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