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NYS Health Profiles
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Scope: Isolated
Severity: Potential to cause more than minimal harm
Citation date: January 31, 2025
Corrected date: March 31, 2025
Citation Details None | Plan of Correction: ApprovedFebruary 20, 2025 Preparation and/or execution of the Plan of Correction??ÿ does not constitute admission or agreement by the provider of the truth of facts as alleged or conclusions set forth in the Statement of Deficiencies.??ÿ The Plan of Correction is prepared and /or executed solely because it is required by provisions of State and Federal Laws. 1. Resident #1 was found and brought back to facility safely and unharmed. Resident #1 was assessed by RN #1 and unharmed by incident and Resident #1 stated he wanted to go for a walk outside??ÿ. Completion Date: 3/20/2024 2. All residents at risk for elopement or wandering behaviors were reviewed and accounted for to be safe and located in building during time of power outage incident on 3/20/ 2024. Completion Date: 3/20/2024 3. RN #1 was counseled on Elopement Policy and Procedure, Missing Resident Procedure, Loss of Power Procedure and Proper Notification and Wander Guard System. Administrator, Director of Nursing and Environmental Services Manager reviewed Policy and Procedure on Elopement/Missing Resident, Loss of Power Procedure and Emergency Preparedness Plan with no revisions needed. All staff were re-in-serviced and re-educated on the following: a. Elopement Policy and Procedure b. Missing Resident Procedure c. Loss of Power Procedure and Proper Notification d. Wander Guard System Completion Date: 2/17/2025 4. A Quality Assurance Audit was developed on residents at risk for eloping from facility during a power outage. Audits will be completed by Director of Nursing/Maintenance Manager monthly for 3 months and quarterly thereafter, with the results presented to the Quality Assurance committee for action, if needed. Completion Date: 3/31/2025 |