State Health Department Releases December 2000 Inspection Results of Nursing Homes

Albany, May 25, 2001 – The New York State Department of Health (the Department) completed 37 standard nursing home surveys in December 2000, citing 33 for deficiencies. To date, the Department continues to monitor two of the 37 homes cited last December for continued violations, while 35 of those homes are now back in compliance. In addition, the Department fined three nursing homes last December for violations related to the care and services provided to residents.

The federal Health Care Financing Administration (HCFA) 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 the facility was cited with "Significant Corrections Needed" (see below for definition), the Department is required to complete a Revisit Survey after the facility submits an acceptable POC. All facilities listed below have submitted a POC.

The Department identified four nursing homes that were in compliance and without deficiencies during our December surveys. Those facilities are St. Barnabas Hospital Skilled Nursing Facility (Bronx), Northern Metropolitan Nursing Home (Rockland), Victoria Home (Westchester) and New San Souci Nursing Home (Westchester).

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 will be 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 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 (avoidable weight loss, the development of avoidable pressure sores, or 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 type and number 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 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 December 2000, 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 December survey or are now addressing new violations from a subsequent survey.

Facility Location Level of Citation Current Status
Our Lady of Mercy Life Center Albany Corrections Needed In Compliance
Villa Mary Immaculate Albany Corrections Needed In Compliance
St. Vincent DePaul Residence Bronx Corrections Needed In Compliance
Terrace Health Care Center Bronx Significant Corrections Needed In Compliance
St. Barnabas Hospital NH Bronx In Compliance In Compliance
Manor Oak Skilled Nursing Facility Chautauqua Corrections Needed In Compliance
The Gerry Nursing Home Co., Inc. Chautauqua Corrections Needed In Compliance
Firemen's Home of the State of New York Columbia Corrections Needed Corrections Needed
Ridge View Manor Nursing Home Erie Corrections Needed In Compliance
St. Catherine Laboure Health Care Center. Erie Corrections Needed In Compliance
St. Francis Geriatric and Healthcare Erie Corrections Needed In Compliance
Genesis Health Care of New York Jefferson Significant Corrections Needed In Compliance
Brooklyn Queens Nursing Home Kings Significant Corrections Needed In Compliance
Park Ridge Nursing Home. Monroe Significant Corrections Needed In Compliance
The Shore Winds Monroe Significant Corrections Needed In Compliance
Stonehedge–Chittenango Nursing Home Madison Corrections Needed In Compliance
Newfane Rehabilitation and Health Care Center Niagara Significant Corrections Needed In Compliance
Hempstead Park Nursing Home Nassau Significant Corrections Needed In Compliance
White Oaks Nursing Home Nassau Corrections Needed In Compliance
Living Center at Geneva North Ontario Corrections Needed In Compliance
Living Center at Geneva South Ontario Corrections Needed In Compliance
Martin Luther King Nursing Home Oneida Significant Corrections Needed In Compliance
Birchwood Health Care Center Onondaga Corrections Needed In Compliance
Hallmark Nursing Care Onondaga Corrections Needed In Compliance
Glen Arden Care Center Orange Corrections Needed In Compliance
Union Plaza Nursing Home Queens Significant Corrections Needed In Compliance
Highland Care Center Queens Corrections Needed In Compliance
Northern Metropolitan Nursing Home Rockland In Compliance In Compliance
New Vanderbuilt Nursing Home Richmond Corrections Needed In Compliance
Sunset Manor Suffolk Corrections Needed In Compliance
Huntington Living Center Seneca Corrections Needed In Compliance
Blossom View Nursing Home Wayne Corrections Needed In Compliance
Bethel Nursing and Rehab. Westchester Corrections Needed In Compliance
Chandler Care Center Westchester Corrections Needed In Compliance
Victoria Home Westchester In Compliance In Compliance
Schnumacher Nursing Home Westchester Corrections Needed In Compliance
New San Souci Nursing Home Westchester In Compliance In Compliance

These 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 December 2000 for violations related to the care and services provided to residents.

Facility Location Fine & Survey Date
Manor Oak SNF Wyoming $2000 – 1/7/00
Resurrection Nursing Home Rensselaer $2,000 – 2/2/00
Wells Nursing Home Fulton $14,000 – 1/3/00

5/25/01–55 OPA