Inspection Reports for
Washington Center for Rehabilitation and Healthcare
Route 40, Argyle, NY, 12809
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
5.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
8% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 12
Date: Sep 12, 2025
Visit Reason
Multiple standard health and life safety code citations including issues with garbage disposal, abuse and neglect, pharmacy services, resident rights, respiratory care, and multiple life safety code deficiencies.
Findings
Multiple standard health and life safety code citations including issues with garbage disposal, abuse and neglect, pharmacy services, resident rights, respiratory care, and multiple life safety code deficiencies.
Deficiencies (12)
Dispose garbage and refuse properly
Free from abuse and neglect
Pharmacy services
Resident rights/exercise of rights
Respiratory/tracheostomy care and suctioning
Electrical systems - essential electric syste
Emergency officials contact information
Fire alarm system - testing and maintenance
Illumination of means of egress
Plan based on all hazards risk assessment
Sprinkler system - maintenance and testing
Utilities - gas and electric
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Sep 12, 2025
Visit Reason
The visit was conducted as a recertification and abbreviated survey to assess compliance with resident care and safety regulations.
Findings
The facility failed to ensure a resident's right to be free from neglect, resulting in a fall with actual harm due to staff not following the care plan. Corrective actions including staff education and audits were implemented to address the issue.
Deficiencies (1)
F 0600: The facility failed to protect Resident #128 from neglect by not ensuring the bed was in the lowest position and required safety devices were in place, resulting in a fall and injuries including a hematoma and bruising. Staff education and corrective actions were implemented following the incident.
Report Facts
Residents reviewed for neglect: 6
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide #2 | Named in neglect finding for leaving resident unattended with bed in elevated position | |
| Director of Nursing #1 | Director of Nursing | Conducted staff education and assessed resident after incident |
| Licensed Practical Nurse #4 | Licensed Practical Nurse | Noted bed in elevated position and absence of safety devices after fall |
| Registered Nurse #2 | Registered Nurse | Assessed resident injuries after fall |
| Nurse Practitioner #1 | Nurse Practitioner | Evaluated resident following fall |
| Licensed Practical Nurse #5 | Licensed Practical Nurse | Found resident on floor after fall |
| Assistant Director of Nursing #1 | Assistant Director of Nursing | Conducted staff education |
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Sep 12, 2025
Visit Reason
The inspection was a recertification and abbreviated survey conducted to assess compliance with regulatory requirements for the nursing home.
Findings
The facility was found deficient in several areas including failure to treat residents with dignity and respect, neglect resulting in a resident fall with injury, improper respiratory care not following physician orders, and improper disposal of garbage and refuse.
Deficiencies (4)
F 0550: The facility failed to ensure Resident #22 was treated with respect and dignity, as some staff were impolite and mean, causing the resident to fear reporting concerns.
F 0600: The facility failed to protect Resident #128 from neglect when a Certified Nurse Aide left the resident unattended in a high bed position, resulting in a fall with a hematoma and bruising.
F 0695: The facility did not ensure Resident #2 received respiratory care consistent with physician orders, as oxygen concentrator flow was set lower than prescribed.
F 0814: The facility did not properly dispose of garbage and refuse, as the trash compactor was leaking fluids and the surrounding area was unclean.
Report Facts
Residents reviewed: 6
Residents reviewed for respiratory care: 2
Date of resident fall: Feb 12, 2025
Oxygen flow rate ordered: 3
Oxygen flow rate observed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Spoke to Resident #22 about concerns and reported expectations for respectful treatment |
| Director of Nursing #1 | Director of Nursing | Provided interviews regarding staff training and assessment of residents after incidents |
| Certified Nurse Aide #2 | Certified Nurse Aide | Left Resident #128 unattended leading to fall |
| Registered Nurse #2 | Registered Nurse | Assessed Resident #128 after fall |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Observed oxygen concentrator settings and demonstrated use |
| Food Service Director #1 | Food Service Director | Reported plans to repair or replace leaking trash compactor |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Mar 26, 2024
Visit Reason
Citation for free from abuse and neglect, no actual harm but potential for minor harm; deficiency was corrected.
