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 Teresian House Nursing Home Co Inc during CMS and state inspections, most recent first.
A facility's medication error rate reached 24% when an LPN administered medications late to a resident with severe cognitive impairment and multiple medical conditions. The LPN did not follow the facility's policy to notify the charge nurse or physician about the late administration, nor was it documented. The facility's policy requires medications to be administered within one hour of the prescribed time, and time-critical medications within 30 minutes.
Two residents in an LTC facility experienced significant medication errors. One resident received medications intended for another, leading to low blood pressure, while another resident missed their prescribed medication for three days due to insurance pre-authorization issues. The facility failed to notify physicians or monitor for side effects as required by policy.
The facility failed to report a medication error and injuries of unknown origin for two residents in a timely manner. A resident with Alzheimer's dementia received incorrect medications, and the incident was reported late. Another resident with dementia and osteoporosis sustained fractures that were not reported. The facility's staff misunderstood reporting requirements, leading to non-compliance with state and federal regulations.
A resident with a history of dementia and osteoporosis sustained fractures in both wrists, but the facility failed to complete a Significant Change MDS assessment as required. Despite staff acknowledging the need for such assessments, the fractures were overlooked, resulting in a deficiency identified during a survey.
The facility did not ensure comprehensive care plans were updated for two residents regarding weight monitoring. One resident, with Alzheimer's and mood disorder, had a care plan that did not include weight monitoring despite a physician's order. The family attended meetings but could not recall weight discussions. Another resident, with cardiovascular issues, also lacked weight monitoring in their care plan, and the family stated they never requested weights to be omitted. Staff interviews revealed confusion about weight discussions, and the DON expected care plans to be updated promptly.
A resident with aphasia was not provided with adequate communication tools and staff training, leading to frustration and limited interaction. The facility's policy on communication with speech-impaired residents was not fully implemented, as staff lacked training and the resident had no communication aids in their room.
A resident with cognitive impairment and limited mobility did not receive necessary grooming assistance, resulting in facial hair growth. Despite the facility's policy requiring assistance with activities of daily living, staff interviews revealed a lack of awareness and action regarding the resident's grooming needs. Observations confirmed the deficiency, highlighting a failure to adhere to the care plan and facility policy.
A resident with respiratory issues was found with an empty portable oxygen tank on two occasions, despite being prescribed 2 liters per minute of oxygen. The facility's policy required regular monitoring and changing of the tank, but observations and interviews revealed lapses in adherence to these procedures by the nursing staff.
The facility failed to maintain food safety standards in two resident unit kitchenettes due to malfunctioning refrigerators and freezers. Observations revealed a refrigerator error code and a freezer with a temperature above freezing, resulting in improperly stored food. Despite established procedures for temperature monitoring, staff did not report the discrepancies, leading to the deficiency.
Medication Error Rate Exceeds 5% Due to Late Administration
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, resulting in a 24% error rate during a recertification survey. This deficiency was identified through the observation of a medication pass involving a resident with severe cognitive impairment and multiple medical conditions, including osteoarthritis, adjustment disorder with anxiety, and unspecified dementia. The resident was prescribed several medications to be administered at specific times, but the Licensed Practical Nurse (LPN) administered them late, at 10:50 AM, instead of the scheduled times of 8:00 AM and 9:00 AM. The LPN admitted to being late with the medication pass due to a heavy workload and did not seek assistance, contrary to the facility's policy. The facility's policy requires medications to be administered within one hour of the prescribed time, and time-critical medications within 30 minutes. The LPN did not notify the charge nurse or physician about the late administration, nor was it documented in the progress notes, as required by the facility's procedures. Interviews with the Nurse Educator and Director of Nursing confirmed that all nurses undergo medication pass competency training, which includes the expectation to notify and document any late medication administration.
