State Health Department Releases January 2001 Inspection Results of Nursing Homes

Albany, July 10, 2001 – The New York State Department of Health (the Department) completed 52 unannounced standard annual nursing home surveys in January 2001, citing 48 for deficiencies. In addition, the Department fined five nursing homes last January 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 facilities listed below have submitted a POC.

The Department identified four nursing homes that were in compliance and without deficiencies during our January surveys. Those facilities are Hallmark Nursing Centre (Jefferson), Glengariff Corporation (Nassau), Park Avenue Extended Care (Nassau) and Briody Health Care Facility (Niagara).

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 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 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 January 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 January survey or are now addressing new violations from a subsequent survey.

Facility Location Level of Citation Current Status
Child's NH Company, Inc. Albany Significant Corrections Needed In Compliance
Casa Promesa Bronx Corrections Needed In Compliance
East Haven Bronx Significant Corrections Needed In Compliance
Frances Schervier Home Bronx Corrections Needed In Compliance
Hebrew Hospital Home Bronx Significant Corrections Needed In Compliance
Morningside House Bronx Corrections Needed In Compliance
Split Rock Bronx Corrections Needed In Compliance
The Waters of Endicott Broome Corrections Needed In Compliance
Cayuga County Nursing Home Cayuga Significant Corrections Needed In Compliance
Pearl and Everett Gilmour Center Chenango Significant Corrections Needed In Compliance
Adventist Nursing Home, Inc. Columbia Immediate Jeopardy In Compliance
Erie County Medical Center SNF Erie Corrections Needed In Compliance
Manor Oak Skilled Nursing Facilities, Inc. Erie Corrections Needed In Compliance
Sheridan Manor Nursing Home, Inc. Erie Corrections Needed In Compliance
St. Francis Home of Williamsville Erie Corrections Needed In Compliance
The Gardens of Manhattan Health and Rehabilitation Center Erie Significant Corrections Needed In Compliance
The Waters of Eden Erie Corrections Needed In Compliance
Wedgewood Health Care Center, LLC Erie Corrections Needed In Compliance
Hallmark Nursing Centre, Carthage Jefferson In Compliance In Compliance
Dr. Susan Mckinney Nursing and Rehab Center Kings Corrections Needed In Compliance
Shoreview NH Kings Significant Corrections Needed In Compliance
Isabella Geriatric Center Manhattan Corrections Needed In Compliance
New Gouverneur Hospital SNF Manhattan Corrections Needed In Compliance
Arbor Hill Care Center Monroe Significant Corrections Needed In Compliance  
Church Home of the Episcopalians Monroe Significant Corrections Needed In Compliance
Hamilton Manor Nursing Home Monroe Corrections Needed In Compliance
Wesley on East Monroe Significant Corrections Needed In Compliance
Franklin Hospital Medical Center NH Nassau Significant Corrections Needed In Compliance
Glengariff Corporation Nassau In Compliance In Compliance
Meadow Brook Care Center, Inc. Nassau Significant Corrections Needed In Compliance
Park Avenue Extended Care Nassau In Compliance In Compliance
Briody Health Care Facility Niagara In Compliance In Compliance
Rockville Residence Nassau Significant Corrections Needed In Compliance
Bethany House Oneida Significant Corrections Needed In Compliance
Eden Park Health Care Center Oneida Corrections Needed In Compliance
Harding Nursing Home Oneida Significant Corrections Needed In Compliance
Chapin Home for Aging Queens Corrections Needed In Compliance
Lawrence Nursing Care Center, Inc. Queens Substantial Compliance In Compliance
Ocean Promenade RHCF Queens Corrections Needed In Compliance
Northwoods Rehabilitation and Extended Care Center –Troy Rensselaer Significant Corrections Needed In Compliance
Saratoga Hospital NH Saratoga Corrections Needed In Compliance
Hallmark Nursing Centre, Inc., 526 Altamont Ave, Schenectady Schenectady Significant Corrections Needed In Compliance
Schuyler Hospital LTCU Schuyler Corrections Needed In Compliance
Good Samaritan NH Suffolk Significant Corrections Needed In Compliance
Huntington Hills NH Suffolk Corrections Needed In Compliance
St. James NH Suffolk   Corrections Needed In Compliance
Adirondack Tri–County Health Care Center, Inc. Warren Significant Corrections Needed In Compliance
St. Mary's Westchester   Corrections Needed In Compliance
Waterview Hills Westchester Significant Corrections Needed In Compliance
Sutton Park Center for Nursing and Rehabilitation Westchester Immediate Jeopardy In Compliance
Dumont NH Westchester Corrections Needed In Compliance
Manor Oak Skilled Nursing Facilities, Inc. Wyoming Significant Corrections Needed 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 January 2001 for violations related to the care and services provided to residents.

Facility Location Fine & Survey Date
Barnwell Nursing Home & Health Facilities Columbia $2,000 – 1/31/00
The Hospital SNF Delaware $8,000 – 11/18/99
Maplewood Health Care Center, Inc. Erie $3,000 – 2/14/00
Community Memorial Hospital Madison $4,000 – 2/3/00
Regency Extended Care Westchester $30,000 – 10/12/99

7/10/01–79 OPA