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Deficiency Records for Van Rensselaer Manor

A list of the most recent deficiencies for Van Rensselaer Manor. 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 Van Rensselaer Manor. 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?
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-05-01 2023-06-30 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-01 2023-06-28 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-05-01 2023-06-28 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 2023-05-01 2023-06-23 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-01 2023-06-21 N
Provide activities to meet all resident's needs. Health 2023-05-01 2023-06-21 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-05-01 2023-06-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-01 2023-06-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-01 2023-06-06 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2023-05-01 2023-05-26 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-05-01 2023-05-25 N
Provide properly protected cooking facilities. Fire Safety 2023-05-01 2023-05-19 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-04-06 2023-05-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-18 2022-09-30 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-10-14 2021-11-22 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-10-14 2021-11-22 Y
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 2021-04-02 2021-06-11 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2021-04-02 2021-05-14 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2021-04-02 2021-05-14 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-04-02 2021-05-14 N
Provide and implement an infection prevention and control program. Health 2021-04-02 2021-05-14 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2021-04-02 2021-05-14 N
Provide properly protected cooking facilities. Fire Safety 2021-04-02 2021-05-14 N
Install an approved automatic sprinkler system. Fire Safety 2021-04-02 2021-05-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-04-02 2021-05-14 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-04-02 2021-05-14 N
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2020-09-30 2020-10-20 N

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