Inspection Reports for Seneca Trail Healthcare Center

The inspection was conducted as an investigation survey triggered by a complaint, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Seneca Trail Healthcare Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules. The facility is in substantial compliance with previously cited deficient practices.

Investigation survey concluding on 09/10/24 with acceptance of plans of correction and credible evidence instead of onsite revisit.

The document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance and emergency preparedness requirements at Seneca Trail Healthcare Center.

The facility was found in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

An unannounced recertification, relicensure, and complaint/facility reported incident investigation survey was conducted at Seneca Trail Healthcare Center from September 3 to September 10, 2024.

The facility was found deficient in multiple areas including failure to monitor enteral feeding volumes and follow up on weight loss for a resident, failure to revise care plans for anxiety, failure to implement end-of-life care education, ineffective pest control program for flies, inaccurate MDS discharge coding, inaccurate nurse staffing postings, improper garbage disposal, inaccurate skilled therapy documentation, and food safety violations including improper food storage and handling.

The inspection was conducted to assess compliance with fire safety and resident rights regulations, including sprinkler system installation and corridor door requirements.

The facility failed to ensure proper installation and clearance of sprinkler heads and exit signs, and corridor doors had gaps exceeding allowed limits, potentially compromising fire safety. Corrective actions were implemented promptly.

An unannounced revisit was conducted at Seneca Trail Healthcare from 11/21/23 to 11/27/23 for the complaint investigation survey concluding on 09/28/23.

The facility was found to have corrected the previously cited deficient practices as reflected on the CMS-2567B.

The revisit was conducted to verify correction of deficiencies cited during the complaint investigation survey concluding on 09/28/23.

An unannounced complaint investigation survey was conducted at Seneca Trail Healthcare Center from 11/21/23 to 11/24/23.

The facility was in substantial compliance with applicable regulations. Complaint #29754 was unsubstantiated with no related or unrelated deficiencies cited.

Complaint #29754 was unsubstantiated with no related or unrelated deficiencies cited.

An unannounced complaint investigation survey was conducted based on substantiated complaints regarding alleged verbal abuse and mistreatment by a nurse aide towards Resident #9.

The facility failed to promptly report, investigate, and prevent further potential abuse and mistreatment of Resident #9 by Nurse Aide #80. The Social Worker delayed reporting and investigation, and the nurse aide continued working until surveyor intervention. The facility also failed to ensure meals were palatable, attractive, and served at safe temperatures, with multiple residents reporting issues with food quality and temperature.

Complaint #WV00028706 and #WV00028719 were substantiated. Resident #9 reported verbal abuse by Nurse Aide #80 who threatened to close her door despite her claustrophobia. The Social Worker delayed reporting and investigation. The nurse aide was suspended only after surveyor intervention. The facility census was 76-77 residents during the investigation.

The document is a Statement of Deficiencies and Plan of Correction for Seneca Trail Healthcare Center, reviewing compliance with Emergency Preparedness requirements and other regulatory standards.

The facility was found to be in compliance with all applicable Federal, State, and local Emergency Preparedness requirements, with no waivers in place.

Review of plans of correction and credible evidence was accepted in lieu of an onsite revisit for the recertification and relicensure survey.

The facility is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule, with previously cited deficient practices addressed.

An unannounced recertification, relicensure, and complaint investigation survey was conducted at Seneca Trail Healthcare Center from October 31 to November 3, 2022.

The survey identified multiple deficiencies including inaccurate MDS coding, failure to notify the State Ombudsman of resident transfers, inadequate treatment of pressure ulcers, unlocked medication carts, improper storage of BiPap masks, unlabeled enteral feeding bags, failure to assist with hearing aid placement, and incorrect administration of nutritional supplements.

Complaint #26695 was substantiated with a related deficiency cited at F686. Complaint #26906 was substantiated with a related deficiency cited at F689.

The inspection was a routine survey to assess compliance with NFPA fire safety codes, electrical equipment maintenance, HVAC requirements, and other regulatory standards.

The facility was found deficient in multiple areas including hazardous area enclosures, smoke barrier construction, electrical wiring and equipment, HVAC ductwork, and testing and maintenance of patient care electrical equipment. Corrective actions and re-education were planned or underway for all deficiencies.

The inspection was conducted to review the facility's compliance with Federal, State, and local Emergency Preparedness requirements.

The facility was found to be in compliance with all applicable Federal, State, and local Emergency Preparedness requirements based on documentation review, staff interview, and observations.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules.

The facility, Greenbrier Health Care Center, was found to be in substantial compliance with the applicable federal and state regulations based on a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

An unannounced annual re-certification and annual re-licensure survey was conducted at Greenbrier Health Care Center from July 12-14, 2021.

