Inspection Reports for Seton Health at Schuyler Ridge Residential Healthcare
1 Abele Boulevard, NY, 12065
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
13.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
159% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
32
24
16
8
0
Inspection Report
Abbreviated Survey
Deficiencies: 8
Date: Mar 4, 2025
Visit Reason
The inspection was conducted as a recertification and abbreviated survey to assess compliance with regulatory requirements and investigate complaints and allegations of abuse and neglect.
Complaint Details
The complaint investigation involved allegations of verbal abuse and rough treatment by a Certified Nurse Aide to Resident #101, delayed reporting of the abuse to the State Department of Health, and failure to investigate the allegations thoroughly. The abuse was reported by the resident on 1/03/2025 but was not reported to the State until 1/06/2025. The facility failed to interview key staff and did not remove the accused aide from care promptly.
Findings
The facility was found deficient in multiple areas including failure to immediately notify physicians and representatives of significant changes in residents' conditions, failure to protect residents from abuse and neglect, inadequate investigations of abuse allegations, incomplete and non-comprehensive care plans, failure to provide treatment according to orders, and improper labeling and storage of medications.
Deficiencies (8)
Failure to immediately notify the resident's physician and representative of significant changes in condition for 2 residents.
Failure to protect residents from abuse and neglect, including failure to follow care plans and delayed reporting of abuse allegations.
Failure to timely report suspected abuse and neglect to proper authorities.
Failure to thoroughly investigate allegations of abuse.
Failure to develop and implement comprehensive person-centered care plans for residents, including care plans for abuse risk, hospice care, and wound care.
Failure to provide treatment and care according to orders, including unauthorized saltwater rinses and failure to notify healthcare provider of confirmed fracture.
Failure to maintain medical records accurately, including oxygen flow rate discrepancies and inaccurate documentation of fracture status.
Failure to ensure drugs and biologicals were labeled and stored in accordance with professional standards, including expired medications and missing expiration/open dates.
Report Facts
Residents reviewed for care plans: 24
Residents affected by care plan deficiencies: 8
Residents reviewed for abuse/neglect: 9
Residents affected by abuse/neglect deficiencies: 2
Medication carts reviewed: 3
Medication rooms reviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide #5 | Named in verbal abuse and rough treatment allegation involving Resident #101. | |
| Registered Nurse #5 | Supervisor on duty during alleged abuse incident; not interviewed during investigation. | |
| Social Worker #1 | Received abuse report from Resident #101 and involved in investigation. | |
| Assistant Director of Nursing #2 | Reviewed radiology report for Resident #112 and failed to notify healthcare provider. | |
| Director of Nursing #1 | Facility administrator involved in abuse reporting and investigation oversight. | |
| Registered Nurse Unit Manager #1 | Involved in care plan and splint application issues for Resident #22. |
Inspection Report
Annual Inspection
Deficiencies: 14
Date: Mar 4, 2025
Visit Reason
The inspection was a recertification survey conducted to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including resident dignity and rights, abuse prevention, care planning, communication, activities of daily living, accident prevention, respiratory care, medication management, food safety, hydration, dental care, and infection control.
Deficiencies (14)
Residents were not treated in a dignified manner; staff failed to knock before entering rooms, delayed meal assistance, and personal items were disturbed.
Residents were not protected from neglect; falls occurred without proper interventions and delayed care for fractures.
Assessments were not coordinated with the Pre-admission Screening and Resident Review (PASARR) program for a resident with a serious mental disorder.
Comprehensive person-centered care plans were not developed or implemented for multiple residents, including failure to address oxygen administration, splint use, hospice care, abuse risk, aggressive behavior, and wounds.
Comprehensive care plans were not reviewed and revised by interdisciplinary team based on changing resident needs, including failure to update oxygen therapy plan.
Dependent residents did not consistently receive appropriate communication aids or assistance with communication.
A resident was observed without morning care on multiple occasions despite care plan requirements.
A resident was left alone in the bathroom despite care plan and safety instructions requiring supervision.
Supplemental oxygen tubing was not dated or labeled when changed and oxygen was not administered as ordered for multiple residents.
A resident with gum pain was not assisted in obtaining emergency dental care and had not been seen by a dentist since 03/15/2023.
Residents on Saratoga Hills unit were not offered beverages of their preference during a lunch meal observation.
