Morningside Nursing and Rehabilitation Center
December 16, 2024 Complaint Survey

Standard Health Citations

FF15 483.12(a)(1):FREE FROM ABUSE AND NEGLECT

REGULATION: § 483. 12 Freedom from Abuse, Neglect, and Exploitation The resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation as defined in this subpart. This includes but is not limited to freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat the resident's medical symptoms. § 483. 12(a) The facility must- § 483. 12(a)(1) Not use verbal, mental, sexual, or physical abuse, corporal punishment, or involuntary seclusion;

Scope: Isolated
Severity: Potential to cause more than minimal harm
Citation date: December 16, 2024
Corrected date: February 10, 2025

Citation Details

None

Plan of Correction: ApprovedJanuary 3, 2025

I. Immediate Corrections ??? Resident #1 was thoroughly assessed following the incident and promptly transferred to the hospital emergency room . After a complete evaluation, the resident returned to the facility with no injuries. ??? Admission Clerk #1 was immediately suspended pending a comprehensive investigation. Upon the conclusion of the investigation, the staff member was terminated in accordance with facility policy and standards. ??? The incident was reported to NYSDOH on 10/25/2024 at 15:00, complaint number NY 641. ??? All facility staff were educated on abuse prevention. II. Identification of Other Residents ??? No other residents were identified to have complaints regarding staff treatment. ??? Social worker followed up with the residents of the unit to provide emotional and psychosocial support. The residents stated that they were not fearful of any additional incident. ??? The comprehensive care plans of all residents were checked to ensure there was a plan in place to prevent abuse, and specific interventions that were resident centered. All care plans were found in compliance with the protection of our residents. A copy of resident care plan is available in the EMR. III. Systemic Changes ??? The facility's policy and procedure titled Abuse Prevention was reviewed and found appropriate. ??? All clinical and non-clinical staff (All RNs, LPNs, C.N.A.s, Admissions Staff, Recreation Staff, Housekeeping Staff, Engineering Staff, Administrative Staff, Social Service Staff, Rehabilitation Staff, and Dietary Staff) were re-educated by the Nurse Educator/Designee on the policy/procedure. These sessions reinforced the processes and responsibilities outlined in the Abuse Prevention policy to ensure consistent implementation across all departments. The attendance sheet will be kept on file for validation. ??? The facility will continue to provide education upon hire, annually and as needed on the Policy and Procedure on abuse, neglect, and mistreatment. ??? Staff hourly observational rounds of all residents will continue. IV. QA Monitoring ??? An audit tool was developed to ensure that no abuse, neglect, or mistreatment occurred. ??? The Audit tool will concentrate on resident complaints about staff treatment. ??? Audits of 5 residents will be performed by Social Services weekly x 4 weeks, then monthly for 2 months. ??? Any negative findings have immediate corrective action taken and reported immediately to the Administrator. ??? Results of the audits will be reported monthly and reviewed by the QAPI committee. Continuation, modification, or discontinuation of audits will be based on QAPI committee's recommendations. Person Responsible: Director of Social Services