State Health Department Releases March 2002 Inspection Results of Nursing Homes

Albany, July 25, 2002 – The New York State Department of Health (the Department) completed 63 unannounced standard annual nursing home surveys in March 2002, citing 57 for deficiencies. In addition, the Department fined six nursing homes for violations related to the care and services provided to residents.

The federal Center for Medicare and Medicaid Services (CMS) 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.

In March 2002, the Department determined that The Waters of Dunkrik (Chautauqua), Penfield Place (Monroe), Lawrence Nursing Care Center, (Queens) and Daleview Nursing Home (Suffolk) were in compliance. In addition, the Department found that two Erie County Homes, McAuley Residence and Schofield Residence 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 685 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 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 2002, 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
Teresian House NH Co., Inc. Albany Immediate Jeopardy In Compliance
Casa Promesa RHCC Bronx Corrections needed In Compliance
East Haven Nursing & Rehab. Center Bronx Correction Needed In Compliance
Francis Schervier Home and Hospital Bronx Correction Needed In Compliance
Grand Manor Nursing and Rehab Bronx Significant Correction Needed In Compliance
Morningside House Bronx Correction Needed In Compliance
Terrace Health Care Center Bronx Significant Correction Needed In Compliance
Susquehanna Nursing Home Broome Correction Needed In Compliance
The Waters of Dunkirk Chautauqua No Deficiencies In Compliance
CVPH Medical Center SNF Clinton Correction Needed In Compliance
Eden Park Health Care Center Columbia Correction Needed In Compliance
Robinson Terrace Delaware Significant Correction Needed In Compliance
Hyde Park Nursing Home, Inc. Dutchess Correction Needed In Compliance
Northern Dutchess Residential Health Care Facility, Inc. Dutchess Correction Needed In Compliance
River Valley Care Center, Inc. Dutchess Correction Needed In Compliance
St. Francis Beacon Extend Care Dutchess Correction Needed In Compliance
Episcopal Residential Health Care Facility, Inc. Erie Correction Needed In Compliance
Erie County Home Erie Correction Needed In Compliance
McAuley Residence Erie Substantial Compliance In Compliance
Schofield Residence Erie Substantial Compliance In Compliance
Franklin County NH Franklin Correction Needed In Compliance
Nathan Littauer Hospital NH Fulton Correction Needed In Compliance
Genesee County Nursing Home Genesee Correction Needed In Compliance
Folts Home Herkimer Correction Needed In Compliance
Little Falls Hospital Herkimer Correction Needed In Compliance
Dr. Susan Smith McKinney Nursing & Rehabilitation Center Kings Significant Correction Needed In Compliance
Rutland Nursing Home Kings Significant Correction Needed In Compliance
Latta Road Nursing Home Monroe Correction Needed In Compliance
Nor Loch Manor Monroe Correction Needed In Compliance
Penfield Place Monroe No Deficiencies In Compliance
Unity Living Center Monroe Significant Correction Needed In Compliance
Village Nursing Home Manhattan Significant Correction Needed In Compliance
Central Island Healthcare Nassau Significant Correction Needed In Compliance
Glen Cove Center for Nursing and Rehabilitation Nassau Correction Needed In Compliance
South Shore Healthcare Nassau Correction Needed In Compliance
Saint Clare Manor Niagara Correction Needed In Compliance
Mount St. Mary's Long Term Care Facility Niagara Correction Needed In Compliance
Loretto Utica Residential Health Care Facility, Inc. Oneida Correction Needed In Compliance
Masonic Home Oneida Significant Correction Needed In Compliance
Presbyterian Home for Central New York, Inc. Oneida Correction Needed In Compliance
Arden Hill Life Care Center Orange Correction Needed In Compliance
Orchard Manor, Inc. Orleans Significant Correction Needed In Compliance
Chapin Home for the Aging Queens Correction Needed In Compliance
Franklin Center for Rehabilitation and Nursing Queens Significant Correction Needed In Compliance
Lawrence Nursing Care Center Queens No Deficiencies In Compliance
New Surfside Nursing Home Queens Correction Needed In Compliance
Ocean Promenade RHCF Queens Significant Correction Needed In Compliance
Hallmark Nursing Centre, Inc. Schenectady Correction Needed In Compliance
Claxton–Hepburn Medical Center RHCF St. Lawrence Correction Needed In Compliance
Berhshire Nursing & Rehab Center Suffolk Significant Correction Needed In Compliance
Daleview Nursing Home Suffolk No Deficiencies In Compliance
East Neck Nursing Center Suffolk Correction Needed In Compliance
Lutheran Center for the Aging Suffolk Correction Needed In Compliance
Riverhead Nursing Home Suffolk Significant Correction Needed In Compliance
San Simeon by the Sound Suffolk Correction Needed In Compliance
Community General Hospital Sullivan Significant Correction Needed In Compliance
Sullivan County Adult Care Center Sullivan Significant Correction Needed In Compliance
Riverview Manor Nursing Home Tioga Correction Needed In Compliance
Groton Community Health Care Center Residential Care Facility Tompkins Significant Correction Needed In Compliance
Field Home Holy Comforter Westchester Correction Needed In Compliance
Helen and Michael Schaffer Extended Care Center Westchester Correction Needed In Compliance
Michael Malotz Skilled Nursing Westchester Significant Correction Needed In Compliance
Somers Manor Nursing Home Westchester Significant Correction Needed In Compliance

The State Department of Health fined the following nursing homes in March 2002 for violations related to the care and services provided to residents.

Facility Location Fine & Survey Date
Julie Blair Nursing & Rehabilitation Center Albany $6,000 – 8/4/00
Barnwell Nursing Home & Health Facilities, Inc. Columbia $3,000 – 4/24/01
The Friendly Home Monroe $2,000 – 2/15/01
Hill Haven Nursing Home Monroe $6,000 – 6/28/01
St. Johnsville Nursing Home Montgomery $4,000 – 3/17/00
Adirondack Tri–County Health Care Center, Inc. Warren $4,000 – 1/25/01

7/25/02–79 OPA