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|