State Health Department Releases February 2001 Inspection Results of Nursing Homes
Albany, August 17, 2001 – The New York State Department of Health (the Department) completed 45 unannounced standard annual nursing home surveys in February 2001, citing 42 for deficiencies. In addition, the Department fined 13 nursing homes last February for violations related to the care and services provided to residents.
The federal Center for Medicare and Medicaid Services (CMS), previously known as the Health Care Financing Administration, requires the New York State Department of Health to conduct at least one unannounced standard survey of each nursing home no later than 15 months after the previous survey. Nursing homes found to have violations are issued a Statement of Deficiencies (SOD) by the Department, citing those deficiencies identified during the survey as well as the seriousness of the findings.
In cases in which a facility is issued a SOD, the administrator of the home is required to submit a Plan of Correction (POC) to the Department. The Plan of Correction states what the facility will do to correct the individual findings, what steps will be implemented to prevent the deficient practice from affecting others, as well as their protocols to monitor the effectiveness of the plan over time to prevent reoccurrence of violations. If a facility is cited for "Significant Corrections Needed," "Substandard Quality of Care," and/or "Immediate Jeopardy" (see definitions below), the Department conducts an unannounced Revisit Survey once the facility has submitted an acceptable POC. All facilities listed below have submitted a POC.
The Department identified three nursing homes during its surveys that were in compliance and without deficiencies in January. Those facilities are Canterbury Woods (Erie), Central Island Healthcare (Nassau), Hudson Valley Rehab & Ext Care Center (Ulster). The Department also determined that the New York State Veterans Home (Genesee) and the Avon Nursing Home (Livingston) were in substantial compliance.
Once a SOD is issued, all facilities have the opportunity to request an informal dispute resolution (IDR) with the Department. This standardized process allows nursing homes to informally review any disagreements they have regarding citations issued by the Department. Once the IDR process is complete, all findings for the latest annual standard survey are posted on the New York State Department of Health web site at www.health.state.ny.us. The DOH web site includes nursing home survey information both by facility and geographic area.
The Department surveys all 680 nursing homes in New York State to ensure that residents living in these facilities are receiving the respect, dignity, and quality of care they deserve.
Nursing home surveys are outcome–based and focus on the status of the care and services provided to residents by nursing homes. Through the survey process, the Department reviews issues and aspects of care that impact the lives of nursing home residents. SODs categorize deficiencies in the areas of administration, quality of care, resident rights, food service, environment, and other services such as dental, pharmacy and specialized rehabilitation.
As part of the surveillance of nursing homes in the State, the Department sends a team of trained surveyors into facilities that may include registered nurses (RN's), social workers, nutritionists, and physicians. A Department representative responsible for the sanitary conditions of the facility completes the life–safety code portion of the survey (building codes, fire safety equipment and security systems).
Deficiencies, which signify a failure to meet federal and/or state regulations, range from minor to serious (examples of serious violations include, but are not limited to: avoidable weight loss, the development of avoidable pressure sores, and the occurrence of resident abuse, mistreatment or neglect). In order to identify issues, problems or potential violations, surveyors utilize three approaches: direct observation of services provided, interviews with residents, family members, direct care staff and administrators, and review of resident medical records. Once the survey team has gathered pertinent information, they analyze the data collectively and make a determination on whether deficiencies exist and a SOD should be issued.
Survey Rating – Each facility receives a rating based on the scope and severity of deficiencies found during a survey visit. One of the following ratings is associated with each standard survey. The sequence of the ratings is ordered from the most to least favorable outcome.
- In Compliance
- Facility is compliant with all requirements. No deficiencies identified during the survey.
- Substantial Compliance
- Facility has very minimal deficiencies that are unlikely to cause harm to residents.
- Corrections Needed
- Facility has deficiencies that have the potential to cause harm or compromise the resident's ability to maintain or improve health status.
- Significant Corrections Needed
- Facility has deficiencies that have caused actual harm or compromised the resident's ability to maintain or improve health status.
- Substandard Quality of Care
- Facility has deficiencies identified in critical care and services areas that are provided by the nursing home. In some cases, a home is cited for substandard quality of care in addition to one of the deficient categories listed (typically coinciding with significant corrections needed or Immediate Jeopardy).
- Immediate Jeopardy
- Facility has deficiencies that have caused or are likely to cause serious harm, injury, impairment, or death if not immediately rectified.
Each nursing home has its own policies and procedures, but all must follow state and federal regulations. Some of the important aspects that individuals should look for when choosing a nursing home include, but are not limited to, complaint procedures; the use of personal belongings and furniture; the availability of ethnic foods and/or specialty diets; room assignments; reserving a bed if transferred to a hospital; visiting hours for family and friends; emergency procedures; self–care and daily assistance; leaving the facility for short visits with family and friends; the cleanliness of the facility and access to personal funds.
Also, when choosing a nursing home that will best meet their needs, individuals should consult with their doctor and the hospital discharge planning staff in cases involving hospital discharges to assess their medical, nursing and social needs.
Nursing homes are required to make available the results of the most recent survey including any Plan of Correction (POC) in a readily accessible location. For further information (i.e., the number of deficiencies found at a facility) the public is recommended to go to the facility or contact its administrators for detailed information.
