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|