Inspection Reports for
Schenectady Center for Rehabilitation and Nursing
526 Altamont Ave, Schenectady, NY, 12303
Back to Facility Profile6 Reports
Inspection Report — Aug 19, 2025
Abbreviated Survey CMS
Date: Aug 19, 2025
Visit Reason
The inspection was conducted as a recertification and abbreviated survey to assess compliance with regulatory requirements and investigate specific care concerns.
Findings
The facility was found deficient in multiple areas including failure to initiate tube feeding on admission for one resident, inadequate assistance with activities of daily living for three residents, and failure to provide treatment and care according to physician orders for seven residents. Documentation and timely execution of care plans were also lacking.
Citations (3)
F 0600: The facility failed to ensure Resident #253 received timely tube feeding upon admission, with feedings not initiated until the day after admission despite physician orders.
F 0677: The facility did not provide adequate care and assistance with activities of daily living, including grooming and toileting, for Residents #100, #218, and #250 as per their care plans.
F 0684: The facility failed to provide treatment and care according to physician orders for seven residents, including improper medication administration timing, failure to obtain weekly weights, and lack of skin integrity checks under medical braces.
Report Facts
Residents reviewed for neglect: 35
Residents affected by neglect deficiency: 1
Residents reviewed for ADL care: 9
Residents affected by ADL care deficiency: 3
Residents reviewed for treatment and care: 35
Residents affected by treatment and care deficiency: 7
Tube feeding rate: 65
Tube feeding total volume: 1560
Shower counts documented: 2
Weights documented: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nutritionist #1 | Nutritionist | Interviewed regarding tube feeding procedures and assessment for Resident #253 |
| Registered Nurse #4 | Registered Nurse | Interviewed regarding admission assessment and tube feeding initiation for Resident #253 |
| Director of Nursing #1 | Director of Nursing | Interviewed regarding expectations for tube feeding initiation, ADL care, and weight monitoring |
| Medical Director #1 | Medical Director | Interviewed regarding medication administration timing and clinical standards |
| Licensed Practical Nurse #7 | Licensed Practical Nurse | Interviewed regarding admission assessments and order reviews |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed regarding admission assessments and order documentation |
| Certified Nurse Aide #5 | Certified Nurse Aide | Interviewed regarding shower documentation and toileting care |
| Certified Nurse Aide #6 | Certified Nurse Aide | Interviewed regarding toileting schedules and resident care |
| Licensed Practical Nurse #8 | Licensed Practical Nurse | Interviewed regarding documentation of care and survey report reviews |
| Certified Nurse Aide #7 | Certified Nurse Aide | Interviewed regarding weight measurement procedures |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Interviewed regarding weight measurement and documentation processes |
Inspection Report — Aug 19, 2025
Annual Inspection CMS
Date: Aug 19, 2025
Visit Reason
The survey was a recertification and abbreviated survey to assess compliance with state and federal regulations for nursing home care.
Findings
The facility was found deficient in multiple areas including resident dignity and respect, neglect, medication management, care planning, staffing levels, respiratory care, medication labeling and storage, and food service quality. Several residents did not receive care as scheduled or per physician orders, and staffing shortages impacted timely care delivery.
Citations (12)
F 0550: The facility failed to ensure residents were treated with dignity and respect, including failure to provide scheduled showers and respond promptly to call lights for two residents.
F 0600: The facility failed to protect a resident from neglect by not initiating tube feedings on the date of admission as ordered.
F 0605: The facility failed to prevent unnecessary psychotropic medication use and did not attempt gradual dose reductions as required for one resident.
F 0645: The facility failed to ensure proper PASARR screening for mental disorders or intellectual disabilities for two residents prior to admission.
F 0656: The facility failed to develop and implement comprehensive care plans addressing all resident needs, including contracture care, oxygen use, weight monitoring, and brace-related skin integrity.
F 0677: The facility failed to provide necessary assistance with activities of daily living, including hygiene and toileting, for three residents.
F 0695: The facility failed to provide appropriate respiratory care, including timely tubing changes and proper storage of nebulizer masks for two residents.