The facility was in substantial compliance with federal and state requirements. Four complaints were unsubstantiated with no deficiencies cited. Deficiencies were cited related to resident rights notification accessibility, Medicaid/Medicare liability notices, equipment repair, oxygen therapy, dental services communication, infection control practices, and dining room accommodations.

Four complaints (#25627, #25543, #25478, #25398) were investigated and found to be unsubstantiated with no related or unrelated deficiencies cited.

The inspection was a routine facility survey to assess compliance with NFPA 101 fire safety codes, electrical equipment maintenance, and other regulatory requirements.

The facility was found deficient in multiple areas including improper delayed-egress locking hardware on stairway exit doors, penetrations in smoke barriers around conduit pipes, patterned fire drills not conducted at unexpected times, and lack of electrical testing documentation for rented oxygen concentrators. Plans of correction were submitted with completion dates by 08/27/2021.

An unannounced focused infection control survey was conducted at Greenbrier Healthcare from January 19, 2021 to January 20, 2021.

The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and/or 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

The survey was conducted to review the facility's compliance with infection control regulations and CMS and CDC recommended practices to prepare for COVID-19, including a review of plans of correction and credible evidence.

The facility was found to be in substantial compliance with 42 CFR 483.80 infection control regulations and CMS and CDC recommended practices for COVID-19 preparation, and in substantial compliance with previously cited deficient practices.

A COVID-19 Focused Infection Control Survey was conducted due to concerns about infection prevention and control practices related to COVID-19, including potential exposure risks and quarantine procedures.

The facility failed to implement proper infection prevention and control practices to prevent COVID-19 transmission, including inadequate quarantine procedures, improper use of PPE, and failure to isolate residents with symptoms or potential exposure. Residents receiving hemodialysis were not properly isolated, and PPE was insufficient in quarantine areas.

The investigation was complaint-related focusing on infection control practices during the COVID-19 pandemic, including quarantine management, PPE use, and resident isolation. The complaint was substantiated with findings of noncompliance.

An unannounced annual re-certification and annual re-licensure survey was conducted at Greenbrier Health Care Center from 03/02/20 through 03/05/20.

The survey identified deficiencies related to advance directives, transfer and discharge documentation, accuracy of assessments, quality of care regarding resident positioning, and medication administration errors. The facility failed to ensure proper completion of POST forms, failed to send comprehensive care plan goals with hospital transfers, had inaccurate MDS assessments, did not maintain proper resident positioning, and administered medication incorrectly.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 and state nursing home licensure rules.

The facility was found to be in substantial compliance with the applicable federal and state regulations based on a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The inspection was conducted as a routine survey to assess compliance with fire safety, emergency preparedness, and facility maintenance regulations.

The facility was found deficient in enclosing vertical openings with proper fire resistance, conducting quarterly fire drills on all shifts, and maintaining documentation for generator battery inspections and testing. Corrective actions were planned and implemented by March 5, 2020.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules.

The facility was found to be in substantial compliance with the cited regulations based on a review of plans of correction and credible evidence accepted in lieu of an onsite revisit. The facility was compliant with previously cited deficient practices.

An unannounced annual re-certification and annual re-licensure survey was conducted at Greenbrier Health Care Center from 02/04/19 through 02/07/19. The survey included complaint investigation #21284 which was substantiated.

The facility was found deficient in multiple areas including failure to follow advance directives, failure to report grievances regarding resident property, failure to complete significant change assessments, failure to develop and implement comprehensive care plans, failure to follow physician orders for therapeutic diets and bowel protocols, failure to notify physicians timely of lab results, and medication errors related to dialysis patients.

Complaint Reference #21284 was substantiated with related deficiencies cited at F656, F684, F692, F808 and N834.

The inspection was a routine survey to assess compliance with federal and state regulations, including fire safety and resident rights.

The facility was found deficient in maintaining smoke barriers and fire doors according to NFPA 101 standards, with multiple penetrations and door malfunctions noted. No residents were identified as affected, and corrective actions were planned and underway.

An unannounced annual recertification survey, relicensure survey and complaint investigation was conducted from 02/05/18 through 02/08/18. The complaint investigation was substantiated with related deficiencies.

The survey identified multiple deficiencies including failure to ensure dignified dining assistance, inaccurate assessments, incomplete care plans, delayed physician notification of lab results, improper infection control practices, failure to honor resident food preferences, and inadequate documentation of device use.

Complaint reference #18711 was substantiated with related deficiencies at F677 and F698.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules.

The facility was found to be in substantial compliance with the regulatory requirements based on a review of plans of correction and credible evidence accepted in lieu of an onsite revisit. Previously cited deficient practices were addressed.

