Elderwood At Ticonderoga
ELDERWOOD AT TICONDEROGA in TICONDEROGA, NY — inspection on August 20, 2025.
Found 2 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
Licensed Practical Nurse #1 was told by night nurse the catheter was not being replaced because there was no order, and they thought it should not be replaced due to the trauma caused by resident pulling it out with balloon inflated.
They stated they were not aware the physician was not called.
They would have called the on-call provider if resident had pulled the catheter out on their shift.Registered Nurse #4 was the nurse responsible for the care of Resident #1 at the time of the incident. On 8/05 2025 at 1:50 PM and 8/06/2025 at 11:50 AM, attempts to contact Registered Nurse #4 were unsuccessful.On 8/05/2025 at 3:52 PM, attempt to contact Medical Provider #1 was unsuccessful. 10 New York Codes Rule Regulations 415.3(e)(2)(ii)(b)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Elderwood at Ticonderoga
101 Adirondack Drive Ticonderoga, NY 12883
SUMMARY STATEMENT OF DEFICIENCIES
and they read it on the 24-hour report that is used for daily reporting of the unit.
They stated that the resident did not complain of any discomfort throughout the day.
Licensed Practical Nurse #1 stated that in any case that a resident pulled their Foley catheter out, staff should follow the physician's orders.
They stated that if there were no orders, staff should be contact a physician and following their directions.
They stated that they did not call the physician that day as the resident was not complaining of any discomfort.
During an interview on 8/05/2025 at 3:36 PM, Licensed Practical Nurse #1 stated that residents with foley catheters had orders for routine care of the residents' indwelling catheter.
They stated that the routine care of residents with indwelling catheters included cleaning the area of insertion of the catheter, making sure that the catheter is intact, and recording the color, consistency, and amount of urine.
Licensed Practical Nurse #1 reviewed the residents' electronic chart and stated there were no orders from the physician for the residents' indwelling catheter.Attempt to interview Medical Provider #1 were unsuccessful. 10 New York Codes and Rules and Regulations 415.12
Facility ID:
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.