FAIRPORT BAPTIST HOMES

Nursing Home Inspector

4646 NINE MILE POINT ROAD
FAIRPORT, NY 14450
Monroe County
Phone: 585-377-0350
Provider Number: 335576
Last Inspection: 01/30/2017

About the Nursing Home

Number of Beds: 196
Number of Residents: 131
Beds Available: 65
Percent Occupancy: 67%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Non profit - Church related
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

 

22

Facility
20

County
14

NY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

22

2017
21

2015
28

2014

Medicare Ratings

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

 

Details by Inspection Date

1/30/2017 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. Pattern : Minimal 4 3/31/2017
 
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. Isolated : Minimal 3 3/31/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Potential 3 3/31/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 3/31/2017
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 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
 

12/16/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide residents with private access to a telephone. Pattern : Potential 3 2/14/2016
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 1/29/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 2/14/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 2/14/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 2/14/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 2/14/2016
 

10/6/2014 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 12/5/2014
 
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 : Potential 3 12/1/2014
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 12/1/2014
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 12/1/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 11/28/2014
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 12/5/2014
 
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 12/1/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 11/28/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 12/5/2014
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NY State Avg
Number of Residents 131 139.71 167.28
Registered Nurses 0.67 0.62 0.74
Licensed Practical / Vocational Nurses 0.99 1.00 0.84
Certified Nursing Assistants 3.47 2.27 2.30
Total Staff Hours 5.13 3.89 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 6 5 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 96 95 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95 97 96
of long-stay residents experiencing one or more falls with major injury 4 4 2
of long-stay residents who have depressive symptoms 5 4 8
of long-stay residents who lose too much weight 9 7 6
of long-stay residents who received an antianxiety or hypnotic medication 6 11 15
of long-stay residents who received an antipsychotic medication 12 16 13
of long-stay residents who self-report moderate to severe pain 8 7 3
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 13 23 16
of long-stay residents whose need for help with daily activities has increased 9 19 13
of long-stay residents with a catheter inserted and left in their bladder 2 1 1
of long-stay residents with a urinary tract infection 3 4 3
of low risk long-stay residents who lose control of their bowels or bladder 58 52 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 65 76 81
of short-stay residents who had an outpatient emergency department visit 13 10 9
of short-stay residents who made improvements in function 81 68 68
of short-stay residents who newly received an antipsychotic medication 2 1 1
of short-stay residents who self-report moderate to severe pain 39 16 9
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 86 82 82
of short-stay residents who were rehospitalized after a nursing home admission 28 21 21
of short-stay residents who were successfully discharged to the community 65 50 48
of short-stay residents with pressure ulcers that are new or worsened 0 1 0