The inspection was conducted to evaluate the facility's compliance with NFPA 101 life safety code requirements, specifically focusing on hazardous areas enclosure and corridor doors.

The facility failed to protect hazardous areas in accordance with NFPA 101, including missing ceilings and door closures in furnace rooms, and failed to maintain corridor doors properly, with a 90-minute rated door failing to close completely. These deficiencies were acknowledged by facility leadership and plans for correction were initiated.

The document is a plan of correction submitted in response to a prior Quality Indicator and Licensure Survey, accepted in lieu of an onsite revisit.

The facility, Greenbrier Manor, is in substantial compliance with applicable federal and state regulations. The plan of correction and credible evidence were accepted, indicating correction of previously cited deficient practices.

An unannounced revisit was conducted at Greenbrier Manor on February 15-16, 2017 for the Quality Indicator and Licensure Surveys concluding on 12/14/16 to verify correction of previous deficiencies.

The facility was found to remain out of compliance with deficiency F514 related to incomplete documentation of physician notification when a resident refused medications. Other citations were corrected. The facility failed to document notifying the attending physician of Resident #20's multiple medication refusals.

Unannounced annual Quality Indicator and State Licensure Surveys were conducted from December 6, 2016 through December 14, 2016 to assess compliance with regulatory requirements.

The facility was found deficient in multiple areas including failure to notify physicians of changes in resident condition, improper transfer procedures, delayed meal service, inaccurate comprehensive assessments, failure to administer medications as ordered, failure to prevent pressure ulcers, medication errors, incomplete lab testing and reporting, and incomplete medical records.

The inspection was conducted to evaluate the facility's compliance with fire safety codes, building system requirements, and other regulatory standards including NFPA codes and Medicaid eligibility information.

The facility was found deficient in multiple areas including failure to maintain self-closing smoke barrier doors, inadequate maintenance and testing of sprinkler systems, improper smoke barrier construction and door gaps, failure to inspect elevators for firefighter service function, inadequate fire drill scheduling, lack of formal risk assessment for building systems, and insufficient training for personnel handling medical gases.

An unannounced Minimum Data Set (MDS) Focus Survey was conducted at Greenbrier Manor on September 19, 2016.

The deficiencies contained in this report are based on observations, review of residents' clinical records, staff interviews, and review of other facility documentation as indicated.

An unannounced revisit was conducted at Greenbrier Manor from 10/26/15 to 10/29/15 for the Quality Indicator Survey concluding on 09/18/15.

The facility was found to have corrected the previously cited deficient practices as reflected on the CMS-2567B.

The inspection was conducted as an annual survey to assess compliance with health, safety, and regulatory standards at Seneca Trail Healthcare Center.

The facility was found deficient in maintaining life safety code standards, including obstruction of sprinkler pipes, inadequate maintenance and testing of emergency generator batteries, and electrical code violations such as improper use of extension cords and non-functioning emergency lights.

An unannounced annual recertification survey was conducted at Greenbrier Manor from September 14, 2015 through September 18, 2015.

The survey identified multiple deficiencies including failure to obtain consents for managing personal funds, failure to investigate and report injuries of unknown origin, failure to provide care respecting resident dignity, failure to follow care plans resulting in resident harm, failure to maintain food quality, and failure to properly clean shared glucometers.

The inspection was conducted as a complaint investigation, reviewing plans of correction and credible evidence in lieu of an onsite revisit for complaint #14105 concluding on 2015-08-05.

The facility, Greenbrier Manor, was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules, with previously cited deficient practices corrected.

Complaint investigation #14105 concluded on 2015-08-05 with the facility found in substantial compliance and no onsite revisit required.

An unannounced complaint survey was conducted from August 3 to August 5, 2015, based on complaint #14105 which was substantiated. The survey focused on related and unrelated deficiencies found through observations, clinical record reviews, staff interviews, and facility documentation review.

The facility failed to provide care in accordance with residents' care plans and physician orders, specifically regarding pressure ulcer treatment and insulin administration. Resident #23's pressure ulcers were inconsistently assessed and treated, with treatment discontinued without physician notification and no alternative treatment ordered. Resident #72's sliding scale insulin was not administered as ordered. Documentation and communication deficiencies were noted, and the facility's policies and monitoring practices were inadequate.

Complaint #14105 was substantiated. The complaint investigation revealed multiple deficiencies related to pressure ulcer care and medication administration errors. The facility failed to follow care plans and physician orders, and documentation was inconsistent. The resident was transferred to the hospital during the investigation.