Food was not stored, prepared, distributed or served in accordance with professional standards; walls were damaged and kitchen equipment and tables were soiled.
Drugs and biologicals were not labeled or stored in accordance with professional standards; expired medications and unlabeled opened medications were found on medication carts and in medication rooms.
Infection prevention and control program was not properly implemented; staff failed to perform proper donning and doffing of personal protective equipment and infection control procedures during wound care.
Report Facts
Residents reviewed: 24
Residents reviewed for abuse/neglect: 7
Residents reviewed for care plans: 24
Residents reviewed for communication: 5
Residents reviewed for accident hazards: 10
Residents reviewed for oxygen administration: 3
Residents reviewed for dental services: 1
Residents reviewed for hydration: 5
Residents reviewed for food safety: 5
Medication carts reviewed: 3
Medication rooms reviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide #13 | Named in meal assistance and phone use deficiency | |
| Certified Nurse Aide #12 | Named in knocking on door deficiency | |
| Certified Nurse Aide #8 | Named in infection control and knocking on door deficiency | |
| Licensed Practical Nurse #7 | Named in knocking on door and infection control deficiency | |
| Registered Nurse Manager #4 | Named in knocking on door and phone use deficiency | |
| Certified Nurse Aide #6 | Named in neglect and fall injury deficiency | |
| Assistant Director of Nursing #2 | Named in neglect and fall injury deficiency | |
| Director of Nursing #1 | Named in neglect, oxygen administration, and medication management deficiencies | |
| Social Worker #1 | Named in PASARR screening deficiency | |
| Certified Nurse Aide #4 | Named in splint care deficiency | |
| Licensed Practical Nurse #1 | Named in splint care and communication deficiency | |
| Registered Nurse Unit Manager #1 | Named in splint care, communication, and bathroom supervision deficiencies | |
| Hospice Registered Nurse #1 | Named in hospice care deficiency | |
| Registered Nurse #101 | Named in abuse risk care plan deficiency | |
| Certified Nurse Aide #5 | Named in abuse allegation deficiency | |
| Certified Nurse Aide #1 | Named in bathroom supervision deficiency | |
| Licensed Practical Nurse #2 | Named in bathroom supervision deficiency | |
| Executive Chef #1 | Named in food safety deficiency | |
| Licensed Practical Nurse #3 | Named in oxygen administration and medication management deficiencies | |
| Certified Nurse Aide #2 | Named in oxygen administration deficiency | |
| Nurse Educator #1 | Named in infection control deficiency | |
| Licensed Practical Nurse #6 | Named in infection control deficiency | |
| Nurse Practitioner #1 | Named in infection control deficiency |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 30
Date: Mar 4, 2025
Visit Reason
Multiple Level 2 deficiencies related to quality of care and life safety code were identified and corrected.
Findings
Multiple Level 2 deficiencies related to quality of care and life safety code were identified and corrected.
Deficiencies (30)
Activities daily living (adls)/mntn abilities
ADL care provided for dependent residents
Care plan timing and revision
Coordination of pasarr and assessments
Develop/implement comprehensive care plan
Drinks avail to meet needs/prefs/hydration
Food procurement,store/prepare/serve-sanitary
Free from abuse and neglect
Free of accident hazards/supervision/devices
Infection prevention & control
Investigate/prevent/correct alleged violation
Label/store drugs and biologicals
Notify of changes (injury/decline/room, etc. )
Quality of care
Reporting of alleged violations
Resident records - identifiable information
Resident rights/exercise of rights
Respiratory/tracheostomy care and suctioning
Routine/emergency dental srvcs in snfs
Corridor - doors
Egress doors
Elevators
Ep program patient population
Ep training program
Fire alarm system - testing and maintenance
Illumination of means of egress
Means of egress - general
Plan based on all hazards risk assessment
Portable fire extinguishers
Sprinkler system - maintenance and testing
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Aug 28, 2024
Visit Reason
One Level 2 life safety code deficiency related to discharge from exits was identified and corrected.
Findings
One Level 2 life safety code deficiency related to discharge from exits was identified and corrected.
Deficiencies (1)
Discharge from exits
Inspection Report
Abbreviated Survey
Deficiencies: 3
Date: Aug 4, 2023
Visit Reason
The inspection was conducted as an abbreviated survey to investigate allegations of abuse, neglect, and mistreatment involving several residents at the facility.