F 0725: The facility failed to maintain sufficient nursing staff on multiple shifts, resulting in delayed call light responses and unmet resident care needs.
F 0755: The facility failed to maintain accurate and complete shift-to-shift narcotic counts with missing nurse signatures on multiple medication carts.
F 0756: The facility failed to ensure monthly medication regimen review policy included time frames for pharmacist actions when irregularities were identified.
F 0761: The facility failed to ensure drugs and biologicals were properly labeled and stored, including undated opened medications and improperly stored insulin pens.
F 0804: The facility failed to provide food and drink at palatable temperatures and quality, with multiple residents reporting cold or unappetizing meals.
Report Facts
Staffing shortage: 3
Staffing shortage: 3
Staffing shortage: 3
Staffing shortage: 1
Medication administration times: 9
Food temperature: 114.6
Food temperature: 115.5
Food temperature: 139.6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing #1 | Director of Nursing | Provided documentation and interviews regarding shower schedules, medication administration, staffing, and care plans. |
| Administrator #1 | Administrator | Provided interviews regarding staffing and food service. |
| Certified Nurse Aide #1 | Certified Nurse Aide | Involved in shower scheduling and resident care observations. |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Discussed narcotic count procedures and resident care. |
| Nutritionist #1 | Nutritionist | Discussed nutritional assessments and weight monitoring. |
| Medical Director #1 | Medical Director | Provided clinical rationale on medication timing and psychotropic medication use. |
| Director of Activities #1 | Director of Activities | Discussed activity programming and resident engagement. |
| Food Service Director #1 | Food Service Director | Discussed food preparation, complaints, and food temperature management. |
Inspection Report — Aug 12, 2025
State
Date: Aug 12, 2025
Visit Reason
State-compiled facility profile showing 14 inspections from 2022 to 2026 with citation and complaint history, enforcement actions, and detailed inspection findings.
Complaint Details
The state logged 184 complaints about this facility with 17 leading to on-site inspections. Complaint-related citations numbered 12 during the reporting period.
Findings
Across 14 inspections, 10 had no citations while 4 resulted in 55 total citations primarily related to standard health and Life Safety Code issues. The facility had 184 complaints with 17 on-site inspections and 2 enforcement actions totaling $20,000 in fines.
Citations (34)
Standard Health Citation — quality of care: Activities did not meet interests or needs of each resident.
Standard Health Citation — quality of care: ADL care was not adequately provided for dependent residents.
Standard Health Citation — quality of care: Failed to develop and implement a comprehensive care plan.
Standard Health Citation — quality of care: Drug regimen review was irregular and not properly acted upon.
Standard Health Citation — quality of care: Facility was not free from abuse and neglect.
Standard Health Citation — quality of care: Drugs and biologicals were not properly labeled or stored.
Standard Health Citation — quality of care: Nutritive value, appearance, palatability, or preferred temperature of food was inadequate.
Standard Health Citation — quality of care: PASARR screening for mental and intellectual disabilities was deficient.
Standard Health Citation — quality of care: Pharmacy services, procedures, pharmacist involvement, or records were inadequate.
Standard Health Citation — quality of care: Quality of care was deficient.
Standard Health Citation — quality of care: Resident rights and exercise of rights were not fully respected.
Standard Health Citation — quality of care: Respiratory/tracheostomy care and suctioning were deficient.
Standard Health Citation — quality of care: Right to be free from chemical restraints was not ensured.
Standard Health Citation — quality of care: Nursing staff levels were insufficient.
Standard Health Citation — quality of care: Treatment and services to prevent or heal pressure ulcers were inadequate.
Life Safety Code Citation — NFPA requirements: Electrical systems had deficiencies.
Life Safety Code Citation — NFPA requirements: Exit signage was inadequate.
Life Safety Code Citation — NFPA requirements: Fire drills were deficient.
Life Safety Code Citation — NFPA requirements: Gas equipment labeling and cylinders were deficient.
Life Safety Code Citation — NFPA requirements: Illumination of means of egress was inadequate.
