F0584

E

Failure to Maintain Safe and Comfortable Room Temperatures

Canandaigua, New York Survey Completed on 03-17-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to maintain resident room temperatures within its own policy range of 71 to 81 degrees Fahrenheit on the second and third floors, resulting in multiple residents being exposed to cold ambient air. On a day when outside temperatures ranged from 20 to 29 degrees Fahrenheit with snow, surveyors measured room temperatures as low as 60.3 degrees Fahrenheit, with heaters blowing cold air. One resident reported their room was “freezing,” stated they were always cold, and indicated maintenance had said the heater needed bleeding but had not returned; temperatures in this room were measured between 65.8 and 69.1 degrees Fahrenheit. Another resident reported waking in the middle of the night because their nose was freezing, with room temperatures measured at 60.3 degrees Fahrenheit and 57.6 degrees Fahrenheit above the heater, which was also blowing cold air.

Additional observations showed a resident in bed with a blanket up to their neck, actively shivering, in a room where the ambient temperature was 64.8 degrees Fahrenheit. Staff interviews corroborated that the environment was very cold: an LPN manager stated they were working at the nurse’s station because their office was “an ice box,” and another LPN reported that residents had complained of feeling cold at the start of their shift and that they had provided blankets and reported concerns to maintenance and administration. A resident in a common area on the second floor also stated it was really cold and that they had just been given a blanket. Leadership interviews confirmed awareness that the heating system had shut off and that pumps had been shut down and restarted, during which time residents on the affected floors experienced cold room temperatures below the facility’s stated comfort range.