HOOSICK FALLS, NY — Federal health inspectors found deficiencies in catheter care and continence management at The Center for Nursing and Rehab at Hoosick Falls following a complaint investigation completed on November 26, 2025. The facility has not submitted a correction plan, leaving questions about how and when the identified problems will be addressed.
Complaint Investigation Reveals Continence and Catheter Care Deficiencies
The inspection, triggered by a formal complaint, resulted in two deficiency citations for the Hoosick Falls facility. The most notable citation fell under federal regulatory tag F0690, which requires nursing homes to provide appropriate care for residents who are continent or incontinent of bowel and bladder, deliver proper catheter care, and take appropriate steps to prevent urinary tract infections.
Inspectors classified the deficiency at Scope/Severity Level D, indicating an isolated incident where no actual harm was documented but where there was potential for more than minimal harm to residents. While Level D represents the lower end of the federal severity scale, the underlying care issues carry meaningful clinical risks — particularly for elderly residents who rely on catheter management or continence support.
Why Catheter and Continence Care Standards Exist
Urinary catheter management is one of the most closely monitored areas in nursing home oversight for good reason. Catheter-associated urinary tract infections (CAUTIs) are among the most common healthcare-associated infections in long-term care settings. For elderly residents, a urinary tract infection can escalate rapidly, potentially leading to sepsis, hospitalization, and in severe cases, death.
Proper catheter care protocols include regular assessment of whether a catheter is still medically necessary, sterile insertion and maintenance procedures, adequate hygiene around the catheter site, and timely removal when the device is no longer needed. Every additional day a catheter remains in place increases infection risk.
For residents managing incontinence without catheters, federal standards require individualized toileting schedules, appropriate use of absorbent products, skin integrity monitoring, and prompt cleaning after episodes to prevent skin breakdown and infection. Prolonged exposure to moisture from incontinence is a documented risk factor for pressure injuries, which can develop quickly in residents with limited mobility.
No Correction Plan on File
Perhaps the most concerning aspect of the inspection outcome is that the facility has not filed a plan of correction. Under federal regulations, nursing homes that receive deficiency citations are typically required to submit a detailed correction plan outlining what steps they will take to address the problems, a timeline for implementation, and how they will prevent recurrence.
The absence of a correction plan means there is no documented commitment from the facility to resolve the catheter care and continence management issues identified by inspectors. State and federal regulators may pursue additional enforcement actions if a plan is not submitted within required timeframes, potentially including fines or other penalties.
What a Proper Response Looks Like
When nursing homes receive citations related to catheter and continence care, standard corrective measures typically include retraining nursing staff on catheter insertion, maintenance, and removal protocols; reviewing all current catheter orders to determine medical necessity; implementing or updating individualized continence care plans for affected residents; and establishing auditing systems to monitor compliance going forward.
Facility Background
The Center for Nursing and Rehab at Hoosick Falls is a nursing care facility located in the village of Hoosick Falls in Rensselaer County, New York. The two deficiencies cited during this investigation place the facility under increased regulatory scrutiny as officials monitor whether corrective action is taken.
Residents and families with concerns about care quality at any nursing home can file complaints with the New York State Department of Health or contact the Long Term Care Ombudsman Program, which advocates on behalf of nursing home residents.
The full inspection report, including detailed findings for both deficiency citations, is available through the Centers for Medicare & Medicaid Services (CMS) Care Compare database at medicare.gov/care-compare.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Center For Nursing and Rehab At Hoosick Falls from 2025-11-26 including all violations, facility responses, and corrective action plans.
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