The following list identifies the name of the facility, its location, the highest level of deficiencies cited in February 2001, and the facilities current status. The "Current Status" is defined as the Department's latest survey rating given to the home. Facilities listed with a current status of "Significant Corrections Needed" or "Corrections Needed" may be awaiting a Department revisit to substantiate compliance, have not yet resolved violations from the February survey or are now addressing new violations from a subsequent survey.
| Facility | Location | Level of Citation | Current Status |
|---|---|---|---|
| Albany County Nursing Home | Albany | Corrections Needed | In Compliance |
| Cuba Memorial Hospital, Inc. SNF | Allegany | Significant corrections needed | In Compliance |
| Grand Manor Nursing & Rehabilitation Center | Bronx | Corrections Needed | In Compliance |
| Parkview Nursing Home | Bronx | Corrections Needed | In Compliance |
| Gowanda Nursing Home | Cattaraugus | Corrections Needed | In Compliance |
| The Pines Healthcare & Rehabilitation Center | Cattaraugus | Corrections Needed | In Compliance |
| Howd Nursing Home | Cayuga | Significant Corrections Needed | In Compliance |
| Chenango Memorial Hospital, Inc. SNF | Chenango | Significant Corrections Needed | In Compliance |
| Lutheran Center at Poughkeepsie, Inc. | Dutchess | Significant Corrections Needed | In Compliance |
| Autumn View Manor | Erie | Corrections Needed | In Compliance |
| Canterbury Woods | Erie | In Compliance | In Compliance |
| Grace Manor Health Care Facility | Erie | Corrections Needed | In Compliance |
| Maplewood Health Care Center, Inc. | Erie | Corrections Needed | In Compliance |
| Alice Hyde Nursing Home | Franklin | Corrections Needed | In Compliance |
| Western New York State Veterans Home | Genesee | Substantial Compliance | In Compliance |
| Folts Home | Herkimer | Corrections Needed | In Compliance |
| Samaritan–Keep Nursing Home | Jefferson | Significant Corrections Needed | In Compliance |
| Rutland Nursing Home CO, Inc. | Kings | Significant Corrections Needed | In Compliance |
| Avon Nursing Home | Livingston | Substantial Compliance | In Compliance |
| Community Memorial Hospital, Inc. NH Unit | Madison | Corrections Needed | In Compliance |
| Cabrini Center for Nursing & Rehab | Manhattan | Significant Corrections Needed | In Compliance |
| Village Center for Care | Manhattan | Corrections Needed | In Compliance |
| The Friendly Home | Monroe | Significant Corrections Needed | In Compliance |
| Westgate Nursing Home | Monroe | Corrections Needed | In Compliance |
| Palatine Nursing Home | Montgomery | Corrections Needed | In Compliance |
| Central Island Healthcare | Nassau | In Compliance | In Compliance |
| Parkview Nursing Home, Inc. | Nassau | Significant Corrections Needed | Corrections Needed |
| Woodmere Rehab & Health Care Ctr., Inc. | Nassau | Corrections Needed | In Compliance |
| Odd Fellow & Rebekah Rehabilitation & Health Care Ctr., Inc | Niagara | Corrections Needed | In Compliance |
| Nottingham Residential Health Care Facility | Onondaga | Corrections Needed | In Compliance |
| Sunnyside Care Center | Onondaga | Corrections Needed | In Compliance |
| Syracuse Home Association | Onondaga | Corrections Needed | In Compliance |
| Dr. William O. Benenson Rehab Pavilion | Queens | Significant Corrections Needed | Corrections Needed |
| Franklin Center for Rehab & Nursing, Inc. | Queens | Corrections Needed | In Compliance |
| Resurrection Nursing Home, Inc. | Rensselaer | Corrections Needed | In Compliance |
| Ellis Center for Long Term Care | Schenectady | Significant Corrections Needed | In Compliance |
| United Helpers Cedars Nursing Home, Inc. | St. Lawrence | Corrections Needed | In Compliance |
| United Helpers Nursing Home, Inc. | St. Lawrence | Significant Corrections Needed | In Compliance |
| Crest Hall Care Center | Suffolk | Corrections Needed | In Compliance |
| Southampton Nursing Home, Inc. | Suffolk | Corrections Needed | In Compliance |
| St. Johnland Nursing Center, Inc. | Suffolk | Significant Corrections Needed | In Compliance |
| Hudson Valley Rehab & Ext Care Center | Ulster | In Compliance | In Compliance |
| Cedar Manor Nursing Home | Westchester | Corrections Needed | In Compliance |
| St. Cabrini Nursing Home, Inc. | Westchester | Significant Corrections Needed | In Compliance |
| Soldiers & Sailors Memorial Hospital Extended Care Unit | Yates | Significant Corrections Needed | In Compliance |
The facilities listed above may be subject to enforcement action, including monetary penalties for the deficiencies identified during the Department's standard inspection/revisit process.
The State Department of Health fined the following nursing homes in February 2001 for violations related to the care and services provided to residents.
| Facility | Location | Fine & Survey Date |
|---|---|---|
| Guilderland Center Nursing Home, Inc. | Albany | $3,000 – 6/23/00 |
| Gerry Nursing Home Co., Inc. | Chautauqua | $4,000 – 9/19/00 |
| Adventist Nursing Home, Inc. | Columbia | $6,000 – 11/1/99 |
| Brothers of Mercy Nursing and Rehabilitation Center | Erie | $1,500 – 6/1/00 |
| Folts Home | Herkimer | $4,000 – 4/17/00 |
| Samaritan Keep Nursing Home, Inc. | Jefferson | $4,000 – 1/13/00 |
| Elm Manor Nursing Home | Ontario | $1,000 – 6/29/00 |
| The Highlands at Brighton | Monroe | $6,000 – 4/27/00 |
| United Helpers Cedars Nursing Home, Inc. | St. Lawrence | $2,000 – 3/3/00 |
| Ira Davenport Memorial Hospital SNF/HRF | Steuben | $2,000 – 7/14/00 |
| Steuben County Infirmary | Steuben | $2,000 – 7/28/00 |
| Our Lady of Consolation Geriatric Care Center | Suffolk | $8,000 – 12/17/99 |
| Golden Hill Health Care Center | Ulster | $1,500 – 7/22/99 |
8/17/01—92 OPA
