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Deficiency Records for New York Congregational Nursing Center
A list of the most recent deficiencies for New York Congregational Nursing 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 New York Congregational Nursing 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-21 | 2023-11-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-21 | 2023-11-15 | 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 | 2023-09-21 | 2023-11-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-21 | 2023-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-21 | 2023-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-21 | 2023-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-21 | 2023-11-15 | 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 | 2023-09-15 | 2023-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-15 | 2023-11-06 | 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 | 2023-09-15 | 2023-11-06 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-09-15 | 2023-11-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-15 | 2023-11-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-15 | 2023-11-06 | 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 | 2023-09-15 | 2023-11-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-15 | 2023-11-06 | N |
| Dispose of garbage and refuse properly. | Health | 2023-09-15 | 2023-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-15 | 2023-11-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-15 | 2023-11-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-03 | 2022-03-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-01-03 | 2022-03-03 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-01-03 | 2022-03-03 | 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 | 2022-01-03 | 2022-03-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-03 | 2022-03-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-03 | 2022-03-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-03 | 2022-03-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-03 | 2022-03-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-03 | 2022-02-17 | 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 | 2022-01-03 | 2022-02-17 | N |
| Provide activities to meet all resident's needs. | Health | 2022-01-03 | 2022-02-17 | 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 | 2022-01-03 | 2022-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-03 | 2022-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-03 | 2022-02-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-03 | 2022-02-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-03 | 2022-02-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-03 | 2022-02-17 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-03 | 2022-02-17 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-05 | 2019-10-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-05 | 2019-10-10 | 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 | 2019-08-05 | 2019-10-10 | 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 | 2019-08-05 | 2019-08-23 | N |
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