Life Safety Code Citation — NFPA requirements: Sprinkler system maintenance and testing were deficient.
Standard Health Citation — quality of care: Facility was not free of accident hazards due to supervision or devices.
Standard Health Citation — quality of care: Grievances were not properly addressed.
Standard Health Citation — quality of care: Failed to notify of changes such as injury, decline, or room changes.
Standard Health Citation — quality of care: Dialysis care was deficient.
Standard Health Citation — quality of care: Food procurement, storage, preparation, or serving was not sanitary.
Standard Health Citation — quality of care: Infection control practices were deficient.
Standard Health Citation — quality of care: Responsibilities of providers including required notifications were deficient.
Life Safety Code Citation — NFPA requirements: Cooking facilities were deficient.
Life Safety Code Citation — NFPA requirements: Electrical equipment testing and maintenance were deficient.
Life Safety Code Citation — NFPA requirements: Gas equipment precautions for handling oxygen were deficient.
Standard Health Citation — quality of care: Notice requirements before transfer or discharge were not met.
Standard Health Citation — quality of care: Failed to notify of changes such as injury, decline, or room changes.
Standard Health Citation — quality of care: Transfer and discharge requirements were not met.
Report Facts
Inspections on page: 14
Total citations: 55
Inspections with violations: 4
Inspections without violations: 10
Total complaints: 184
On-site complaint inspections: 17
Complaint citations issued: 12
Enforcement actions: 2
Total fines: 20000
Inspection Report — Sep 18, 2023
Abbreviated Survey CMS
Date: Sep 18, 2023
Visit Reason
The visit was an abbreviated survey to assess compliance with regulatory requirements, including investigation of resident falls, grievance handling, and elopement prevention.
Findings
The facility failed to notify a resident's representative after an unwitnessed fall, did not properly investigate and resolve a grievance filed by a resident's spouse, and did not prevent a resident at risk for elopement from leaving the facility. Corrective actions were implemented for the elopement issue.
Citations (3)
10NYCRR415.3(e)(2)(ii)(b) The facility did not inform Resident #3's representative after an unwitnessed fall on 3/3/2022.
10NYCRR 415.39(c)(1)(ii) The facility did not ensure prompt efforts to resolve a grievance or keep Resident #8 or their representative apprised of progress after a grievance filed on 6/14/2021.
10 NYCRR 415.12(h)(2) The facility did not ensure Resident #7, at risk for elopement, did not leave the facility, as the resident was found outside the building.
Report Facts
Residents sampled: 16
Grievance filed date: Jun 14, 2021
Incident date: Mar 3, 2022
Incident date: May 17, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #3 | Interviewed regarding fall notification procedures | |
| Director of Nursing (DON) | Interviewed regarding fall notification and grievance handling | |
| Director of Social Services (DSS) | Interviewed regarding grievance investigation | |
| Nursing Home Administrator (NHA) | Interviewed regarding grievance policy and investigations | |
| Licensed Practical Nurse (LPN) #4 | Found Resident #7 outside the facility and provided details of the incident |
Inspection Report — Apr 5, 2023
Annual Inspection CMS
Date: Apr 5, 2023
Visit Reason
The inspection was a recertification survey to assess compliance with professional standards for dialysis care and food service safety at the Schenectady Center for Rehabilitation and Nursing.
Findings
The facility failed to ensure residents receiving dialysis had consistent pre- and post-dialysis assessments and communication with the dialysis center. Additionally, food service safety deficiencies were found in the main kitchen and six unit kitchenettes, including malfunctioning equipment, unsanitary conditions, and maintenance issues.
Citations (2)
F 0698: The facility did not ensure residents receiving dialysis had consistent pre- and post-dialysis vital signs and assessments documented, nor consistent communication with the dialysis center for three residents reviewed.
F 0812: The facility did not ensure food was stored, prepared, distributed, or served in accordance with professional standards, with issues including a non-functioning dishwashing machine thermometer, expired sanitizer test kit, damaged refrigerator gaskets, leaking sink faucet, soiled fire extinguishers, and unsanitary conditions in unit kitchenettes.
