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Deficiency Records for Yonkers Gardens Center For Nursing and Rehab
A list of the most recent deficiencies for Yonkers Gardens Center For Nursing and Rehab. 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 Yonkers Gardens Center For Nursing and Rehab. 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-12 | 2023-11-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-09-12 | 2023-11-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-12 | 2023-11-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-12 | 2023-11-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-12 | 2023-11-02 | 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 | 2023-08-15 | 2023-10-31 | 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 | 2023-08-15 | 2023-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-15 | 2023-10-31 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-08-15 | 2023-10-31 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-08-15 | 2023-10-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-15 | 2023-10-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-15 | 2023-10-31 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2023-09-12 | 2023-09-13 | 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 | 2023-09-12 | 2023-09-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-26 | 2023-06-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-26 | 2023-06-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-26 | 2023-06-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-08 | 2022-02-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-22 | 2019-07-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-22 | 2019-07-16 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-05-22 | 2019-07-16 | 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 | 2019-05-22 | 2019-07-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-22 | 2019-07-16 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-05-22 | 2019-07-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-05-22 | 2019-07-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-22 | 2019-07-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-22 | 2019-07-16 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-05-22 | 2019-07-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-05-22 | 2019-07-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-05-22 | 2019-07-16 | 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 | 2019-05-22 | 2019-07-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-22 | 2019-07-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-22 | 2019-07-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-22 | 2019-07-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-22 | 2019-07-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-22 | 2019-07-16 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2019-05-22 | 2019-07-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-22 | 2019-07-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-22 | 2019-07-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-22 | 2019-07-16 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-09-05 | 2017-11-06 | N |
| Provide housekeeping and maintenance services. | Health | 2017-09-05 | 2017-10-25 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-09-05 | 2017-10-25 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-09-05 | 2017-10-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-09-05 | 2017-10-23 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-09-05 | 2017-10-23 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-09-05 | 2017-10-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-09-05 | 2017-10-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2017-09-05 | 2017-10-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-07 | Not Fixed | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-07 | Not Fixed | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-02-07 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-07 | Not Fixed | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-02-07 | Not Fixed | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-02-07 | Not Fixed | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-02-07 | Not Fixed | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-02-07 | Not Fixed | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-02-07 | Not Fixed | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-02-07 | Not Fixed | Y |
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