Knickerbocker Villa

A staff member was observed on camera entering a resident's bedroom through a shared bathroom to access personal belongings and food while the resident was hospitalized.

A staff member violated resident privacy by entering their bedroom and going through personal drawers and belongings.

A direct care staff member's high school diploma from a non-US institution was not submitted for a required Department waiver.

A resident assessment failed to include new diagnoses of seizures and unspecified falls following a significant change in condition.

Staff failed to provide required assistance with eating and drinking as indicated in the resident's assessment and support plan.

Staffing levels were inadequate during overnight shifts to meet resident needs and ensure safe evacuation during an emergency.

The home failed to follow prescriber orders regarding twice-daily blood sugar testing and failed to document insulin administration.

Resident assessments were not updated following significant changes in condition, such as declines in eating ability and increased aggression.

Resident-home contracts for four residents did not include a fee schedule of actual amounts charged for available services.

Between 7:30 p.m. on 2/18/25 and 3:00 a.m. on 2/19/25, no staff present in the home were certified in first aid, obstructed airway techniques, or CPR.

The ceiling in the small conference room was leaking a dark brown substance, staining tiles and causing one tile to hang down.

The exterior walkway outside emergency exit door #6 was covered with approximately 2 inches of snow and ice.

Thermometers in the main refrigerator and refrigerator #2 were not operable.