Medication Errors in LTC Facility
Penalty
Summary
The facility failed to ensure that residents were free from significant medication errors, as evidenced by two separate incidents involving two residents. In the first incident, a resident with Alzheimer's dementia and other health issues was mistakenly given medications prescribed for another resident. This error occurred when an LPN administered a series of incorrect medications, including Morphine Sulfate and Lantus insulin, instead of the resident's prescribed medications. The error was documented, and the resident experienced low systolic blood pressure as a result. In the second incident, another resident with depression, dementia, and a history of stroke did not receive their prescribed medication, Ingrezza, for three consecutive days. The resident reported symptoms such as insomnia, teeth grinding, and an upset stomach due to the missed medication. The delay in medication administration was attributed to a failure to obtain insurance pre-authorization, and there was no documented evidence that the physician was notified or that the resident was monitored for side effects during this period. The facility's policy required that any withheld or refused medication be documented and reported to a registered nurse, and if the issue persisted for three days, the medical doctor or nurse practitioner should be notified. However, in both cases, the facility did not adhere to these procedures, resulting in significant medication errors that were not promptly addressed or communicated to the appropriate medical personnel.
Failure to Timely Report Abuse and Injuries
Penalty
Summary
The facility failed to report alleged violations of resident abuse, neglect, exploitation, or mistreatment in a timely manner, as required by state and federal regulations. Specifically, the facility did not report a medication error involving Resident #88 within the mandated two-hour window. The resident, who has Alzheimer's dementia and severely impaired cognition, was mistakenly given medications prescribed for another resident. The incident was reported to the State Survey Agency more than 24 hours later, and there was no documented evidence of a 5-day investigation report being submitted. Additionally, the facility did not report injuries of unknown origin for Resident #141, who has dementia and osteoporosis. The resident sustained a fracture to the left hand and later a fracture to the right wrist, neither of which were reported to the State Survey Agency. The facility's Director of Nursing did not consider the injuries suspicious, despite the resident's inability to explain the incidents and the lack of witnesses. The facility's policy on abuse prevention requires immediate reporting of such incidents, but the staff failed to adhere to these guidelines. The Director of Nursing and the Administrator misunderstood the reporting requirements, believing that a 5-day report was unnecessary due to a lack of communication from the Department of Health. This misunderstanding contributed to the failure to report the incidents as required.
Failure to Complete Significant Change MDS Assessment for Resident with Fractures
Penalty
Summary
The facility failed to complete a Significant Change Minimum Data Set (MDS) assessment for a resident who experienced significant changes in health status. The resident, who had a history of adjustment disorder, dementia with psychotic disturbance, and age-related osteoporosis, sustained a fractured wrist on two separate occasions. The first fracture occurred on the left wrist due to incorrect wheelchair use, and the second fracture occurred on the right wrist following a fall. Despite these significant changes, there was no documented evidence that a comprehensive assessment was conducted as required by the facility's policy and OBRA regulations. Interviews with facility staff revealed that both the Minimum Data Set Coordinator and the Director of Nursing acknowledged that fractures constitute a significant change in condition that necessitates an updated MDS assessment. However, the fractures were overlooked, and the necessary assessments were not completed. The oversight was attributed to human error, as the staff admitted that sometimes things get missed. This deficiency was identified during a recertification survey, highlighting a lapse in the facility's adherence to its own policies and regulatory requirements.
Failure to Update Comprehensive Care Plans for Weight Monitoring
Penalty
Summary
The facility failed to ensure that comprehensive care plans were reviewed and revised based on changing goals, preferences, and needs for two residents. For one resident, who was admitted with anxiety, Alzheimer's, and mood disorder, the care plan did not include weight monitoring despite a signed physician order to discontinue weights and heights. The resident's family attended care plan meetings but could not recall discussing weight monitoring. Interviews with staff revealed a lack of clarity on whether weights should be discussed at family meetings, and the Director of Nursing expected care plans to be updated promptly. For the second resident, admitted with atrial fibrillation, coronary artery disease, and hypertension, the care plan also failed to include weight monitoring, despite the resident's altered cardiovascular status. The resident's family stated they never requested the facility not to weigh the resident, contrary to what was documented. Staff interviews indicated that weights were obtained from a list provided by the unit manager, but there was no weight recorded in the last 90 days. The Director of Nursing expected weights to be discussed at care conferences and during meetings titled Wounds and Weights.
