State Health Department Releases March 2001 Inspection Results of Nursing Homes

Albany, November 9, 2001 – The New York State Department of Health (the Department) completed 53 unannounced standard annual nursing home surveys in March 2001, citing 49 for deficiencies. In addition, the Department fined 19 nursing homes 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 State Health 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 53 facilities surveyed submitted a POC and are currently back in compliance.

The Department identified four nursing homes that were in compliance and without deficiencies during our March surveys. Those facilities are Susquehanna Nursing Home (Broome), Nathan Littauer Hospital Nursing Home (Fulton), Gurwin Jewish Geriatric Center (Suffolk) and Hilaire Farm Nursing Home (Suffolk). The Department also determined that White Plains Nursing Home (Bronx) and Heritage Green Nursing Home (Chautauqua) were in substantial compliance.

Once a SOD is issued, all facilities have the opportunity to request an informal dispute resolution (IDR) with the State Health 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 679 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 State's surveillance of nursing homes, 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 March 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 March survey or are now addressing new violations from a subsequent survey.

Facility Location Level of Citation Current Status
Daughters of Sarah Nursing Center Albany Significant Corrections Needed In Compliance
Concourse Rehabilitation and Nursing Center, Inc. Bronx Significant Corrections Needed In Compliance
Fieldston Lodge Nursing Home Bronx Immediate Jeopardy In Compliance
White Plains Nursing Home Bronx Substantial Compliance In Compliance
Laconia Nursing Home Bronx Corrections Needed In Compliance
Morris Park Nursing Home Bronx Corrections Needed In Compliance
Susquehanna Nursing Home Broome In Compliance In Compliance
Willow Point Nursing Home Broome Significant Corrections Needed In Compliance
Heritage Green Nursing Home Chautauqua Substantial Compliance In Compliance
Episcopal Residential Health Facility, Inc. Erie Significant Corrections Needed In Compliance
Erie County Home Erie Corrections Needed In Compliance
McAuley Residence Erie Corrections Needed In Compliance
Schofield Residence Erie Corrections Needed In Compliance
Nathan Littauer Hospital NH Fulton In Compliance In Compliance
Little Falls Hospital SNF Herkimer Corrections Needed In Compliance
Mohawk Valley Nursing Home, Inc. Herkimer Corrections Needed In Compliance
Van Allen Nursing Home Herkimer Corrections Needed In Compliance
Cobble Hill Health Center, Inc. Kings Corrections Needed In Compliance
Crown Nursing & Rehab Center Kings Corrections Needed In Compliance
River Manor Care Center Kings Corrections Needed In Compliance
Crouse Community Center, Inc. Madison Significant Corrections Needed In Compliance
Fort Tryon Center for Rehabilitation and Nursing Manhattan Corrections Needed In Compliance
Mary Manning Walsh Nursing Home Co., Inc. Manhattan Significant Corrections Needed In Compliance
New York Foundling Hosp Center for Pediatric Medicine & Rehab Care, Inc. Manhattan Immediate Jeopardy In Compliance
Latta Road Nursing Home Monroe Corrections Needed In Compliance
Lakeside-Beikirch Care Center, Inc. Monroe Corrections Needed In Compliance
Norloch Manor Monroe Corrections Needed In Compliance
Penfield Place Monroe Corrections Needed In Compliance
St. Ann's Community Monroe Significant Corrections Needed In Compliance
St. Johnsville Nursing Home Montgomery Corrections Needed In Compliance
Glen Cove Center for Nursing and Rehabilitation Nassau Corrections Needed In Compliance
Marquis Care Center Nassau Significant Corrections Needed In Compliance
United Presbyterian Home at Syosset, Inc. Nassau Significant Corrections Needed In Compliance
Mt. St. Mary's Long Term Care Facility, Inc. Niagara Corrections Needed In Compliance
Betsy Ross Rehabilitative Center, Inc. Oneida Significant Corrections Needed In Compliance
Presbyterian Home for Central New York, Inc. Oneida Corrections Needed In Compliance
Clifton Springs Hospital and Clinic Extended Care Ontario Corrections Needed In Compliance
F.F. Thompson Continuing Care Ctr., Inc. Ontario Corrections Needed In Compliance
Montgomery Nursing Home Orange Corrections Needed In Compliance
Orchard Manor, Inc. Orleans Significant Corrections Needed In Compliance
Cliffside Nursing Home, Inc. Queens Significant Corrections Needed In Compliance
Jamaica Hospital Nursing Home Co., Inc. Queens Significant Corrections Needed In Compliance
Rego Park Nursing Home Queens Corrections Needed In Compliance
Broadlawn Manor Nursing & Rehab. Center Suffolk Significant Corrections Needed In Compliance
Our Lady of Consolation Geriatric Care Center Suffolk Significant Corrections Needed In Compliance
Gurwin Jewish Geriatric Center Suffolk In Compliance In Compliance
Hilaire Farm Nursing Home Suffolk In Compliance In Compliance
Hallmark Nursing Centre, Inc. [Glens Falls] Warren Corrections Needed In Compliance
Mary McClellan Skilled Nursing Facility Washington Significant Corrections Needed In Compliance
Home for Aged Blind Westchester Significant Corrections Needed In Compliance
Sprain Brook Manor Nursing Home Westchester Corrections Needed In Compliance
Wartburg Nursing Home Westchester   Significant Corrections Needed In Compliance
Wyoming County Community Hospital SNF Wyoming Significant Corrections Needed In Compliance

The above facilities 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 March 2001 for violations related to the care and services provided to residents.

Facility Location Fine & Survey Date
Howd Nursing Home Cayuga $12,000-3/7/00
Bethany Nursing Home & Health Related Facility, Inc. Chemung $18,000-2/23/01
Green Manor Nursing Home Columbia $6,000-4/12/00
Victory Lake Nursing Center Dutchess $8,000-2/17/00
St. Francis Home of Williamsville Erie $2,000-1/12/00
Nathan Littauer Hospital Nursing Home Fulton $9,000-2/15/00
Belair Care Center, Inc. Nassau $12,500-8/2/99
Rockville Residence Manor Nassau $4,000-1/17/01
Charles T. Sitrin Health Care Center, Inc. Oneida $4,000-1/21/00
Rome Nursing Home Oneida $1,000-9/9/99
St. Luke's Home Oneida $2,000-6/24/98
Arbor Hill Care Center Monroe $11,000-5/17/00
Hillcrest Nursing & Rehab. Center Rockland $16,000 – 6/14/99
Tolstoy Foundation Nursing Home Company, Inc. Rockland $3,000 – 9/9/99
Ross Health Care Center Suffolk $10,000-9/9/99
Westmount Health Facility Warren $2,000-5/4/00
Mary McClellan Skilled Nursing Facility Washington $11,000-2/24/00
Wayne County Nursing Home Wayne $1,000-1/29/00
Tarrytown Hall Care Center Westchester $4,000-10/17/00

11/9/01—117 OPA