Wyoming County Community Hospitals SNF

Inspectors wroteBased on observation, interview, and record review conducted during survey the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice and the comprehensive centered care plan for one (Resident #33) of three residents reviewed. Specifically, a treatment recommendation was made on 04/29/2026 by the Wound Consultant and was not implemented until 06/10/2026 for a resident with an open sheering wound (deep tissues skin damage, internal force where bones and deep tissues move in one direction while skin or external surfaces move in the other, stretching and cutting off blood supply).

Inspectors wroteBased on observation, interview, and record review conducted during the survey, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, to help prevent the development and transmission of communicable diseases and infection for one (Resident #33) of four residents observed for Enhanced Barrier Precautions (an infection control intervention designed to reduce transmission of multidrug-resistant organisms) and one (Resident #41) of five residents reviewed for infection control during medication administration. Specifically, Enhanced Barrier Precautions were not initiated for Resident #33 who had a chronic open wound to their right buttock and staff did not wear appropriate personal protective equipment while providing wound care. [...]

Inspectors wroteBased on interview and record review conducted during a Complaint investigation (#NY00325918) during a Standard survey completed on 3/1/24, the facility did not ensure that a resident has the right to refuse treatment for one (Resident #114) of two residents reviewed for choices. Specifically, Resident #114's Health Care Proxy did not give consent for an influenza vaccine, and the resident received it. The finding is: Review of the policy and procedure titled Influenza and Pneumococcal Vaccination dated 6/28/21 revealed that all residents having capacity to make health care decisions, and all legal representatives of residents lacking capacity to make health care decisions will be educated regarding the risks and benefits of receiving these vaccinations utilizing the What You Need to Know vaccine information sheets from the CDC. [...]

Inspectors wroteBased on observation, interview, and record review conducted during a Standard survey completed on 3/1/24, the facility did not ensure that each resident who was unable to carry out activities of daily living received the necessary services to maintain grooming and personal hygiene for two (Residents #22 and #88) of four residents reviewed. Specifically, Resident #22 had thick dark debris under their fingernails and was observed on multiple occasions to eat their meals with their fingers; Resident #88 had long, jagged fingernails with dark debris underneath. Additionally, staff did not provide nail care for Resident #88 when they requested it.

Inspectors wroteBased on observation, interview, and record review conducted during a Standard survey completed on 3/1/24, the facility did not ensure that appropriate treatment and services were provided to prevent urinary tract infection (UTI) for a resident with a suprapubic urinary catheter (a tube inserted into the bladder, through the abdomen, to drain urine) for one (Resident #40) of one resident reviewed. Specifically, Resident #40 had a history of urinary tract infections and was observed on several occasions with the urinary catheter drainage bag, catheter drainage port, and catheter tubing lying directly on the floor in the resident's room. The finding is: [...]

Inspectors wroteBased on observation, interview, and record review conducted during the Standard survey completed 3/1/24, the facility did not ensure residents were assessed for risk of entrapment from bed rails prior to installation, review the risks and benefits of bed rails with the resident or resident representative, and obtained informed consent prior to the installation of bed rails for two (Resident # 88, and #100) of two residents reviewed for bed rails. Specifically, Residents #88 and #100 were not assessed for risk of entrapment from bed rails, there was no documented evidence the risks and benefits of bed rails were reviewed and that consents were obtained prior to bed rail use.

Inspectors wroteBased on interview and record review during the Standard survey completed on 3/11/22, 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 16 (one Agency Registered Nurse (RN#4), seven Agency Licensed Practical Nurses (LPNs #4, 8, 9,10,11,12,13), and eight Agency Certified Nurse Aides (CNAs #7,8,9,10,11,12,13,14,15) of 16 agency employees that worked in the facility 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 first date worked at the facility. The finding is: [...]

Inspectors wroteBased on interview and record review conducted during the Standard survey (Complaint #NY00283011), completed on 3/11/22, the facility did not ensure that all alleged violations involving abuse, neglect, or mistreatment are reported immediately, but not later than 2-hours after the allegation if the events that cause the allegation involve abuse or result in serious bodily injury to other officials (including to the State Survey Agency) for two (Resident #102 and Resident #39) of two residents reviewed for abuse. Specifically, the facility did not report an allegation of sexual abuse between Resident #102 and Resident #39 on 9/9/21 at 11:30 PM to the New York State Department of Health (NYS DOH) as required.

Inspectors wroteBased on observation, interview, and record review during the Standard survey completed on 3/11/22, the facility did not ensure that a resident with limited range of motion receives appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion. Specifically, one (Resident # 37) of one resident observed for position/ mobility did not have their feet supported by the foot plate of the chair, or a positioning device, while sitting in a broda (positioning chair that prevents skin breakdown) chair and the resident had a decline in measurements/ range of motion (ROM). The finding is: Facility policy and procedure titled Therapy Consults dated 10/2012 documented a guideline for therapy consult would include wheelchair positioning and/or questions regarding whether the wheelchair is properly fitted to the resident. [...]