Schenectady Center For Rehabilitation And Nursing
SCHENECTADY CENTER FOR REHABILITATION AND NURSING in SCHENECTADY, NY — inspection on August 19, 2025.
Found 15 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
Federal health inspectors cited SCHENECTADY CENTER FOR REHABILITATION AND NURSING in SCHENECTADY, NY for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-08-19.
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 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 15 deficiencies cited during this inspection of SCHENECTADY CENTER FOR REHABILITATION AND NURSING.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-09-29.
During an interview on 8/18/2025 at 12:23 PM, Director of Nursing #1(one) stated they assumed if a resident that required tube feeding was admitted to the facility in the afternoon, an order for their tube feeding would be put into the electronic medical record and it would be initiated at the time indicated on the order.
They stated they would expect to see the tube feeding initiated within an hour of admission. If a resident's continuous tube feed order was not initiated until the next day, they would expect the provider to be notified so the provider could advise them what to do.
Director of Nursing #1(one) stated Resident #253 had an order for tube feedings that were initiated on 6/24/2025.
They said it should have been started before 6/24/2025.
During an interview on 8/18/2025 at 2:31 PM Medical Director #1(one) stated when a resident was on a continuous tube feeding, it was ideal to start the tube feeding when it was due and available. If a tube feeding was not administered until the day after a resident requiring tube feeding was admitted , they would look at what would be the ‘consequences, what would be the ill-effect if it was not available until the morning'.
They stated it was not ideal that the tube feeding was not started until 10:00 AM on 6/24/2025, but it was acceptable.
They stated they should have been notified the tube feeding was not started on 6/23/2025, but they could not remember if they were notified.
During an interview on 8/19/2025 at 11:03 AM, Licensed Practical Nurse # 7(seven) stated newly admitted residents were assessed by a Registered Nurse shortly after they arrived at the facility, not the next day. If a new resident arrived at the facility at 8:00 PM, a Registered Nurse working the overnight shift would complete the assessment.
After the assessment, the provider was contacted, and orders were reviewed with them.
The diet order, which included tube feedings, was written the day the resident was admitted to the facility.
Unless there was an order for the tube feeding to be held, it should be started the same day the resident was admitted to the facility.
During an interview on 8/19/2025 at 11:16 AM, Licensed Practical Nurse #1(one) stated when a resident was admitted to the facility, a Registered Nurse completed an admission assessment.
The orders for the resident were reviewed with the on-call provider, approved and entered into the electronic medical record.
The Registered Nurse should document the orders were reviewed with the provider, and if there were any changes to the orders, they should be put in the note as well.
Licensed Practical Nurse #1(one) did not recall Resident #253 and stated they were in a training the day they were admitted to the facility.
They did not know why the orders for the tube feeding for Resident #253 were not initiated on 6/23/2025, the date Resident #253 was admitted to the facility.New York Codes, Rules, and Regulations Title 10 S415.4(b)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/19/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Schenectady Center for Rehabilitation and Nursing
526 Altamont Ave Schenectady, NY 12303
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited SCHENECTADY CENTER FOR REHABILITATION AND NURSING in SCHENECTADY, NY for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2025-08-19.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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 15 deficiencies cited during this inspection of SCHENECTADY CENTER FOR REHABILITATION AND NURSING.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-09-29.
Federal health inspectors cited SCHENECTADY CENTER FOR REHABILITATION AND NURSING in SCHENECTADY, NY for a deficiency under regulatory tag F-F0645 during a standard health inspection conducted on 2025-08-19.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: PASARR screening for Mental disorders or Intellectual Disabilities
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 15 deficiencies cited during this inspection of SCHENECTADY CENTER FOR REHABILITATION AND NURSING.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-09-29.
Federal health inspectors cited SCHENECTADY CENTER FOR REHABILITATION AND NURSING in SCHENECTADY, NY for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-19.
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 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 15 deficiencies cited during this inspection of SCHENECTADY CENTER FOR REHABILITATION AND NURSING.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-09-29.
During April 2025, there was no documented evidence that Resident #250 received toileting care on 4/01/2025 day shift (6:30 AM to 2:30 PM), 4/09/2025 night shift, 4/10/2025 day shift, 4/11/2025 day and evening shift, 4/13/2025 evening shift, 4/17/2025 day shift, 4/22/2025 day shift, 4/25/2025 evening shift, 4/26/2025 night shift, 4/28/2025 day shift, 4/29/2025 day shift, and 4/30/2025 night shift.
During an interview on 8/12/2025 at 3:49 PM, Certified Nurse Aide #5(five) stated that many of the residents on their assignment are on a toileting schedule of every 2 to 4 hours because it is a rehabilitation unit.
They assisted one resident at a time, going from one to the next.
Certified Nurse Aide #5(five) stated they usually completed their documentation after the first round, after dinner. and then after the last round.
When asked if they're ever short-handed, Certified Nurse Aide #5(five) said, We'll, yeah.
They stated there was only one occasion where they did not have time to document after a morning when it was really busy.
During an interview on 8/14/2025 at 11:48 AM, Certified Nurse Aide #6(six) stated that when they come into work, they assist the residents who get up first.
They stated they completed the check and changes after breakfast trays were picked up, and then again after lunch.
They provided frequent checks.
