Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Eddy Memorial Geriatric Center during CMS and state inspections, most recent first.
The facility inaccurately coded antiplatelet medications as anticoagulants in the MDS for several residents, leading to discrepancies in their assessments. Staff interviews revealed a misunderstanding of coding requirements, with the MDS Coordinator incorrectly coding Aspirin as an anticoagulant. The DON acknowledged the error, indicating a lack of awareness of correct practices.
The facility failed to ensure proper hand hygiene during meal service, as staff were observed not performing hand hygiene between assisting residents and after touching environmental surfaces. An LPN and CNAs were seen handling items and assisting residents without washing hands or changing gloves, despite training on infection control practices. Limited access to hand sanitizer dispensers may have contributed to the issue.
A resident with dementia and other health conditions was diagnosed with a UTI and prescribed an antibiotic, but the facility failed to develop a care plan for this change in condition. Staff interviews confirmed that care plans should be initiated for new diagnoses, but this was not done, violating the facility's care planning policy.
The facility failed to update Comprehensive Care Plans for two residents, leading to inaccuracies in medication and nutrition management. One resident's care plan did not reflect the need for specific medications, while another's did not account for the discontinuation of weekly weight checks. Staff interviews revealed procedural challenges in maintaining current care plans.
A resident on anticoagulant therapy was found with multiple bruises on their upper extremities, which were not documented, monitored, or investigated by the facility. Despite the resident's known risk for bruising, nursing staff were unaware of the bruises until the surveyor's observation. The facility's policy required documentation and investigation of new skin issues, which was not followed in this case.
A resident with cognitive impairment and anxiety was injured twice during nail trimming due to inadequate supervision and lack of incident reporting. The facility failed to document and investigate the incidents or implement preventive interventions, despite having a policy for patient safety event reporting.
A resident with chronic respiratory failure was not provided with properly labeled oxygen tubing, as required by facility policy. Despite physician orders and facility procedures mandating weekly changes and labeling of oxygen tubing, observations revealed that the tubing was unlabeled on multiple occasions. This deficiency was confirmed through interviews with nursing staff, highlighting a lapse in adherence to professional standards for respiratory care.
A facility failed to label insulin pens with both the date opened and expiration date, as required by professional standards. During a survey, it was found that insulin pens for several residents were missing this information, contrary to the facility's policy. Staff acknowledged the issue and indicated they would seek to determine the opening date through records or consult a supervisor if necessary.
The facility failed to maintain safe and sanitary food storage and preparation conditions, with expired foods not disposed of, unlabeled packages, and dented cans not removed from stock. The kitchen was found to be unsanitary, with greasy build-up and grime. Staff interviews confirmed lapses in following policies for food inspection and kitchen cleaning.
Inaccurate Medication Coding in Resident Assessments
Penalty
Summary
The facility failed to ensure accurate assessments for residents, specifically in the coding of medications in the Minimum Data Set (MDS). For six residents, antiplatelet medications such as Aspirin were incorrectly coded as anticoagulants. This error was identified during a recertification survey, where it was found that the MDS did not reflect the residents' actual medication regimens. For example, one resident with a history of anemia and transient ischemic attack was documented as receiving anticoagulants, but the medication records only showed a prescription for Aspirin, an antiplatelet. Similarly, another resident with dementia and diabetes was also incorrectly documented as receiving anticoagulants, despite only being prescribed Aspirin. Additionally, for one resident, there was no documented evidence of any anticoagulant or antiplatelet medication being prescribed, yet the MDS indicated that the resident was on anticoagulants. Interviews with facility staff revealed a misunderstanding of the coding requirements, with the MDS Coordinator incorrectly believing that Aspirin should be coded as an anticoagulant. The Director of Nursing acknowledged the error, indicating a lack of awareness regarding the correct coding practices. This deficiency highlights a significant issue in the facility's assessment process, impacting the accuracy of resident records.
