Astoria Skilled Nursing And Rehabilitation
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
all other assigned duties completed at the same time. CNA #106 said Resident #12 would not sit for long periods of time and was going door to door all night long. CNA #106 said Resident #12 was supposed to have a wander guard, but it had been cut off when he went to the hospital the night before. CNA #106 said
the wander guard must not have been put back on because it would have alarmed when the resident left
the facility if it had been in place. CNA #106 revealed Resident #12 had set off the alarm on the egress door on the hallway, but he thought Resident #12 followed someone out the front sliding doors because those doors stay open for several seconds once they are unlocked. On [DATE REDACTED] at 2:12 P.M., an interview with Resident #12's Responsible Party revealed Resident #12 went to the hospital in the middle of the night Friday ([DATE REDACTED]) and the resident's wander guard had been removed at the time he left the facility. The Responsible Party indicated she believed facility staff neglected to replace the wander guard upon his return to the facility on Saturday ([DATE REDACTED]). She further revealed when Resident #12 admitted , she informed
the facility of his wandering behaviors and the need for a wander guard at all times. On [DATE REDACTED] at 4:19 P.M.,
an interview with the Administrator verified the witness statements obtained from staff reflected the on-duty nurse was unaware of Resident #12's need for a wander guard upon his return to the facility on [DATE REDACTED] at 6:30 A.M. The Administrator also verified on [DATE REDACTED] Resident #12 was located approximately one-half mile away from the facility. Attempts to contact LPN #107 and RN #108, who were on duty at the time of the incident, were unsuccessful during the investigation. Review of the facility policy titled Wandering and Elopements, revised [DATE REDACTED], revealed the facility would identify residents at risk of unsafe wandering and strive to prevent harm while maintaining the least restrictive environment. If at risk for wandering or elopement, resident care plans would include strategies and interventions to maintain the resident's safety.
If a resident goes missing, the elopement/missing resident emergency procedure would be initiated to: a) determine if the resident was out on authorized leave; b) if not on authorized leave, initiate a search of the building and premises; and c) if unable to locate the resident, notify the Administrator, the DON, the resident's legal representative, the attending physician, and law enforcement officials. This deficiency represents non-compliance investigated under Complaint Number 2642643.
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ASTORIA SKILLED NURSING AND REHABILITATION in CANTON, OH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 CANTON, OH, (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 ASTORIA SKILLED NURSING AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.