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Deficiency Records for Astoria Nursing and Rehab Center
A list of the most recent deficiencies for Astoria Nursing and Rehab Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Astoria Nursing and Rehab Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-17 | 2024-06-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-17 | 2024-06-13 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-05-17 | 2024-06-13 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-05-17 | 2024-06-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-05-17 | 2024-06-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-05-17 | 2024-06-13 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-05-17 | 2024-06-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-05-17 | 2024-06-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-17 | 2024-06-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-17 | 2024-06-13 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-05-17 | 2024-06-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-17 | 2024-06-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-17 | 2024-06-13 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-05-17 | 2024-06-13 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-05-17 | 2024-06-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-17 | 2024-06-13 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-05-17 | 2024-06-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-05-17 | 2024-06-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-17 | 2024-06-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-17 | 2024-06-13 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-05-17 | 2024-06-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-17 | 2024-06-13 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-05-17 | 2024-06-13 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-05-17 | 2024-06-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-17 | 2024-06-13 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-05-17 | 2024-06-13 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-05-17 | 2024-06-13 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-05-17 | 2024-06-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-17 | 2024-06-13 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-05-17 | 2024-06-13 | N |
| Dispose of garbage and refuse properly. | Health | 2024-05-17 | 2024-06-13 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-05-17 | 2024-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-17 | 2024-06-13 | N |
| Keep all essential equipment working safely. | Health | 2024-05-17 | 2024-06-13 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2024-05-17 | 2024-06-13 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-05-17 | 2024-06-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-17 | 2024-06-13 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-15 | 2024-05-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-15 | 2024-05-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-15 | 2024-05-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-15 | 2024-05-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-15 | 2024-05-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-01 | 2024-04-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-20 | 2024-02-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-12 | 2024-01-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-12 | 2024-01-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-14 | 2023-09-19 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-24 | 2023-09-15 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-06-04 | 2023-06-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-04 | 2023-06-14 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-04 | 2023-06-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-04 | 2023-06-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-04 | 2023-06-14 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-06-04 | 2023-06-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-11 | 2023-05-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-19 | 2023-05-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-08 | 2023-03-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-24 | 2023-03-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-23 | 2023-03-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-12 | 2023-02-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-19 | 2023-02-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-16 | 2022-10-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-25 | 2022-07-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-25 | 2022-06-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-20 | 2022-03-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-02-18 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2021-10-20 | 2021-11-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-10-20 | 2021-11-29 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-10-20 | 2021-11-29 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-10-20 | 2021-11-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-20 | 2021-11-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-20 | 2021-11-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-20 | 2021-11-29 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-10-20 | 2021-11-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-20 | 2021-11-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-20 | 2021-11-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-20 | 2021-11-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-20 | 2021-11-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-20 | 2021-11-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-20 | 2021-11-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-20 | 2021-11-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-10-20 | 2021-11-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-10-20 | 2021-11-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-21 | 2021-11-15 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-10-21 | 2021-11-15 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-10-21 | 2021-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-21 | 2021-11-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-21 | 2021-11-15 | N |
| Provide activities to meet all resident's needs. | Health | 2021-10-21 | 2021-11-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-21 | 2021-11-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-21 | 2021-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-21 | 2021-11-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-10-21 | 2021-11-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-21 | 2021-11-15 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-10-21 | 2021-11-15 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-10-21 | 2021-11-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-21 | 2021-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-21 | 2021-11-15 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-06-10 | 2019-07-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-06-10 | 2019-07-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-10 | 2019-07-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-06-10 | 2019-07-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-10 | 2019-07-22 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-06-10 | 2019-07-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-10 | 2019-07-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-06-10 | 2019-07-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-10 | 2019-07-22 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-06-10 | 2019-07-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-10 | 2019-07-22 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-06-10 | 2019-07-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-10 | 2019-07-22 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-06-10 | 2019-07-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-10 | 2019-07-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-10 | 2019-07-22 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-06-10 | 2019-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-10 | 2019-07-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-10 | 2019-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-10 | 2019-07-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-10 | 2019-07-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-06-07 | 2019-07-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-06-07 | 2019-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-07 | 2019-07-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-07 | 2019-07-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-07 | 2019-07-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-07 | 2019-07-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-07 | 2019-07-10 | N |
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