ESSEX CENTER FOR REHABILITATION AND HEALTHCARE

Nursing Home Inspector

PO BOX 127
ELIZABETHTOWN, NY 12932
Essex County
Phone: 518-873-3570
Provider Number: 335478
Last Inspection: 12/01/2016

About the Nursing Home

Number of Beds: 100
Number of Residents: 98
Beds Available: 2
Percent Occupancy: 98%
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

 

21

Facility
20

County
14

NY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

21

2016
20

2015
6

2014

Medicare Ratings

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

 

Details by Inspection Date

12/1/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 1/20/2017
 
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 1/20/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 1/20/2017
 
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 1/20/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 1/20/2017
 
Failed To: Provide housekeeping and maintenance services. Widespread : Potential 4 1/20/2017
 

12/4/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 1/22/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 1/22/2016
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 1/22/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 1/22/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 1/22/2016
 
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 1/22/2016
 

10/24/2014 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 12/19/2014
 
Failed To: Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Isolated : Minimal 3 12/19/2014
 

Complaint Investigation Deficiencies

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

5/24/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 7/22/2016
 

8/18/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Immediate 6 9/18/2015
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Pattern : Immediate 6 9/18/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Immediate 6 9/18/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NY State Avg
Number of Residents 98 81.00 167.28
Registered Nurses 0.49 0.80 0.74
Licensed Practical / Vocational Nurses 0.88 0.76 0.84
Certified Nursing Assistants 2.13 2.11 2.30
Total Staff Hours 3.50 3.66 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 14 12 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 97 97 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 2 4 2
of long-stay residents who have depressive symptoms 31 11 8
of long-stay residents who lose too much weight 12 6 6
of long-stay residents who received an antianxiety or hypnotic medication 16 11 15
of long-stay residents who received an antipsychotic medication 15 10 13
of long-stay residents who self-report moderate to severe pain 4 6 3
of long-stay residents who were physically restrained 0 1 0
of long-stay residents whose ability to move independently worsened 19 23 16
of long-stay residents whose need for help with daily activities has increased 16 15 13
of long-stay residents with a catheter inserted and left in their bladder 2 2 1
of long-stay residents with a urinary tract infection 2 2 3
of low risk long-stay residents who lose control of their bowels or bladder 45 46 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 82 78 81
of short-stay residents who had an outpatient emergency department visit 17 12 9
of short-stay residents who made improvements in function 68 68 68
of short-stay residents who newly received an antipsychotic medication 0 0 1
of short-stay residents who self-report moderate to severe pain 12 16 9
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 78 74 82
of short-stay residents who were rehospitalized after a nursing home admission 14 14 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 1 2 0