Ontario Center For Rehabilitation And Healthcare
Ontario Center for Rehabilitation and Healthcare in Canandaigua, NY — inspection on January 31, 2025.
Found 7 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
F-F550.
Residents #8 and #350 did not receive timely emptying of their urinal (container used to urinate in) causing urine to spill on the resident or having to empty the contents out a window in order to urinate. Resident #28 did not receive timely incontinence care and had not received a shower in four weeks. Resident #48 was observed on multiple occasions soaked through their incontinence brief, pad, and sheets.
This resulted in psychosocial harm to Resident #8, #28, and #48 that is not Immediate Jeopardy.
Sufficient Nursing Staffing - Refer to citation
F-F585.
Residents #88 and #350 did not have thorough investigations of their grievances and in some cases no follow up was provided.
There was no evidence that the facility ruled out abuse or neglect.
Resident Call System - Refer to citation text under
F-F600.
335564
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 335564 B.
Wing 01/31/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Ontario Center for Rehabilitation and Healthcare 3062 County Complex Drive Canandaigua, NY 14424
F-F677.
Residents #28 and #48 did not receive incontinence care for extended periods of time (up to 13 hours) and Resident #65 was not assisted to the bathroom for hours causing the resident to be left incontinent for an extended period of time.
Grievances - Refer to citation
Review of the Facility Assessment, revised 01/03/2025, revealed the facility was licensed for 98 beds with an average daily census of 94 residents.
Resident care and services included, but were not limited to, assistance with daily living, bowel and bladder care, and monitoring of skin integrity.
The facility's minimum staffing pattern listed five Certified Nursing Assistants total for day shift, four for evening shift and two for night shift.
The minimum staffing pattern listed two Licensed Nurses (Registered Nurse and/or Licensed Practical Nurse) for day shift, one and a half for evening shift and one for night shift.
The facility's staffing plan did not list a direct care staff (Certified Nursing Assistant) to resident ratio.
During entrance conference on 01/21/2025 at 9:23 AM, with the Facility Administrator and Corporate Administrator, it was reported that the facility census was 95 residents.
Observations and interviews on 01/21/2025 on the second-floor resident unit (census of 46) included:
-At 9:18 AM, Registered Nurse Manager #1 said there were only two Certified Nursing Assistants on the unit because the facility had nine call ins for the shift.
-At 10:25 AM, Resident #65 was in bed with several days of beard growth and stringy, greasy hair. Resident #65 stated showers were hit or miss and they had gone two to three weeks without a shower. Resident #65 stated no one had been in to help them yet that morning and they had last received care at 5:00 AM. Resident #65's brief was saturated and a strong odor of urine present. Resident #65 stated they knew when they needed to go to the bathroom but could not get help to the bathroom so they wore an incontinence brief and would have to wait to get cleaned up.
-At 11:16 AM, Resident #350 said neither a nurse nor a Certified Nursing Assistant had come in to help them yet today, and therapy said they could not go to therapy because they were not ready. Resident #350 said there was not enough staff to help, and they have had to wait hours for care (assistance with incontinence care, dressing changes to their wounds and help with emptying their urinal).
335564
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 335564 B.
Wing 01/31/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Ontario Center for Rehabilitation and Healthcare 3062 County Complex Drive Canandaigua, NY 14424
F-F725.
There were multiple observations of residents incontinent of bladder or bowel for extended periods of time, several residents who reported going weeks without showers and were observed unkept with unclean hair.
Interviews with multiple staff including the Director of Nursing stated they did not have enough staff to provide timely incontinence care, showers, or treatments and that they have asked the Administrator for more staff.
Activities of Daily Living Care Provided for Dependent Residents - Refer to citation
During an interview on 01/31/2025 at 2:25 PM, the Administrator stated the facility's Quality Assurance and Performance Improvement committee were aware of concerns related to care not being provided (incontinence care, showers, and grooming), dressing changes not being done, and sufficient staffing.
10 NYCRR 415.26
335564
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 335564 B.
Wing 01/31/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Ontario Center for Rehabilitation and Healthcare 3062 County Complex Drive Canandaigua, NY 14424