Inspection Reports for
Bedford Center for Nursing and Rehabilitation

The state logged 43 complaints about this facility; 7 led to on-site inspections. Three citations resulted from those complaints.

Across 5 inspections, 3 resulted in citations totaling 24, including 8 standard health and 16 Life Safety Code citations, all with minor potential harm and corrected. The facility had 43 complaints with 7 on-site inspections and no formal enforcement actions.

The facility was found deficient in ensuring residents were treated with dignity and respect, specifically regarding privacy during insulin administration. Additionally, the facility failed to ensure treatment and care were provided according to physician orders, including lack of physician order for a blood sugar monitoring device. Controlled medications were not properly stored in a locked double cabinet in the Unit 2 medication room.

The facility failed to thoroughly investigate the elopement incident and did not ensure adequate supervision to prevent elopement. Resident #1, identified at high risk for elopement and assigned a wander alert device, exited the building undetected despite alarms and monitoring protocols. The investigation did not determine how Resident #1 exited the unit undetected, and monitoring and documentation of the wander alert device were inadequate.

The facility failed to ensure a resident's right to privacy and did not develop or revise a comprehensive person-centered care plan (CCP) to address a resident's behavior problem of refusing to wear clothes or gown while in bed. Resident #157 was observed exposed in bed wearing only an incontinent brief, and the CCP did not reflect this preference or behavior.

The complaint investigation (NY00308940) found that Resident #165 did not have a urology consultation scheduled in accordance with Medical Doctor Orders to address recurrent urinary tract infections, despite multiple orders and follow-ups. The resident left the facility against medical advice before the consult could be completed.

The facility failed to ensure that Resident #165, who was incontinent of bladder and had recurrent urinary tract infections, received appropriate treatment and services including timely scheduling of a urology consultation as ordered by the Medical Doctor. The resident left the facility against medical advice before the consult could be completed.

The facility was found deficient in providing adequate activities to meet residents' needs, proper medication storage including removal of expired medications, food service hand hygiene, and infection control protocols including PPE use and hand hygiene by phlebotomy staff.