Findings
Citation for free from abuse and neglect, no actual harm but potential for minor harm; deficiency was corrected.
Deficiencies (1)
Free from abuse and neglect
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Mar 26, 2024
Visit Reason
The inspection was conducted as an abbreviated survey triggered by a complaint (#NY00304653) regarding alleged neglect of a resident at the facility.
Complaint Details
Complaint #NY00304653 was substantiated. The facility concluded there was reasonable cause to believe neglect occurred when Resident #1 was transferred improperly, resulting in injury.
Findings
The facility failed to ensure Resident #1's right to be free from neglect when a Certified Nurse Aide transferred the resident without using the required sit-to-stand mechanical lift, resulting in the resident falling and sustaining bilateral knee skin tears. The facility subsequently took corrective actions including audits, staff education, and suspension of the involved staff member.
Deficiencies (1)
F 0600: The facility did not protect Resident #1 from neglect by transferring them without the required sit-to-stand mechanical lift, causing the resident to fall and sustain bilateral knee skin tears.
Report Facts
Residents reviewed for abuse: 4
Resident skin tears: 2
Audit duration: 22
Incident reports reviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide #1 | Certified Nurse Aide | Named in neglect finding for transferring Resident #1 without mechanical lift |
| Director of Rehabilitation #1 | Director of Rehabilitation | Provided interview clarifying therapy and transfer plans for Resident #1 |
| Certified Nurse Aide #2 | Certified Nurse Aide | Provided interview about following resident care cards for assistance |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 2
Date: May 23, 2023
Visit Reason
Citations for CPR immediate jeopardy, and investigation/prevention of alleged violation; CPR deficiency was a severe systemic issue and corrected.
Findings
Citations for CPR immediate jeopardy, and investigation/prevention of alleged violation; CPR deficiency was a severe systemic issue and corrected.
Deficiencies (2)
Cardio-pulmonary resuscitation (cpr)
Investigate/prevent/correct alleged violation
Inspection Report
Abbreviated Survey
Deficiencies: 2
Date: May 23, 2023
Visit Reason
The abbreviated survey was conducted to investigate allegations of neglect and failure to provide timely cardiopulmonary resuscitation (CPR) to Resident #1 following a Code Blue emergency event.
Complaint Details
The visit was complaint-related, triggered by allegations that the facility failed to thoroughly investigate neglect and did not initiate CPR timely for Resident #1. The complaint was substantiated with findings of delayed CPR and incomplete investigation.
Findings
The facility failed to ensure a thorough investigation of alleged neglect and did not initiate CPR in a timely manner for Resident #1, who was a full code. The delay in CPR initiation resulted in actual harm and immediate jeopardy to resident health and safety.
Deficiencies (2)
F 0610: The facility did not ensure allegations of neglect were thoroughly investigated for Resident #1, as the investigation did not address the timeline of events or timely initiation of CPR upon recognition of cardiac arrest.
F 0678: The facility failed to provide basic life support including timely CPR to Resident #1, a full code, upon recognition of cardiopulmonary arrest at 9:05 AM, resulting in immediate jeopardy to resident health and safety.
Report Facts
Residents reviewed for neglect: 3
Residents affected: 16
CPR initiation time: 10
Code Blue call time: 920
Resident pronounced deceased: 940
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse | Named in findings for delayed initiation of CPR and failure to call Code Blue immediately. |
| DON | Director of Nursing | Initiated investigation and provided statements regarding policy and findings. |
| AA | Assistant Administrator | Participated in investigation and interviews regarding timeline and policy adherence. |
| LPN #3 | Licensed Practical Nurse | Advised RN #1 to call supervisors and participated in investigation interviews. |
| RNS #1 | Registered Nurse Supervisor | Responded to event and provided statements on timing and CPR initiation. |
| CNA #1 | Certified Nurse Aide | Performed chest compressions after RN #1 initiated CPR. |
| CNA #2 | Certified Nurse Aide | Found Resident #1 unresponsive and notified RN #1. |
| Medical Director | Medical Director | Provided statements on protocol and event notification. |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Sep 13, 2022
Visit Reason
Citation for PASARR screening for MD & ID, no actual harm but potential for minor harm; deficiency was corrected.