An unannounced complaint investigation was conducted from May 26, 2015 to May 29, 2015 at Greenbrier Manor for Complaint Reference #13697 and #13628.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

Complaint Reference #13697 and #13628 were unsubstantiated with no deficient practices identified.

An unannounced complaint investigation was conducted from November 10, 2014 to November 13, 2014 at Greenbrier Manor for Complaint Reference #12191 and #12052.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified.

The document is a plan of correction submitted in response to a prior Quality Indicator and Licensure Survey revisit concluding on 09/25/14.

The facility, Greenbrier Manor, is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules based on review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The inspection was conducted as a complaint investigation, concluding on 2014-09-12, to review previously cited deficient practices and assess compliance.

The facility, Greenbrier Manor, was found to be in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules based on review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Complaint Reference: 11942. The complaint investigation concluded with the facility in substantial compliance and no further deficiencies cited.

An unannounced revisit was conducted for the Quality Indicator and Licensure Surveys to verify correction of previous deficiencies.

The facility remained out of compliance with deficiencies related to reasonable accommodation of resident needs and preferences, resident rights to make choices, accident hazards, dental services, and quality assurance program effectiveness. Specifically, the facility failed to properly assess and accommodate residents' needs for side rails or alternative devices, failed to schedule needed dental follow-up, and failed to use fall mats appropriately.

An unannounced complaint survey was conducted from September 8 to September 11, 2014, triggered by complaint #11942 which was unsubstantiated but resulted in unrelated deficiencies being cited.

The facility failed to immediately notify physicians of resident accidents with potential for requiring intervention, failed to provide necessary care to ensure residents' highest well-being (notably pain management during therapy), and had inaccuracies in medical records related to resident falls and assessments.

Complaint #11942 was unsubstantiated but unrelated deficiencies were cited based on observations, record reviews, and interviews during the complaint investigation survey.

Unannounced annual Quality Indicator (extended) and State Licensure Surveys, and a Complaint survey were conducted concurrently from June 16, 2014 through June 27, 2014. Complaint #11546 was substantiated with related deficiencies.

The facility failed to ensure residents' rights were respected, including improper discontinuation of side rails without assessment or alternatives, failure to investigate and report abuse allegations, inadequate infection control resulting in an immediate jeopardy, failure to provide dental services, incomplete care plans, and failure to maintain accurate medical records and staffing postings.

Complaint #11546 was substantiated with related deficiencies including failure to investigate and report abuse, neglect in resident care, and infection control breaches.

An unannounced complaint survey was conducted at Greenbrier Manor from June 26, 2014 to June 27, 2014 due to complaint #11546.

The complaint was substantiated with related deficiencies cited based on observations, review of residents' clinical records, resident interviews, family interviews, staff interviews, and review of other facility documentation.

Complaint #11546 was substantiated with related deficiencies cited.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 2000.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2000.

An unannounced complaint investigation was conducted at Greenbrier Manor from April 14, 2014 through April 16, 2014 in response to Complaint #14067.

The complaint was unsubstantiated with no related or unrelated deficiencies found after observations, record reviews, and interviews with residents, family, and staff.

Complaint #14067 was investigated and found to be unsubstantiated with no deficiencies related or unrelated to the complaint.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Seneca Trail Healthcare Center.

The report includes a deficiency related to the facility's failure to properly inform residents of their rights, rules, services, and charges in accordance with regulatory requirements.

The inspection was conducted as a complaint investigation related to an unsubstantiated complaint record with an unrelated citation.

The facility failed to ensure that one of nine residents had a comprehensive care plan addressing frequent injuries of unknown origin. Resident #79 sustained five injuries between 12/28/12 and 06/06/13, but the care plan did not reflect goals or interventions to reduce these injuries.

Complaint Reference: 13165 / 8458. The complaint was unsubstantiated with an unrelated citation.

The inspection was conducted as a complaint investigation referenced by complaint number 13109 / 8093.

The complaint was found to be unsubstantiated and no citations were issued.

Complaint Reference: 13109 / 8093. The complaint was unsubstantiated with no citations.

The inspection was conducted in response to a complaint with reference number 13079 / 7930.

The complaint investigation was unsubstantiated and no deficiencies were identified during the survey.

Complaint Reference: 13079 / 7930. The complaint was unsubstantiated with no deficiencies found.

Second revisit to Quality Indicator Survey to verify correction of previous deficiencies.

All citations from the prior survey were corrected as of the revisit date.

Revisit to the Quality Indicator Survey (QIS) conducted on 01/17/13 to verify correction of previously cited deficiencies.

The facility failed to correct multiple deficiencies related to timely medical interventions for infections, comprehensive care planning, infection control, food storage, and quality assurance. Deficiencies included delayed treatment of pneumonia and urinary tract infections, inadequate care for contractures, improper food storage, ineffective infection control surveillance, and failure of the quality assurance committee to ensure correction of cited deficiencies.