Certified Nurse Aide #6(six) stated the residents probably did not urinate every 2 hours.
They would frequently go around and ask residents if they needed anything.
During an interview on 8/18/2025 at 12:25 PM, Director of Nursing #1(one) reviewed Resident #250's Documentation Survey Report for July 2025.
For the dates/times where there was no recorded documentation or a blank space, they stated if it was not documented, then it was not done.
They stated it was probably done, but was not documented.
They have had some issues with documentation, and reviewed documentation every day.
New York Codes, Rules, and Regulations Title 10 S415.12(a)(3)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/19/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Schenectady Center for Rehabilitation and Nursing
526 Altamont Ave Schenectady, NY 12303
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited SCHENECTADY CENTER FOR REHABILITATION AND NURSING in SCHENECTADY, NY for a deficiency under regulatory tag F-F0679 during a standard health inspection conducted on 2025-08-19.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide activities to meet all resident's needs.
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 15 deficiencies cited during this inspection of SCHENECTADY CENTER FOR REHABILITATION AND NURSING.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-09-29.
During an interview on 8/18/2025, Director of Nursing #1(one) stated weights of residents were obtained upon admission/readmission to facility, weekly, and with dietary recommendations.
They stated that weekly weights for Resident #146 as ordered by the physician were not completed. Resident #157? Resident #157 was admitted to the facility with the diagnoses of nondisplaced fracture of first cervical vertebra (a break in a neck bone where the pieces remain in the normal anatomical position), fracture of manubrium (a break in the upper part of the sternum), and fracture of fourth lumbar vertebra (a break in the spine in the lower back).
The Minimum Data Set (an assessment tool) dated 8/5/2025 documented the resident could understand others, was understood by others, and was severely cognitively impaired.?? The policy and procedure titled Appliances - Sprints, Braces, Slings last revised 4/2019, stated skin integrity should be checked.? The policy and procedure titled Skin and Pressure Injury Prevention last revised 6/27/2024, stated for residents with a removable medical device, the skin should be monitored for potential pressure injury development.? During an observation on 8/7/2025 at 11:43 AM, Resident #157 was noted to be wearing a Miami J collar (a brace used to support neck bones and ligaments and reduce any movement that may cause further damage to the cervical spine).?? The Physician's Order dated 7/29/2025 documented Miami J collar (a brace used to support neck bones and ligaments and reduce any movement that may cause further damage to the cervical spine) on at all times every shift.?? A review of the Medication Administration Record and Treatment Administration Record for July 2025 and August 2025 did not show documentation to check the skin integrity under the Miami J collar (a brace used to support neck bones and ligaments and reduce any movement that may cause further damage to the cervical spine).???????
During an interview on 8/18/2025 at 1:17 PM, Director of Nursing #1(one) stated there should be an order to check the skin under the Miami J collar (a brace used to support neck bones and ligaments and reduce any movement that may cause further damage to the cervical spine) and did not know why there was not an order for this before 8/15/2025.??
Facility ID:
Federal health inspectors cited SCHENECTADY CENTER FOR REHABILITATION AND NURSING in SCHENECTADY, NY for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-08-19.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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 15 deficiencies cited during this inspection of SCHENECTADY CENTER FOR REHABILITATION AND NURSING.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-09-29.
Federal health inspectors cited SCHENECTADY CENTER FOR REHABILITATION AND NURSING in SCHENECTADY, NY for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-08-19.
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 15 deficiencies cited during this inspection of SCHENECTADY CENTER FOR REHABILITATION AND NURSING.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-09-29.
Federal health inspectors cited SCHENECTADY CENTER FOR REHABILITATION AND NURSING in SCHENECTADY, NY for a deficiency under regulatory tag F-F0725 during a standard health inspection conducted on 2025-08-19.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Scope/Severity Level F: widespread, 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 15 deficiencies cited during this inspection of SCHENECTADY CENTER FOR REHABILITATION AND NURSING.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-09-29.
Federal health inspectors cited SCHENECTADY CENTER FOR REHABILITATION AND NURSING in SCHENECTADY, NY for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-08-19.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Scope/Severity Level F: widespread, 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 15 deficiencies cited during this inspection of SCHENECTADY CENTER FOR REHABILITATION AND NURSING.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-09-29.
Federal health inspectors cited SCHENECTADY CENTER FOR REHABILITATION AND NURSING in SCHENECTADY, NY for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-08-19.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Scope/Severity Level F: widespread, 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 15 deficiencies cited during this inspection of SCHENECTADY CENTER FOR REHABILITATION AND NURSING.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-09-29.
Federal health inspectors cited SCHENECTADY CENTER FOR REHABILITATION AND NURSING in SCHENECTADY, NY for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-19.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level F: widespread, 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 15 deficiencies cited during this inspection of SCHENECTADY CENTER FOR REHABILITATION AND NURSING.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-09-29.
Federal health inspectors cited SCHENECTADY CENTER FOR REHABILITATION AND NURSING in SCHENECTADY, NY for a deficiency under regulatory tag F-F0804 during a standard health inspection conducted on 2025-08-19.
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 F: widespread, 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 15 deficiencies cited during this inspection of SCHENECTADY CENTER FOR REHABILITATION AND NURSING.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-09-29.