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Complaint Investigation

Pontiac Nursing Home

September 12, 2025 · Oswego, NY · 303 East River Road
Citations 12
CMS Rating 3/5
Beds 80
Provider ID 335590
Healthcare Facility
Pontiac Nursing Home
Oswego, NY  ·  View full profile →
Inspection Summary

PONTIAC NURSING HOME in OSWEGO, NY — inspection on September 12, 2025.

Found 12 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.

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Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited PONTIAC NURSING HOME in OSWEGO, NY for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-09-12.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PONTIAC NURSING HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-29.

Federal health inspectors cited PONTIAC NURSING HOME in OSWEGO, NY for a deficiency under regulatory tag F-F0638 during a standard health inspection conducted on 2025-09-12.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Assure that each resident’s assessment is updated at least once every 3 months.

Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PONTIAC NURSING HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-29.

Federal health inspectors cited PONTIAC NURSING HOME in OSWEGO, NY for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-09-12.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PONTIAC NURSING HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-29.

Federal health inspectors cited PONTIAC NURSING HOME in OSWEGO, NY for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-09-12.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PONTIAC NURSING HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-29.

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Federal health inspectors cited PONTIAC NURSING HOME in OSWEGO, NY for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-09-12.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PONTIAC NURSING HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-29.

Federal health inspectors cited PONTIAC NURSING HOME in OSWEGO, NY for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-09-12.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PONTIAC NURSING HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-29.

Federal health inspectors cited PONTIAC NURSING HOME in OSWEGO, NY for a deficiency under regulatory tag F-F0692 during a standard health inspection conducted on 2025-09-12.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide enough food/fluids to maintain a resident's health.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PONTIAC NURSING HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-29.

Federal health inspectors cited PONTIAC NURSING HOME in OSWEGO, NY for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-09-12.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PONTIAC NURSING HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-29.

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Federal health inspectors cited PONTIAC NURSING HOME in OSWEGO, NY for a deficiency under regulatory tag F-F0804 during a standard health inspection conducted on 2025-09-12.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PONTIAC NURSING HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-29.

During an observation on 9/10/2025 at 2:10 PM, the fourth bay of the steam table was on, and the indicator light was illuminated.

During an interview on 9/10/25 at 3:22 PM, the Food Service Director stated food service staff should not have used the steam table for service if it wasn't turned on.

Staff were supposed to turn it on about 30-minutes before service so they could ensure it was hot and ready during service.

They stated all hot foods should have been maintained at or above 140 degrees Fahrenheit during meal service.

They stated it was important the temperature of the food was maintained during service to prevent the growth of bacteria and to prevent food borne illness.

Unsanitary conditions:During an observation on 9/8/2025 at 6:30 PM, the walk-in cooler had some white spills (both liquid and dried) on the floor below the milk shelving. On 9/9/2025 at 12:58 PM, the walk-in cooler had a significant amount of liquid milk spilled beneath the shelving that was tracked across the cooler floor and again on 9/10/2025 at 11:30 AM.

During an observation and interview on 9/9/2025 at 11:14 AM, the second-floor nourishments room contained a pitcher of brown stagnant water located in the cupboard beneath the sink.

There was a leak in the plumbing and dried puddle of brown liquid present within the cupboard and a hole through the back wall. A brown stained bed sheet was also balled up under the sink.

Food debris and spills were present under the sink and around the refrigerator.

The Environmental Services Director stated they were not aware of the leak and staff should have notified them so they could have cleaned and repaired the area.

During an interview on 9/10/2025 at 11:35 AM, the Food Service Director stated the walk-in cooler was cleaned as needed.

They stated they have had a problem with the milk leaking and that stained the floor beneath the shelving.

They stated staff mopped that when it leaked, and they were not aware that puddles of milk were observed on the floor of the cooler for three days of survey.

They stated the nourishment rooms should have been clean, the leaking sink, hole in the wall, and food debris provided food, water and potential harborage for pests.

The Food Service Director stated the kitchen and nourishment storage areas should have been clean, with smooth and easily cleanable surfaces, without leaks and spills, so they could provide a better-quality food environment for the residents. 10NYCRR 415.14(h)

Facility ID:

Federal health inspectors cited PONTIAC NURSING HOME in OSWEGO, NY for a deficiency under regulatory tag F-F0840 during a standard health inspection conducted on 2025-09-12.

Category: Administration Deficiencies

The facility was found deficient in the following area: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PONTIAC NURSING HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-29.

Federal health inspectors cited PONTIAC NURSING HOME in OSWEGO, NY for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-12.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of PONTIAC NURSING HOME.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-29.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in OSWEGO, NY, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PONTIAC NURSING HOME or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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