Routine Quality Indicator Survey conducted from 01/08/12 to 01/17/13 to assess compliance with healthcare regulations and standards.

The facility had multiple deficiencies including failure to monitor and manage diabetic care, recurrent urinary tract infections, incomplete and outdated care plans, failure to maintain resident dignity, improper medication administration, unsanitary food storage and handling practices, and inadequate infection control measures.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 2000.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2000.

The inspection was conducted in response to complaint reference #11181 to investigate the allegations made.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #11181 was investigated and found to be unsubstantiated with no deficiencies cited.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Seneca Trail Healthcare Center.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b).

The inspection was conducted as a complaint investigation, which was unsubstantiated, with two unrelated deficiencies cited.

The facility failed to ensure side rail assessments were accurate and consistent with current care plans and physician orders for three residents (#15, #30, and #68). The assessments incorrectly indicated these residents did not require side rails despite physician orders and care plans stating otherwise.

Unsubstantiated complaint with two unrelated deficiencies cited at F272 and F514.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, specifically focusing on exit sign illumination and smoke detector maintenance.

The facility failed to maintain all exit signs with continuous illumination as required, with four exit signs having only one of two bulbs illuminated. Additionally, one smoke detector failed a chamber reading test and there was no evidence of repair or replacement.

The inspection was a routine regulatory survey to assess compliance with federal nursing home regulations, including resident rights, infection control, care planning, medication management, and dietary services.

The facility was found deficient in multiple areas including failure to inform residents of facility rules, breaches of resident privacy, inadequate dignity and respect in dining services, incomplete comprehensive assessments and care plans, failure to involve residents in care planning, inadequate implementation of care plans, unsafe medication storage and administration practices, use of unnecessary medications, insufficient nursing staff designation, poor food preparation and sanitation practices, and inadequate infection control measures.

The inspection was conducted as a complaint investigation related to deficiencies cited in the care planning and resident rights at Seneca Trail Healthcare Center.

The facility failed to revise the care plan for Resident #28 after relocating him to a different area of the building, which did not address the resident's adjustment issues and potential negative impact on his psychosocial well-being. The care plan lacked updated goals and interventions to address the resident's current problems, including dementia, anxiety, and depression.

Complaint reference #10270 was substantiated with deficiencies cited related to care planning and resident rights.

Complaint investigation triggered by concerns about Resident #26's behavior placing roommates at risk of harm, including incidents of a resident found on the floor and another with a pillow over his face.

The facility failed to provide adequate supervision and/or assistive devices to ensure the safety of Residents #38 and #77 who shared a room with Resident #26, who was suspected of placing roommates at risk. Despite a psychiatric evaluation and recommendation for further observation, Resident #26 was returned to the same room without additional safety measures, placing roommates in immediate jeopardy. The facility later relocated Resident #26 and implemented hourly monitoring.

Complaint reference #10214 was substantiated with deficiencies cited related to Resident #26's behavior placing roommates at risk of harm, including incidents on 08/01/10 and 08/02/10.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, including exit signage, fire alarm system maintenance, and medical gas storage safety.

The facility failed to properly mark doors that could be mistaken for exits, did not inspect and test all fire alarm system components as required, and failed to store oxygen cylinders in accordance with NFPA 99 standards.

The inspection was conducted concurrently with complaint investigations (#9023, #9077, and #9152) and the facility's annual Federal Medicare/Medicaid certification resurvey and State licensure inspection.

The facility was found non-compliant in multiple areas including failure to fully inform residents about care and treatment, inaccurate posting of ombudsman information, failure to notify physicians of medication refusals, inadequate quality of life measures, inaccurate resident assessments, incomplete care plans, failure to meet professional standards in medication administration, improper resident positioning, unsanitary food storage and preparation, ineffective infection control practices, inadequate handwashing, incomplete legal capacity determinations, and inaccurate clinical records.

Complaint references #9023, #9077, and #9152 were unsubstantiated with no related deficiencies cited.

The inspection was conducted as a comprehensive annual survey of Seneca Trail Healthcare Center to assess compliance with federal regulations and standards for nursing facilities.

The facility was found deficient in multiple areas including management of personal funds, dignity and respect of residents, reasonable accommodation of needs, activities programming, care plan accuracy, provision of care and services, infection control, food safety, equipment maintenance, and clinical record keeping. Specific issues included failure to obtain written authorization for handling resident funds, inadequate assistance with personal hygiene, lack of pre-meal activities, care plans not reflecting current orders, inconsistent dialysis communication, untreated urinary tract infections, unsafe use of side rails, improper nail care, lack of renal diet menu, absence of posted alternate food items, unsanitary food storage practices, and missing lab reports in resident records.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 2000.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2000.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Seneca Trail Healthcare Center.

