system was not working, ceiling tiles were damaged, a baseboard heater was dented, urine odors were consistently present in a shared bathroom, the interior of multiple hot liquid mugs were heavily stained, and a kitchen light fixture was lacking a cover.

Inspectors wroteBased on interviews and record reviews conducted during the Recertification Survey completed on 7/13/22, it was determined that for two (Resident #20 and Resident #3) of two residents reviewed, the facility did not ensure a written notification, which specifies the duration of the bed-hold policy, was provided to the resident and/or the resident representative at the time of transfer to the hospital. This is evidenced by the following: The undated facility 'Short-Term admission Agreement' form documented that the resident had the right to be fully informed, verbally and in writing, at the time of admission and again at the time of transfer from the facility for any reason, of the facility's bed hold/bed reservation policy. 1. Resident #20 had diagnoses including pancreatic cancer, Cerebral Vascular Accident (stroke), and gastral intestinal bleed. [...]

Inspectors wroteBased on observations, interviews, and record review conducted during a Recertification Survey, completed on 7/13/22, it was determined that the facility did not ensure that the daily posting of licensed and unlicensed nursing staff directly responsible for resident care was up to date and accurately reflected the required data at the beginning of each shift. Specifically, the facility staffing sheets were not updated daily and/or reflected changes in the schedule. This was evidenced by the following: Observation on 7/7/22 at 10:03 a.m., revealed that the posted nursing staffing sheet was dated 6/30/22. Observation on 7/12/22 at 11:08 a.m., revealed that the posted nursing staffing sheet was dated 7/11/22. [...]