Findings
Citation for PASARR screening for MD & ID, no actual harm but potential for minor harm; deficiency was corrected.
Deficiencies (1)
Pasarr screening for md & id
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Sep 13, 2022
Visit Reason
The survey was conducted as a recertification and abbreviated survey to assess compliance with PASARR screening requirements for mental disorders or intellectual disabilities.
Findings
The facility failed to ensure that a required Level II PASRR assessment was completed for one resident (Resident #117) prior to admission, despite indications on the PASRR screen form that such an evaluation was necessary.
Deficiencies (1)
F 0645 PASARR screening for Mental disorders or Intellectual Disabilities was deficient because the facility did not complete a required Level II evaluation for Resident #117 prior to admission as indicated on the PASRR screen form dated 6/9/2021.
Report Facts
Residents reviewed for completion of PASRR: 18
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse Unit Manager (RNUM) #1 | Interviewed regarding Resident #117's admission and PASRR documentation | |
| Director of Nursing (DON) | Interviewed regarding facility responsibility for PASRR screening and lack of Level II referral | |
| Director of Social Work (DSW) | Interviewed regarding PASRR screening process and failure to complete Level II referral |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Feb 24, 2022
Visit Reason
Citation for Covid-19 vaccination of facility staff, no actual harm but potential for minimal harm; deficiency was corrected.
Findings
Citation for Covid-19 vaccination of facility staff, no actual harm but potential for minimal harm; deficiency was corrected.
Deficiencies (1)
Covid-19 vaccination of facility staff
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Dec 24, 2021
Visit Reason
Citation for developing and implementing comprehensive care plan, no actual harm but potential for minor harm; deficiency was corrected.
Findings
Citation for developing and implementing comprehensive care plan, no actual harm but potential for minor harm; deficiency was corrected.
Deficiencies (1)
Develop/implement comprehensive care plan
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Jan 10, 2020
Visit Reason
The inspection was a recertification survey and abbreviated survey to assess compliance with regulatory requirements for the nursing home.
Findings
The facility was found deficient in multiple areas including failure to protect residents from physical abuse, inadequate nutrition care for residents with significant weight loss, insufficient dialysis care communication, lack of qualified food and nutrition staff, missing carbon monoxide detection in areas with gas equipment, and improper use of face masks by staff.
Deficiencies (6)
F 0600: The facility did not ensure residents were free from physical abuse related to a resident to resident altercation involving two residents with cognitive impairments and behavioral issues.
F 0692: The facility did not ensure a resident with significant weight loss received adaptive equipment and assistance eating per the care plan, and did not provide a physician ordered supplement to another resident according to the care plan and resident preference.
F 0698: The facility did not ensure ongoing communication with the dialysis treatment center for a resident receiving dialysis, as required by policy and physician orders.
F 0801: The facility did not ensure employment of qualified staff to carry out food and nutrition services, as the Food Service Director lacked required certification or degree.
F 0836: The facility did not provide carbon monoxide detection in areas with gas fuel fired equipment as required by the 2015 International Fire Code.
F 0880: The facility did not establish and maintain an infection prevention and control program, evidenced by staff wearing face masks improperly on resident units.
Report Facts
Weight loss: 31.9
Weight loss: 5.7
Registered Dietitian hours: 19
Food Service Director staffing: 0.4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding resident altercation and abuse findings. | |
| Administrator | Interviewed regarding resident altercation and abuse findings. | |
| Registered Dietitian | Interviewed regarding nutrition care and supplement provision. | |
| Food Service Director | Interviewed regarding qualifications and food service management. | |
| Licensed Practical Nurse #1 | Observed and interviewed regarding improper mask wearing. | |
| Assistant Director of Nursing | Interviewed regarding infection control and mask wearing policy enforcement. |
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