The document includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b).

The inspection was conducted as a complaint investigation referenced as 2-8095, to determine the validity of the complaint and assess the facility's compliance with regulations.

The facility was found to have deficiencies related to promoting resident dignity during social dining, and ensuring a safe environment free of accident hazards with adequate supervision. Specific issues included one resident being segregated and neglected during meals, and staff failing to check a stairwell alarm and leaving residents unattended in a dining room.

Complaint reference 2-8095 was substantiated with unrelated deficiencies noted.

The inspection was conducted in response to complaint reference #2-8021.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-8021 was unsubstantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation referenced as #2-8008.

The complaint was substantiated; however, no deficiencies were cited during the investigation.

Complaint reference #2-8008 was substantiated with no deficiencies cited.

This document is a plan of correction related to a paper revisit survey conducted at the facility.

The document references a deficiency related to the facility's obligation to inform residents of their rights and services, including Medicaid-related information, but does not provide detailed findings beyond this.

The inspection was conducted to assess compliance with resident rights, advance directives, and nutritional adequacy as part of a regulatory survey of the nursing facility.

The facility failed to consult Resident #52 regarding advance directives after the resident regained capacity, and failed to serve prescribed 'finger foods' to Residents #70 and #76 according to physician orders and planned menus.

The inspection was conducted as a standard annual survey to assess compliance with regulatory requirements including life safety code standards and resident rights.

The facility was found deficient in maintaining hazardous room doors as self-closing, failure to properly mark doors that could be mistaken for exits, lack of verification of service collars on portable fire extinguishers, and failure to maintain the facility generator with required battery-powered emergency lighting.

Routine inspection of Seneca Trail Healthcare Center to assess compliance with federal regulations including resident rights, physical restraints, abuse prevention, dignity, activities, resident assessments, care plans, medication management, infection control, laboratory services, and quality assurance.

The facility was found deficient in multiple areas including improper use of physical restraints without physician orders or care plans, verbal abuse by staff, failure to report injuries of unknown origin, lack of resident dignity and engagement in activities, failure to complete significant change assessments and care plans for weight loss and pressure ulcers, inadequate medication regimen reviews, failure to assess catheter use, poor infection control practices, and failure to obtain ordered laboratory tests. The facility's quality assurance process failed to prevent recurring restraint misuse.

The facility was entered on 07/04/07 for a complaint investigation related to residents experiencing insomnia and night-time restlessness.

The investigation found that four residents (#76, #38, #19, and #20) identified as having difficulty sleeping did not have problems, goals, or interventions related to insomnia or night-time restlessness included in their care plans. Observations noted these residents were restless at night and were sometimes relocated to the dining room to calm them.

Complaint reference #2-7130 was unsubstantiated with unrelated deficiencies cited.

The inspection was conducted as a complaint investigation (reference #2-6217) which was substantiated with deficiencies cited.

The facility employed an individual with a felony conviction punishable by more than one year imprisonment, who worked as a nursing assistant for over a year despite this. The administrator was under the impression that only felony convictions related to abuse, neglect, or misappropriation of property would disqualify employment. The complaint was substantiated with deficiencies noted.

Complaint reference #2-6217 was substantiated with deficiencies cited related to employment of an individual with a felony conviction.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Seneca Trail Healthcare Center.

The document references a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b).

The document is a plan of correction related to a paper revisit survey conducted at Seneca Trail Healthcare Center.

The report includes a statement of deficiencies related to resident rights and notification requirements, specifically regarding informing residents of their rights, services, charges, and Medicaid benefits.

The inspection was conducted to assess compliance with regulatory requirements related to resident rights, use of physical restraints, resident assessments, care planning, and nursing staffing postings at Seneca Trail Healthcare Center.

The facility was found deficient in ensuring proper documentation and assessment of resident incapacity, use and care planning for physical restraints, updating care plans to reflect current resident conditions, and posting nursing staffing data with separate RN and LPN information.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards related to fire safety, hazardous areas, means of egress, fire alarm systems, sprinkler systems, medical gas storage, and electrical safety in the facility.

The facility failed to maintain smoke barrier doors with the required fire protection rating, hazardous room doors with self-closing devices, and corridor exit widths in accordance with NFPA 101. Obstructions were found in means of egress paths. The fire alarm system was not fully maintained with incomplete inspections of smoke detectors. Sprinkler system clearance violations and improper oxygen cylinder storage were also noted. Additionally, an electrical outlet in the Physical Therapy room lacked required ground fault circuit interrupter protection.