Report Facts
Scheduled dialysis days without documented pre and post assessments: 24
Scheduled dialysis days without documented pre and post assessments: 5
Expired sanitizer test kit: 1
Dialysis frequency: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #13 | Licensed Practical Nurse | Interviewed regarding dialysis communication and assessment procedures. |
| RNUM | Registered Nurse Unit Manager | Interviewed about responsibility for dialysis communication logs and documentation. |
| DON | Director of Nursing | Interviewed about reeducation needs and staff responsibilities for dialysis documentation. |
| LPN #4 | Licensed Practical Nurse | Interviewed about dialysis communication book completion and documentation. |
| LPNUM #5 | Licensed Practical Nurse Unit Manager | Interviewed about nursing responsibilities for dialysis communication forms and documentation. |
| LPN #3 | Licensed Practical Nurse | Interviewed about facility policy on dialysis communication documentation. |
| RNUM #3 | Registered Nurse Unit Manager | Interviewed about communication with dialysis center and documentation responsibilities. |
| Food Service Supervisor #1 | Food Service Supervisor | Interviewed about sanitizer test kit and dishwashing machine issues. |
| Food Service Director | Food Service Director | Interviewed about dishwashing machine malfunction and kitchen deficiencies. |
| Administrator | Administrator | Interviewed about corrective actions for kitchen deficiencies. |
Inspection Report — Nov 2, 2020
Annual Inspection CMS
Date: Nov 2, 2020
Visit Reason
The survey was a recertification annual inspection to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including failure to notify physicians of missed medications, incomplete care plans, inadequate communication for residents with limited English proficiency, failure to maintain residents' functional abilities, improper dialysis care documentation, medication errors, unsafe food preparation practices, and lapses in infection control procedures.
Citations (9)
F 0580: The facility failed to immediately notify the physician when Resident #117 missed multiple doses of insulin.
F 0655: The facility did not provide written summaries of baseline care plans to residents and their representatives for 4 residents reviewed.
F 0656: The facility did not develop and implement comprehensive person-centered care plans with measurable objectives for 4 residents, including Resident #117's diabetes care.
F 0676: The facility failed to ensure residents maintained ability to perform activities of daily living, including communication assistance for Resident #58 and hearing aid and glasses use for Resident #190.
F 0677: The facility did not provide hair/scalp care to Resident #103 who was unable to perform activities of daily living and refused showers.
F 0698: The facility failed to accurately monitor fluid intake for Resident #192 on fluid restriction and lacked ongoing communication with dialysis facility for Resident #58.
F 0759: The facility's medication error rate was 40%, with 12 errors in 30 medication administration opportunities.
F 0812: The facility failed to maintain proper food safety practices including inadequate sanitizer concentration and uncalibrated food thermometers.
F 0880: The facility failed to maintain infection prevention and control during wound care, medication handling, and cleaning procedures, risking cross contamination.
Report Facts
Medication administration opportunities: 30
Medication errors: 12
Medication error rate: 40
QAC sanitizer concentration: 0
QAC sanitizer concentration: 150
Temperature of food thermometer: 20
Missed insulin doses: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #5 | Licensed Practical Nurse | Named in wound care infection control deficiency |
| LPN #6 | Licensed Practical Nurse | Named in fluid intake monitoring deficiency |
| LPN #9 | Licensed Practical Nurse | Named in medication administration error for potassium chloride |
| LPN #11 | Licensed Practical Nurse | Named in medication storage contamination deficiency |
| LPN #12 | Licensed Practical Nurse | Named in wound care infection control deficiency |
| LPN #13 | Licensed Practical Nurse | Named in hearing aids and glasses application deficiency |
| RN #1 | Registered Nurse | Named in care plan and communication deficiencies |
| DON | Director of Nursing | Named in multiple findings including medication errors, care plans, and infection control |
| RNUM #2 | Registered Nurse Unit Manager | Named in wound care and hearing aids/glasses deficiencies |
| SW #4 | Social Worker | Named in communication and translation services deficiency |
| SW #5 | Director of Social Work | Named in communication and translation services deficiency |
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