Yonkers Gardens Center for Nursing and Rehabilitation received 38 citations for violations of public health code between 2018 and 2022, according to New York State Department of Health records accessed on May 13, 2022. The Yonkers nursing home’s citations resulted from a total of 15 inspections by state surveyors. The deficiencies they describe include the following:
1. The nursing home did not implement adequate accident prevention measures. Section 483.25 of the Federal Code maintains that nursing homes must ensure resident environments remain as free as possible of accident hazards, while providing residents with “adequate supervision and assistance devices to prevent accidents.” A December 2021 citation found that Yonkers Gardens Center for Nursing and Rehabilitation failed to ensure such. The citation specifically describes an instance in which a resident at high risk for elopement “exited the facility through the main lobby, undetected by staff,” who did not discover them until the following day. The citation goes on to describe a separate instance in which a second resident at high risk for elopement “exited the facility twice unnoticed by the staff.” In a third instance described by the citation, a third resident at high risk from elopement exited the facility “through a tunnel that led to the hospital grounds” and was found in a park one block away from the nursing home. A plan of correction undertaken by the facility included the education and counseling of relevant staff, as well as the termination of a security guard assigned to monitor the facility’s main lobby.