Paper revisit to review previously identified deficiencies and the facility's plan of correction.

The document contains a statement of deficiencies related to resident rights and notification requirements, with a focus on the facility's obligation to inform residents of their rights and services. No new inspection findings are detailed beyond the plan of correction context.

The inspection was conducted as part of the annual survey to assess compliance with regulatory requirements, including review of dietary services and resident care.

The facility was found deficient in ensuring that orders for thickened liquids were complete and concise, as orders did not specify the required consistency (e.g., nectar, honey, pudding) for four residents. Staff lacked specific instructions on liquid thickness, relying on trial and error, which posed a risk to resident safety.

Annual inspection of Seneca Trail Healthcare Center to assess compliance with federal regulations regarding resident care, staff treatment, infection control, medication administration, and facility operations.

The facility was found deficient in multiple areas including inadequate investigation and prevention of resident abuse, failure to suspend alleged perpetrators, poor quality of life and care practices, inaccurate resident assessments, medication errors, infection control lapses, and incomplete staff training and documentation.

The inspection was conducted as a standard regulatory survey to assess compliance with life safety code standards and other regulatory requirements at Seneca Trail Healthcare Center.

The facility was found deficient in multiple areas including fire safety barriers not meeting one-half hour fire resistance rating, delayed egress locks malfunctioning, incomplete sprinkler system coverage, unclear exit access, and improper storage of soiled linen/trash receptacles exceeding allowed capacity in corridors.

The inspection was conducted in response to a complaint referenced as #2-4349.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-4349 was investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation based on complaint reference #2-4321.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-4321 was unsubstantiated with no deficiencies cited.

The inspection was conducted based on complaints regarding the facility's failure to provide care and services in a manner that maintains or enhances residents' dignity, respect, and self-worth.

The facility failed to assure that care and services were provided in a manner which enhanced dignity, respect, and self-worth for two residents (#31 and #82). Observations included a nurse speaking about a resident as if he was not present and showing impatience and lack of assistance when helping a resident to the bathroom.

The visit was complaint-related, focusing on dignity and respect issues for residents #31 and #82. The facility was cited for failing to provide care that enhanced dignity and respect. The citation required submission of credible evidence and an acceptable plan of correction.

The inspection was conducted as a substantiated complaint investigation (reference #2-4218) regarding concerns about resident care and facility practices.

The facility was found deficient in multiple areas including failure to provide timely care and supervision on the Second Floor, inadequate nursing staff supervision, failure to wash hands after resident contact, unsafe physical environment due to unauthorized access, and inaccurate clinical record documentation with nursing assistants charting before care was provided.

Complaint reference #2-4218 was substantiated with related and unrelated deficiencies found during the investigation.

The inspection was conducted as a complaint investigation (reference 2-4174) due to concerns about resident rights, quality of care, and medication management.

The facility was found to have substantiated deficiencies including failure to honor a resident's legal representative's request to refuse medication, failure to assist a resident to return to bed upon request, improper handling of confidential resident information, and administration of unnecessary drugs resulting in adverse effects and harm to a resident.

Complaint reference 2-4174 was substantiated with deficiencies cited related to resident rights, quality of care, and medication management.

The inspection was conducted as a complaint investigation related to substantiated complaints regarding personnel records and facility safety and housekeeping.

The facility was found deficient in maintaining current registration for one nursing assistant who worked two days without valid registration. Additionally, safety concerns were noted including lack of awake staff supervision on weekend nights, unsecured outside doors, and inadequate housekeeping and maintenance issues such as damaged carpet and missing bathroom fixtures.

Complaint reference #2-3306 was substantiated with deficiencies found related to personnel records and facility safety.

The inspection was conducted as a comprehensive annual survey of Seneca Trail Healthcare Center to assess compliance with federal regulations related to resident rights, quality of care, staff treatment, and facility policies.

The facility was found deficient in multiple areas including failure to comply with resident rights laws, neglect in staff treatment of residents, inadequate verification of nursing staff licensure, failure to maintain resident dignity, insufficient care planning, medication administration errors, nutritional care deficiencies, and lack of timely action on pharmacist recommendations.

The inspection was conducted as a comprehensive annual survey of Seneca Trail Healthcare Center to assess compliance with federal regulations regarding resident rights, quality of care, staff treatment, and facility policies.

The facility was found deficient in multiple areas including failure to comply with resident rights for mentally incompetent residents, neglect in staff treatment of residents, failure to verify licensure of nursing personnel, lack of dignity during dining and in resident rooms, inadequate toileting assistance, failure to provide meaningful activities, incomplete care plans, medication administration errors, nutritional deficiencies, incorrect diet provision, and failure to act on pharmacist recommendations.