Inadequate Hand Hygiene Practices During Meal Service
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by multiple observations of staff not performing hand hygiene during meal service. Certified Nurse Aide #2 was observed wearing the same pair of gloves while assisting multiple residents with their meals without performing hand hygiene in between tasks or after touching trays and other items in the environment. Similarly, Licensed Practical Nurse #2 was seen touching their clothing, face, and hair before assisting a resident with feeding, and did not perform hand hygiene before or after these actions. Further observations revealed that Certified Nurse Aide #3 did not perform hand hygiene between assisting different residents and after touching environmental surfaces. The dining room had only one hand sanitizer dispenser, which was located in a corner, potentially limiting staff access to perform hand hygiene. Additionally, Licensed Practical Nurse #2 was observed handling cups by the mouth area and touching their pants without performing hand hygiene between these actions and serving residents. Interviews with staff indicated a lack of recent training on hand hygiene practices, with some staff members acknowledging the need for frequent hand hygiene to prevent cross-contamination. The Infection Preventionist stated that staff had received training and that audits were conducted, but acknowledged the need for more hand sanitizer dispensers. The Director of Nursing confirmed that hand hygiene should be performed between residents and after touching items in the environment, but the observations indicated that this practice was not consistently followed.
Failure to Implement Care Plan for UTI
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident diagnosed with a urinary tract infection. The resident, who had a history of dementia, type 2 diabetes mellitus, and hypertension, was admitted to the facility and assessed to have moderately impaired cognition. Despite being prescribed an antibiotic, Levaquin, for the infection, there was no documented evidence of a care plan addressing this change in condition. Interviews with facility staff revealed that a care plan should have been initiated upon the resident's new diagnosis. The Registered Nurse and Director of Nursing both acknowledged that care plans are required for new diagnoses and should be discontinued once resolved. However, the care plan for the urinary tract infection and antibiotic use was not developed, indicating a lapse in following the facility's policy for care planning.
Failure to Update Comprehensive Care Plans
Penalty
Summary
The facility failed to ensure that Comprehensive Care Plans were reviewed and revised in response to changing needs and interventions for two residents. For Resident #27, the care plan for medications was not updated to include the need for Guaifenesin cough medication, daily Aspirin for blood thinning, and Cepacol lozenge for a sore throat. Additionally, the care plan inaccurately documented the resident as being on anticoagulant therapy, which was not the case, and did not appropriately address the use of Aspirin. For Resident #180, the care plan for nutrition was not revised to reflect the discontinuation of weekly weight checks, which were initially ordered to be done every Monday. The care plan continued to list weekly weights as an intervention despite the physician's order being discontinued. This oversight indicates a lack of proper updating of the care plan to align with current medical orders and resident needs. Interviews with facility staff, including an LPN, RN Unit Manager, Social Worker, and Admissions Director, revealed that care plans should be updated quarterly, annually, and whenever there are changes in resident conditions or medications. However, there were challenges in ensuring timely updates, particularly with baseline care plans, due to staffing limitations and procedural issues. These deficiencies were identified during a recertification survey, highlighting lapses in the facility's adherence to its care planning policy.
Failure to Document and Investigate Bruising in Resident on Anticoagulant Therapy
Penalty
Summary
The facility failed to provide resident-centered care and services in accordance with professional standards for Resident #11, who was at risk for bruising due to anticoagulant medication. Despite the resident's known risk factors, the facility did not identify, document, investigate, or monitor multiple bruises observed on the resident's bilateral upper extremities. The facility's policy required staff to assess and document any new skin issues promptly, but this was not adhered to in the case of Resident #11. During the survey, it was revealed that the nursing staff, including a Licensed Practical Nurse and a Registered Nurse, were unaware of the resident's bruises and had not documented or investigated them. The Director of Nursing confirmed that the bruises were not documented until brought to their attention by the surveyor. The facility's failure to document and investigate the bruises was a deviation from their policy, which required obtaining staff statements and determining the cause of injuries to prevent recurrence.
