DUMONT CENTER FOR REHABILATION AND NURSING

Nursing Home Inspector

676 PELHAM ROAD
NEW ROCHELLE, NY 10805
Westchester County
Phone: 914-632-9600
Provider Number: 335271
Last Inspection: 07/11/2017

About the Nursing Home

Number of Beds: 196
Number of Residents: 177
Beds Available: 19
Percent Occupancy: 90%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

6

Facility
7

County
14

NY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

6

2017
7

2016
16

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

7/11/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 8/28/2017
 
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated : Minimal 3 8/28/2017
 

4/28/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 6/27/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 6/27/2016
 

6/12/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 7/17/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 7/17/2015
 
Failed To: Dispose of garbage and refuse properly. Pattern : Minimal 4 7/17/2015
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 7/17/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 7/17/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

4/13/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Pattern : Actual 5 5/22/2015
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Pattern : Actual 5 5/22/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Widespread : Immediate 7 5/22/2015
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread : Actual 6 5/22/2015
 
Failed To: Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. Pattern : Actual 5 5/22/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NY State Avg
Number of Residents 177 137.88 167.28
Registered Nurses 0.95 1.09 0.74
Licensed Practical / Vocational Nurses 0.64 0.70 0.84
Certified Nursing Assistants 2.95 2.44 2.30
Total Staff Hours 4.54 4.24 3.88

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NY State Avg%
of high risk long-stay residents with pressure ulcers 11 6 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 97 96 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97 96 96
of long-stay residents experiencing one or more falls with major injury 1 2 2
of long-stay residents who have depressive symptoms 7 8 8
of long-stay residents who lose too much weight 5 5 6
of long-stay residents who received an antianxiety or hypnotic medication 21 16 15
of long-stay residents who received an antipsychotic medication 9 11 13
of long-stay residents who self-report moderate to severe pain 0 1 3
of long-stay residents who were physically restrained 1 0 0
of long-stay residents whose ability to move independently worsened 6 12 16
of long-stay residents whose need for help with daily activities has increased 6 10 13
of long-stay residents with a catheter inserted and left in their bladder 0 1 1
of long-stay residents with a urinary tract infection 0 3 3
of low risk long-stay residents who lose control of their bowels or bladder 54 52 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 77 83 81
of short-stay residents who had an outpatient emergency department visit 11 9 9
of short-stay residents who made improvements in function 73 69 68
of short-stay residents who newly received an antipsychotic medication 3 1 1
of short-stay residents who self-report moderate to severe pain 0 6 9
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 80 84 82
of short-stay residents who were rehospitalized after a nursing home admission 29 21 21
of short-stay residents who were successfully discharged to the community 30 50 48
of short-stay residents with pressure ulcers that are new or worsened 0 0 0