Inspection Reports for Caton Park Rehabilitation and Nursing Center, LLC

The facility failed to report a serious injury involving Resident #1 within the required two-hour timeframe to the State Survey Agency. Resident #1 fell from bed during care on 07/28/2025, sustaining multiple fractures and a laceration, but the incident was not reported until 07/31/2025. The Director of Nursing acknowledged the delay was due to gathering more details before reporting.

Inspection revealed multiple standard health and life safety code citations related to care plan timing, resident assessments, accident hazards, infection control, fire drills, and vertical openings. All deficiencies were corrected by late September 2024.

The facility was found deficient in timely submission of resident assessments, updating comprehensive care plans especially related to fall prevention, ensuring assistive devices like floor mats were in place for fall risk residents, and maintaining proper infection control practices during medication administration for residents with gastrostomy tubes.

Complaint survey found deficiencies in pain management and professional standards of services provided, both corrected by May 2024.

The facility failed to ensure timely and appropriate assessment, treatment, and pain management for Resident #1, who sustained a hip fracture that was not promptly identified or managed. Documentation and communication deficiencies were noted among nursing staff and providers.

Inspection cited deficiency in maintaining an effective pest control program, corrected by September 2023.

Complaint # NY 00320109 triggered the abbreviated survey. The complaint was substantiated by observations of roaches in resident rooms and common areas.

The survey found evidence of roaches in resident rooms on two of five floors, indicating the facility did not maintain an effective pest control program despite weekly pest control services and documented treatments.

Multiple standard health and life safety code citations including care plan development, resident assessments, quality of care, reporting alleged violations, dental services, building construction, electrical systems, and exit signage. All corrected by late 2022.

The complaint investigation focused on allegations of abuse including injury of unknown origin, specifically regarding Resident #40's right shoulder dislocation not reported timely to NYSDOH.

The facility failed to timely report an injury of unknown origin to the NYSDOH, did not transmit Minimum Data Set assessments timely, failed to develop comprehensive care plans for certain residents, did not follow physician orders for IV line removal and blood sugar testing, and did not assist a resident in obtaining necessary dental surgery appointments.

Covid-19 survey cited deficiency in reporting to the national health safety network, widespread scope, not corrected at time of report.

Complaint survey cited a level 3 deficiency for free of accident hazards/supervision/devices causing actual harm, corrected by June 2022.

Complaint survey cited deficiencies in accident hazards and resident records identifiable information, both corrected by May 2022.

Covid-19 survey cited deficiency in reporting to the national health safety network, widespread scope, not corrected at time of report.

Covid-19 survey cited deficiency in reporting to the national health safety network, widespread scope, not corrected at time of report.

Covid-19 survey cited deficiency in reporting to the national health safety network, widespread scope, not corrected at time of report.

The facility failed to ensure that a resident (Resident #67) received services and treatment to prevent further decrease in range of motion, as the resident was observed multiple times without the prescribed hand roll device. Interviews with staff revealed lapses in device application and communication.