LEWIS COUNTY R H C F

Nursing Home Inspector

7785 NORTH STATE STREET
LOWVILLE, NY 13367
Lewis County
Phone: 315-376-5200
Provider Number: 335428
Last Inspection: 02/07/2017

About the Nursing Home

Number of Beds: 160
Number of Residents: 144
Beds Available: 16
Percent Occupancy: 90%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: Government - County
Within Hospital?: YES

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

 

25

Facility
25

County
14

NY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

25

2017
6

2015
34

2014

Medicare Ratings

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

 

Details by Inspection Date

2/7/2017 Inspection

 
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 : Minimal 4 3/31/2017
 
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Pattern : Minimal 4 3/31/2017
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 3/31/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 3/31/2017
 
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 3/31/2017
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 3/31/2017
 
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. Pattern : Minimal 4 3/31/2017
 

11/6/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 12/15/2015
 
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Minimal 3 12/11/2015
 

12/4/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 2/1/2015
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Pattern : Minimal 4 2/1/2015
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 2/1/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 2/1/2015
 
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 2/1/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated : Minimal 3 2/1/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 12/5/2014
 
Failed To: Make sure that all required doctor visits are made personally. Pattern : Minimal 4 2/1/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 2/1/2015
 
Failed To: Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Widespread : Minimal 5 2/1/2015
 

Complaint Investigation Deficiencies

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

2/24/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Operate and provide services according to Federal, State, and local laws and professional standards. Widespread : Minimal 5 3/7/2016
 

2/2/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 4/8/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NY State Avg
Number of Residents 144 144.00 167.28
Registered Nurses 0.25 0.25 0.74
Licensed Practical / Vocational Nurses 1.01 1.01 0.84
Certified Nursing Assistants 2.76 2.76 2.30
Total Staff Hours 4.02 4.02 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 3 3 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 100 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 100 96
of long-stay residents experiencing one or more falls with major injury 2 2 2
of long-stay residents who have depressive symptoms 0 0 8
of long-stay residents who lose too much weight 9 9 6
of long-stay residents who received an antianxiety or hypnotic medication 9 9 15
of long-stay residents who received an antipsychotic medication 17 17 13
of long-stay residents who self-report moderate to severe pain 3 3 3
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 25 25 16
of long-stay residents whose need for help with daily activities has increased 22 22 13
of long-stay residents with a catheter inserted and left in their bladder 5 5 1
of long-stay residents with a urinary tract infection 11 11 3
of low risk long-stay residents who lose control of their bowels or bladder 49 49 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 100 100 81
of short-stay residents who had an outpatient emergency department visit 27 27 9
of short-stay residents who made improvements in function 81 81 68
of short-stay residents who newly received an antipsychotic medication 1 1 1
of short-stay residents who self-report moderate to severe pain 6 6 9
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 87 87 82
of short-stay residents who were rehospitalized after a nursing home admission 21 21 21
of short-stay residents who were successfully discharged to the community 53 53 48
of short-stay residents with pressure ulcers that are new or worsened 0 0 0