Failure to Prevent and Investigate Resident Injuries During Nail Trimming
Penalty
Summary
The facility failed to ensure the resident environment was free from accident hazards and did not provide adequate supervision to prevent accidents for a resident with cognitive impairment and anxiety. The resident, who was dependent on staff for personal hygiene, was injured on two separate occasions while staff attempted to trim their fingernails. The incidents occurred despite the resident's known behavior of clenching fingers and requiring gentle coaxing and encouragement during personal hygiene tasks. The facility did not document incident and accident reports or conduct investigations following the injuries, nor were any interventions implemented to prevent recurrence after the first incident. The facility's policy on Patient Safety Event Reporting required such documentation and analysis to identify improvements and prevent future occurrences. Interviews with staff revealed a lack of awareness and follow-through on reporting and addressing the incidents, highlighting a deficiency in the facility's adherence to its own safety protocols.
Failure to Label Oxygen Tubing for Resident
Penalty
Summary
The facility failed to provide appropriate respiratory care for a resident, as evidenced by the lack of labeling on the oxygen tubing used for Resident #58. The resident, who was admitted with diagnoses including traumatic subarachnoid hemorrhage, chronic respiratory failure with hypoxia, and type 2 diabetes mellitus, required continuous oxygen delivery at 2 liters. Facility policy and physician orders mandated that oxygen tubing be changed weekly and labeled with the date and initials. However, during multiple observations, the oxygen tubing used for the resident was found to be unlabeled, indicating non-compliance with the facility's policy and professional standards. The deficiency was identified during a recertification survey, where it was noted that the oxygen tubing for Resident #58 was not labeled on several occasions, despite the facility's policy requiring such labeling. Interviews with the Registered Nurse Unit Manager confirmed that the expectation was for tubing to be changed and labeled weekly and as needed, particularly if there were infection control concerns. The lack of labeling on the oxygen tubing suggests a failure in adhering to the established procedures for respiratory care, potentially impacting the quality of care provided to the resident.
Deficiency in Insulin Pen Labeling and Storage
Penalty
Summary
The facility failed to ensure that drugs and biologicals were labeled and stored according to professional standards of practice. During a recertification survey, it was observed that insulin pens on one of the medication carts in the facility were not labeled with both the date opened and the expiration date. Specifically, insulin pens for several residents were found without the required labeling, which is contrary to the facility's Medication Administration Policy and Procedure. This policy mandates that the expiration date on the medication label must be checked prior to administration, and the date opened should be recorded on the container when a multi-dose container is opened. During observations and interviews, it was noted that the insulin pens for multiple residents were missing the necessary labeling. Licensed Practical Nurses and a Registered Nurse Unit Manager acknowledged the deficiency, stating that both the date opened and expiration date should be recorded on the insulin pens. The staff indicated that if they encountered unlabeled pens, they would attempt to determine the opening date through Medication Administration Records and nursing notes, or seek guidance from a supervisor if the date could not be determined.
Deficiency in Food Storage and Sanitation Practices
Penalty
Summary
The facility failed to ensure food was stored and served under safe and sanitary conditions, leading to potential contamination and the spread of food-borne illness. Observations revealed expired foods were not disposed of in a timely manner, with several food items such as diced tomatoes, baked potatoes, chicken patties, and shredded carrots labeled with past use-by dates. Additionally, some food packages were unlabeled, and dented canned foods were not removed from common stock, contrary to the facility's policy. The kitchen environment was also found to be unsanitary, with dark, greasy build-up on walls and floors, grime under food preparation stations, and debris on the ice scoop holder. Interviews with staff, including a dietitian, service manager, and executive chef, confirmed that the facility's policies required daily inspection and disposal of expired or spoiled food items, as well as daily cleaning of the kitchen. However, the executive chef admitted that sometimes food items were missed during inspections, and areas were overlooked during cleaning. The facility maintained a cleaning schedule, but observations indicated that it was not consistently followed, resulting in unsanitary conditions in the kitchen.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Troy
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Eddy Heritage House Nursing And Rehabilitation Ctr | 0.5 mi | ★★★★★ | 9 | 2 |
| Troy Center For Rehabilitation And Nursing | 2.9 mi | ★★★★★ | 8 | 0 |
| Van Rensselaer Manor | 3.3 mi | ★★★★★ | 22 | 0 |
| Eddy Village Green | 3.8 mi | ★★★★★ | 0 | 0 |
| Troy Victorian Rehabilitation & Nursing Care Cntr | 4.1 mi | ★★★★★ | 7 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.