Chestnut Ridge Retirement Living

A resident's initial support plan was not completed within the required 72-hour window following admission to the Secure Dementia Care Unit.

A resident's bedroom had a strong odor of urine.

Multiple instances were identified where residents waited between 39 and 67 minutes for staff to respond to call bells.

Bedside mobility devices were found unsecurely attached to bed frames or using unsafe wood planks, creating potential entrapment hazards.

A staff member used profanity and spoke disrespectfully to a resident during an incontinence episode.

A prescribed medication was not available in the home at the time of inspection.

The home failed to report an incident involving a resident injury to the Department within the required 24-hour timeframe.

The resident-home contract was not signed by the resident.

A resident from the secured dementia care unit exited the building unsupervised, and the resident's support plan failed to address their known exit-seeking behaviors.

An assignment book containing resident names and room numbers was left unlocked, unattended, and accessible.

Contracted painters were working in the building unsupervised without completed criminal background checks.

A staff member did not receive required orientation on fire safety and emergency preparedness topics.

The administrator failed to maintain a current list of names, addresses, and telephone numbers for staff and volunteers.

The home failed to report a resident fall involving serious injuries to the Department within the required 24-hour timeframe.

The home failed to document a resident's refusal of medication in the resident's record and on the medication record.

A staff member signed the medication record as if medication was administered when it was not.

Nighttime medications were left on a resident's nightstand and not administered according to prescribed protocol.

The home failed to discontinue a medication as ordered by a new prescription and did not report the incident to the Department.