The inspection was conducted to assess compliance with the Life Safety Code NFPA 101 - 1981 Existing, based on observation, performance testing, and review of facility documentation from 08/04/03 to 08/07/03.

The facility was found to be in compliance with the Life Safety Code NFPA 101 - 1981 Existing during the inspection period.

The inspection was conducted to assess compliance with the Life Safety Code NFPA 101 - 1981 Existing, based on observation, performance testing, and review of facility documentation from 08/04/03 to 08/07/03.

The facility was found to be in compliance with the Life Safety Code NFPA 101 - 1981 Existing during the inspection period.

The inspection was conducted as an annual survey to assess compliance with federal regulations governing nursing facilities, including resident rights, quality of care, abuse prevention, dietary services, physical environment, and clinical record maintenance.

The facility was found deficient in multiple areas including failure to ensure legal representatives exercised resident rights, failure to notify legal representatives and physicians timely about incidents and changes in condition, abuse through threats and intimidation, inadequate staff treatment policies, failure to conduct criminal background checks on re-hired employees, failure to ensure call bells were within reach, lack of voting facilitation plans, inadequate supervision leading to resident falls, incomplete dietary menu plans, unsecured corridor handrails, and incomplete and inaccurate nursing notes.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, specifically focusing on corridor doors and smoke barrier walls in the facility.

The facility failed to maintain all corridor doors to close without impediment, with several doors held open by wedges. Additionally, the smoke barrier walls were found to have unsealed penetrations around wires, failing to maintain the required fire rating.

The document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance for Seneca Trail Healthcare Center, referencing complaint investigations CI #2153 and CI #2179.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

This document is a Plan of Correction related to a previously conducted survey at Seneca Trail Healthcare Center.

The document includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b).

The inspection was conducted as a comprehensive annual survey of Seneca Trail Healthcare Center to assess compliance with federal regulations related to resident rights, care, safety, infection control, medication management, and physical environment.

The facility was found deficient in multiple areas including failure to obtain consent for care by students, failure to notify legal representatives of significant changes, inappropriate use of physical restraints, inadequate investigation of abuse allegations, failure to provide medically-related social services, incomplete resident assessments and care plans, medication errors, improper use of indwelling catheters, use of unnecessary drugs without adequate monitoring, failure to maintain emergency power system, unsafe physical environment, unsanitary food preparation and service, and inadequate infection control practices.

The document is a Statement of Deficiencies and Plan of Correction related to compliance with regulatory requirements, specifically addressing life safety code standards and resident rights notifications.

The facility was found deficient in ensuring that all designated exits are readily accessible, specifically the front exit door's magnetic locking device failed to initiate an alarm or release when tested. Additionally, the facility must inform residents of their rights and services in writing and orally.

The inspection was conducted to assess compliance with health and safety regulations, including behavioral health survey requirements and disaster training.

The facility was found to have deficiencies related to safety in the adolescent residence, including lack of alarms on outside doors and inadequate awake-night supervision on weekends. Additionally, the disaster plan was not rehearsed annually as required.

The inspection was conducted to assess the physical environment of the facility to ensure it is designed, constructed, equipped, and maintained to protect the health and safety of residents, personnel, and the public.

The facility was found not to be completely maintained to protect safety, with hot water temperatures exceeding maximum allowable limits at multiple locations, presenting a risk of scald/burn injury.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards, specifically regarding fire drills and fire alarm system testing.

The facility failed to conduct quarterly fire drills on each shift as required, missing documentation for the 7-3 shift in the 2nd quarter of 2000. Additionally, the fire alarm system was not tested monthly, with no tests conducted in April and May 2000.

The inspection was conducted as a routine survey to assess compliance with federal regulations regarding quality of care, dietary services, and resident rights at Seneca Trail Healthcare Center.

The facility was found deficient in ensuring gradual dose reductions for residents on antipsychotic drugs, providing food at proper temperatures and maintaining its nutritive value and appearance, and offering snacks at bedtime daily to residents. Specific issues included failure to document gradual dose reductions for one resident, food served at improper temperatures, unattractive food presentation, and inconsistent offering of bedtime snacks.

Annual inspection of Seneca Trail Healthcare Center to assess compliance with federal regulations regarding resident rights, staff treatment, resident assessment, quality of care, dietary services, infection control, and advance directives.

The facility was found deficient in multiple areas including failure to develop written policies for employee abuse screening, improper handling and labeling of medications, unsafe resident environment due to unsecured treatment cart, inadequate food temperature and presentation, failure to provide snacks at bedtime, and failure of staff to wash hands appropriately.