Complaint Details
The visit was complaint-related, investigating allegations of abuse, neglect, and mistreatment involving CNA #1 and residents #1, #2, #4, #5, and #7. The Director of Nursing substantiated the abuse after investigation.
Findings
The facility failed to protect residents from abuse, neglect, and mistreatment by a Certified Nurse Aide (CNA #1) involving multiple residents. The facility also failed to timely report these allegations to the state authorities and did not appropriately suspend the CNA during the investigation.
Deficiencies (3)
Failure to protect residents from all types of abuse including physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Failure to timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities within 2 hours.
Failure to respond appropriately to all alleged violations by not suspending the alleged perpetrator during the investigation.
Report Facts
Residents reviewed for abuse: 14
Residents affected: 5
Dates CNA #1 worked: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nurse Aide | Named in multiple abuse, neglect, and mistreatment findings involving residents |
| Director of Nursing | Director of Nursing (DON) | Interviewed and substantiated abuse; responsible for suspension decisions |
| Registered Nurse Manager #1 | Registered Nurse Manager (RNM) | Interviewed regarding abuse allegations and CNA behavior |
| Social Worker #1 | Social Worker (SW) | Received resident statements regarding abuse and mistreatment |
| LPN #2 | Licensed Practical Nurse | Emailed RNM about resident's fear of retaliation |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 3
Date: Aug 4, 2023
Visit Reason
Multiple Level 2 standard health deficiencies related to abuse, investigation, and reporting were identified and corrected.
Findings
Multiple Level 2 standard health deficiencies related to abuse, investigation, and reporting were identified and corrected.
Deficiencies (3)
Free from abuse and neglect
Investigate/prevent/correct alleged violation
Reporting of alleged violations
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Aug 2, 2022
Visit Reason
One Level 2 standard health deficiency related to reporting to the national health safety network was identified; correction status unclear.
Findings
One Level 2 standard health deficiency related to reporting to the national health safety network was identified; correction status unclear.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jul 25, 2022
Visit Reason
One Level 2 standard health deficiency related to reporting to the national health safety network was identified; correction status unclear.
Findings
One Level 2 standard health deficiency related to reporting to the national health safety network was identified; correction status unclear.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jul 7, 2022
Visit Reason
The inspection was conducted as a standard annual survey of Seton Health at Schuyler Ridge Residential Health Care facility to assess compliance with health regulations.
Findings
No health deficiencies were found during the inspection, indicating the facility met the required health standards at the time of the survey.
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 2
Date: Jul 7, 2022
Visit Reason
Level 2 deficiencies in infection control and smoking regulations were identified and corrected.
Findings
Level 2 deficiencies in infection control and smoking regulations were identified and corrected.
Deficiencies (2)
Infection control
Smoking regulations
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 17, 2022
Visit Reason
One Level 2 standard health deficiency related to reporting to the national health safety network was identified; correction status unclear.
Findings
One Level 2 standard health deficiency related to reporting to the national health safety network was identified; correction status unclear.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Dec 31, 2019
Visit Reason
The inspection was conducted as a recertification survey to assess compliance with regulatory requirements related to resident discharge notifications and bed hold policies.
Findings
The facility failed to provide timely written notification to residents and their representatives regarding transfers or discharges to hospitals, including appeal rights, and failed to notify them in writing about the bed hold and return policy. These deficiencies affected two of three residents reviewed and were attributed to a lapse in reassignment of responsibilities after staff turnover.
Deficiencies (2)
Failure to provide timely notification to residents and representatives before transfer or discharge, including appeal rights.
Failure to notify residents or representatives in writing about how long the nursing home will hold the resident's bed in cases of transfer to a hospital or therapeutic leave.
Report Facts
Residents reviewed for hospitalization: 3
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Unit Secretary #2 | Stated not providing written notice of transfer/discharge or bed hold policy to residents or representatives | |
| Social Worker #1 | Social Worker | Stated Social Work Department was not responsible for providing written notices; responsibility lies with Admissions Department |
| Director of Nursing | Director of Nursing (DON) | Stated written notices of discharge and bed hold policy had not been provided since June 2019 due to lack of reassignment after Admissions Coordinator retired |
Viewing
Loading inspection reports...
