PONTIAC NURSING HOME

Nursing Home Inspector

303 EAST RIVER ROAD
OSWEGO, NY 13126
Oswego County
Phone: 315-343-1800
Provider Number: 335590
Last Inspection: 08/19/2016

About the Nursing Home

Number of Beds: 80
Number of Residents: 61
Beds Available: 19
Percent Occupancy: 76%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Limited Liability company
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

 

67

Facility
26

County
14

NY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

67

2016
86

2015
71

2014

Medicare Ratings

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

 

Details by Inspection Date

8/19/2016 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. Isolated : Minimal 3 10/4/2016
 
Failed To: Allow married couples living in the same facility to share a room. Isolated : Minimal 3 10/4/2016
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 10/4/2016
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 10/4/2016
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 10/4/2016
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Isolated : Minimal 3 10/14/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 10/14/2016
 
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Isolated : Minimal 3 10/4/2016
 
Failed To: Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. Pattern : Minimal 4 10/14/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 10/14/2016
 
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Minimal 3 10/14/2016
 
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 10/14/2016
 
Failed To: Use a registered nurse at least 8 hours a day, 7 days a week. Widespread : Minimal 5 10/14/2016
 
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care. Pattern : Minimal 4 10/14/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 10/12/2016
 
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern : Minimal 4 10/14/2016
 
Failed To: Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility Widespread : Minimal 5 10/14/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 10/6/2016
 
Failed To: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Pattern : Minimal 4 10/14/2016
 

6/1/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. Pattern : Minimal 4 9/10/2015
 
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 10/15/2015
 
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. Isolated : Minimal 3 10/15/2015
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Pattern : Minimal 4 8/17/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 8/17/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 8/17/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 8/17/2015
 
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Isolated : Minimal 3 8/17/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 10/15/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 8/17/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 9/10/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 9/10/2015
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 10/15/2015
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread : Minimal 5 10/15/2015
 
Failed To: Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility Widespread : Minimal 5 8/17/2015
 
Failed To: Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Isolated : Minimal 3 8/17/2015
 
Failed To: Give residents a notice of rights, rules, services and charges. Pattern : Minimal 4 8/17/2015
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 8/17/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 9/10/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 8/17/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 9/10/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 8/17/2015
 
Failed To: Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Widespread : Minimal 5 10/15/2015
 

6/5/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Try to resolve each resident's complaints quickly. Isolated : Minimal 3 8/6/2014
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 8/6/2014
 
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 8/6/2014
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 8/28/2014
 
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. Isolated : Minimal 3 8/28/2014
 
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 8/6/2014
 
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 8/6/2014
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 8/6/2014
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 8/6/2014
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 8/28/2014
 
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 8/6/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 9/4/2014
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 8/6/2014
 
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Pattern : Minimal 4 8/6/2014
 
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 8/6/2014
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 8/28/2014
 
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Widespread : Minimal 5 8/6/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 8/6/2014
 
Failed To: Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility Widespread : Minimal 5 8/6/2014
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 8/6/2014
 

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: Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated : Actual 4 7/15/2016
 

4/20/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility Widespread : Minimal 5 5/19/2016
 

12/10/2015 Investigation

 
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 12/18/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NY State Avg
Number of Residents 61 97.00 167.28
Registered Nurses 0.37 0.36 0.74
Licensed Practical / Vocational Nurses 1.07 0.75 0.84
Certified Nursing Assistants 2.20 1.74 2.30
Total Staff Hours 3.64 2.85 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 8 6 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 94 94 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92 97 96
of long-stay residents experiencing one or more falls with major injury 3 3 2
of long-stay residents who have depressive symptoms 1 2 8
of long-stay residents who lose too much weight 10 7 6
of long-stay residents who received an antianxiety or hypnotic medication 23 24 15
of long-stay residents who received an antipsychotic medication 27 16 13
of long-stay residents who self-report moderate to severe pain 7 7 3
of long-stay residents who were physically restrained 3 1 0
of long-stay residents whose ability to move independently worsened 12 17 16
of long-stay residents whose need for help with daily activities has increased 22 15 13
of long-stay residents with a catheter inserted and left in their bladder 1 2 1
of long-stay residents with a urinary tract infection 3 3 3
of low risk long-stay residents who lose control of their bowels or bladder 27 48 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 70 86 81
of short-stay residents who had an outpatient emergency department visit 10 7 9
of short-stay residents who made improvements in function 66 76 68
of short-stay residents who newly received an antipsychotic medication 0 1 1
of short-stay residents who self-report moderate to severe pain 10 15 9
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 64 83 82
of short-stay residents who were rehospitalized after a nursing home admission 27 17 21
of short-stay residents who were successfully discharged to the community 29 47 48
of short-stay residents with pressure ulcers that are new or worsened 2 1 0