Ontario Center for Rehabilitation and Healthcare Cited for Medication Errors

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Ontario Center for Rehabilitation and Healthcare has been issued a fine and has received a total of 77 citations since 2017 for failing to keep the residents safe from falls and accidents, for failing to treat and prevent pressure ulcers, and for failing to administer medication in a timely manner.

Ontario Center for Rehabilitation and Healthcare has received 77 citations for violations of public health code between 2017 and 2021, according to records accessed on December 4, 2021. It was also issued a $12,000 fine in 2016 over findings it violated health code provisions regarding medication errors and resident rights. The Canandaigua nursing home facility’s citations resulted from a total of 12 surveys by state inspectors. The deficiencies they describe include the following:

1. The nursing home did not adequately protect residents from accidents. Section 483.25 of the Federal Code stipulates that nursing homes must provide residents with adequate supervision and assistance devices to prevent accidents. A June 2021 citation found that Ontario Center for Rehabilitation and Healthcare failed to ensure such. The citation specifically describes a resident on aspiration precautions who was not provided with supervision at mealtimes, and another resident who “did not receive assistance with ambulation and transfers to minimize risk of falls.” The citation states that these deficiencies had the “potential to cause more than minimal harm.” A plan of correction undertaken by the facility included the counseling of the residents’ care staff. 

2. The nursing home did not provide adequate pressure ulcer care. Section 483.25 of the Federal Code stipulates that nursing homes must ensure residents receive pressure ulcer “care and treatment consistent with professional standards to promote healing and prevent new pressure ulcers from developing.” A July 2020 citation found that Ontario Center for Rehabilitation and Healthcare failed to ensure such. The citation specifically describes one resident without wound dressing and three other residents who “lacked documentation that pressure ulcer treatments were being completed as ordered.” A plan of correction undertaken by the facility included the reeducation of nursing assistants on notifying charge nurses when residents’ wound dressing comes off.

3. The nursing home did not adequately prevent medication errors. Under Section 483.45 of the Federal Code, nursing home residents have a right to be “free of any significant medication errors.” A July 2019 citation found that Ontario Center for Rehabilitation and Healthcare failed to ensure such. The citation specifically states that three residents were not free from medication errors in a series of instances in which “multiple medications were not administered in a timely manner following admission to the facility.” The citation goes on to describe untimely administrations of various medications to the residents in question. A plan of correction undertaken by the facility included the reeducation of licensed nurses on matters including medication errors and timely medication administration.

The attorneys at the Law Offices of Thomas L. Gallivan, PLLC work diligently to protect the rights of nursing home residents.  Please contact us to discuss in the event you have a potential case involving neglect or abuse.

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