Inspection Reports for
Kingsway Arms Nursing Center Inc
323 Kings Road, Schenectady, NY, 12304
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Inspection Report — Aug 26, 2024
Complaint Investigation State
Date: Aug 26, 2024
Visit Reason
State-compiled facility profile showing 4 inspections from 2022 to 2024 with deficiency and enforcement history.
Complaint Details
The state logged 23 complaints about this facility; 4 led to on-site inspections.
Findings
Across 4 inspections, 2 had no citations while 2 inspections resulted in 7 citations total, including 4 standard health and 3 life safety code violations. The facility had 23 complaints with 4 on-site inspections and 2 enforcement actions totaling $8,000 in fines.
Citations (6)
Standard Health Citation — quality of care: Dispose Garbage And Refuse Properly.
Standard Health Citation — quality of care: Food Procurement,store/prepare/serve-sanitary.
Standard Health Citation — quality of care: Label/store Drugs And Biologicals.
Life Safety Code Citation — NFPA requirements: Discharge From Exits.
Life Safety Code Citation — NFPA requirements: Vertical Openings - Enclosure.
Standard Health Citation — quality of care: Request/refuse/dscntnue Trmnt;formlte Adv Dir.
Report Facts
Inspections on page: 4
Total violations/deficiencies cited: 7
Inspections with violations: 2
Inspections without violations: 2
Total complaints: 23
On-site complaint inspections: 4
Citations issued from complaints: 4
Enforcement actions: 2
Total fines: 8000
Inspection Report — Aug 26, 2024
Annual Inspection CMS
Date: Aug 26, 2024
Visit Reason
The inspection was a recertification survey to assess compliance with professional standards in medication management, food service safety, and refuse disposal at Kingsway Arms Nursing Center Inc.
Findings
The facility failed to ensure proper labeling and storage of medications, maintain cleanliness in the kitchen and resident café food preparation areas, and properly dispose of refuse in the outdoor grease collection bin. Several opened medications lacked expiration dates, food preparation areas were soiled, and the grease bin was heavily soiled with grease buildup.
Citations (3)
F 0761: The facility did not ensure drugs and biologicals were labeled and stored according to professional standards. Opened medications lacked open and/or expiration dates, and personal items were stored with controlled substances in locked cabinets.
F 0812: The facility did not store, prepare, distribute, and serve food in accordance with professional standards. Equipment and food preparation area floors in the main kitchen and Grill Room were not clean.
F 0814: The facility did not dispose of refuse properly. The exterior of the outdoor grease collection bin was heavily soiled with a black build-up of spilled grease and flies were present.
Report Facts
Number of medication carts reviewed: 4
Number of medication storage rooms reviewed: 2
Expiration days for insulin after opening: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #3 | Stated unawareness of pharmacy grid of medications with shortened expiration dates | |
| Administrator #1 | Stated residents have locked drawers for personal items and a safe is available for valuables | |
| Director of Nursing #1 | Stated Medication Nurse responsible for labeling open and expiration dates on multi vial dose medicine | |
| Assistant Director #1 | Aware of safe in administrator's office but unsure if other nursing staff were aware | |
| Nurse Educator #1 | Stated nursing competencies include medication administration orientation and audits | |
| [NAME] #1 | Stated soiled kitchen and Grill Room areas would be cleaned and added to cleaning list |
Inspection Report — Feb 23, 2022
Annual Inspection CMS
Date: Feb 23, 2022
Visit Reason
The inspection was a recertification survey to assess compliance with regulatory requirements for Kingsway Arms Nursing Center Inc.
Findings
The facility failed to ensure comprehensive person-centered care plans were consistently implemented for residents' ambulation programs. Additionally, the environment was found to have unsecured wardrobes in multiple resident rooms, posing accident hazards.
Citations (2)
F 0656: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The facility did not ensure the comprehensive care plan for residents' ambulation programs was consistently implemented for Residents #12 and #76.
F 0689: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Resident room wardrobes were not secured and could topple over on three of four resident units.
Report Facts
Opportunities for ambulation: 32
Wardrobes unsecured: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed regarding ambulation procedures and documentation |
| CNA #2 | Certified Nurse Assistant | Interviewed regarding care for Residents #12 and #76 and ambulation refusals |
| Registered Nurse Unit Manager #1 | Registered Nurse Unit Manager | Interviewed regarding ambulation scheduling and documentation |
| Director of Nursing | Director of Nursing | Interviewed regarding expectations for ambulation and care plan implementation |
| Director of Maintenance | Director of Maintenance | Interviewed regarding unsecured wardrobes |
| Administrator | Administrator | Interviewed regarding unsecured wardrobes and facility safety |
Inspection Report — Sep 26, 2019
Annual Inspection CMS
Date: Sep 26, 2019
Visit Reason
The inspection was a recertification survey to assess compliance with food service safety and policies regarding foods brought to residents by family and visitors.
Findings
The facility failed to store, prepare, distribute, and serve food according to professional standards, with unclean food contact equipment and improper storage of food and utensils. Additionally, the facility's policy on foods brought by visitors lacked procedures for safe reheating, storage, and assistance for dependent residents.
Citations (2)
F 0812: The facility did not store, prepare, distribute, or serve food in accordance with professional standards. Food contact equipment was unclean and beverages and plastic utensils were stored under sink waste lines.
F 0813: The facility's policy on foods brought by visitors did not include safe reheating, storage procedures, or guidelines to assist dependent residents in accessing and consuming the food.
Report Facts
Residents Affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Dining Services | Interviewed regarding food service deficiencies and policy issues |
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