Deficiency in Communication Support for Resident with Aphasia
Penalty
Summary
The facility failed to provide a dependent resident with appropriate treatment and services to maintain or improve their language and communication abilities. The resident, who was admitted with a diagnosis of cerebral vascular accident (stroke), right side hemiplegia, and aphasia, was not given an adequate, structured approach and tools to communicate effectively. The facility's policy on communication with residents with speech impairments was not fully implemented, as evidenced by the lack of communication aids and training for staff. Observations showed the resident becoming frustrated due to their inability to express thoughts and hold conversations, relying only on yes/no responses and pointing. Interviews with staff revealed that Certified Nurse Aides did not receive training on stroke or residents with dysphagia, and the resident was only able to communicate through closed-ended questions. The Speech Therapist was working with the resident on dysphagia and cognitive communication, but the resident had no pictures in their room and was using the therapy department's iPad. The Director of Nursing stated that communication boards and picture boards were used, but these were not observed in the resident's room. The deficiency highlights the facility's failure to adhere to professional standards of care and provide necessary communication tools and training for staff.
Failure to Provide Personal Hygiene Assistance
Penalty
Summary
The facility failed to provide necessary assistance with personal hygiene for a resident who was unable to perform activities of daily living independently. Resident #83, who was admitted with diagnoses of anxiety, Alzheimer's, and mood disorder, was observed on multiple occasions with facial hair on the upper lip, indicating a lack of grooming assistance. The resident's Minimum Data Set indicated cognitive impairment, and the Comprehensive Care Plan required assistance with activities of daily living due to limited mobility and Alzheimer's. Despite these documented needs, the resident did not receive appropriate grooming care, as evidenced by the observations made during the survey. Interviews with staff revealed a lack of awareness and action regarding the grooming needs of Resident #83. A Certified Nurse Aide admitted to not considering shaving female residents, while a Licensed Practical Nurse acknowledged the expectation for grooming to occur on bath days. The Director of Nursing also confirmed that residents should receive shaving on bath days and as needed. The facility's policy on Activities of Daily Living Support, effective since March 2023, mandates that residents unable to perform daily living activities independently should receive necessary services to maintain personal hygiene, which was not adhered to in this case.
Deficiency in Respiratory Care for Resident
Penalty
Summary
The facility failed to ensure that a resident received necessary respiratory care in accordance with professional standards. Specifically, a resident with a history of malignant neoplasm of the right upper bronchus or lung, acute respiratory failure with hypoxia, and essential hypertension was observed with an empty portable oxygen tank on two separate occasions. The resident's Minimum Data Set indicated intact cognition, and the facility's policy required oxygen to be administered by licensed nurses with a physician's order. The resident was prescribed 2 liters per minute of oxygen via nasal cannula for shortness of breath, and the oxygen tank was to be monitored and changed when the gauge was in the red range. During observations, the resident's portable oxygen tank was found empty, and a Licensed Practical Nurse attempted to remove the tank from view. Interviews revealed that the oxygen tank should last approximately 2-3 hours at the prescribed flow rate, and it was the responsibility of the nursing staff to check the oxygen levels every shift. Certified Nurse Aides were allowed to check the oxygen level but not change the tank. The Registered Nurse acknowledged the need for staff reeducation regarding checking oxygen levels, indicating a lapse in adherence to the facility's policy and procedure for oxygen administration.
Food Storage and Temperature Monitoring Deficiency
Penalty
Summary
The facility failed to ensure that food was stored, prepared, distributed, or served in accordance with professional standards for food service safety in two of the fourteen resident unit kitchenettes. Specifically, the refrigerators and freezers in these units were not operating appropriately. During observations, one refrigerator displayed an E-1 error code, indicating a malfunction, and a freezer had a temperature reading of 33 degrees Fahrenheit, which is above the freezing point, resulting in food that was soft and not frozen. Interviews with the Director of Dining Services and Clinical Nutrition and the Director of Plant Operations revealed that there were established procedures for checking and logging refrigerator and freezer temperatures. However, the logs showed that the temperatures in the Unit 2B freezer were consistently outside the appropriate range, yet this issue was not reported by the staff responsible for monitoring these temperatures. The failure to report and address these temperature discrepancies contributed to the deficiency in maintaining food safety standards.
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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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Nursing homes near Albany
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Daughters Of Sarah Nursing Center | 0 mi | ★★★★★ | 1 | 0 |
| Eddy Village Green At Beverwyck | 2.6 mi | ★★★★★ | 2 | 0 |
| St Peters Nursing And Rehabilitation Center | 2.9 mi | ★★★★★ | 2 | 0 |
| Shaker Place Rehabilitation And Nursing Center | 3.7 mi | ★★★★★ | 0 | 0 |
| Our Lady Of Mercy Life Center | 4 mi | ★★★★★ | 0 | 0 |
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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.