HAMILTON MANOR NURSING HOME

Nursing Home Inspector

1172 LONG POND ROAD
ROCHESTER, NY 14626
Monroe County
Phone: 585-225-0450
Provider Number: 335615
Last Inspection: 06/09/2017

About the Nursing Home

Number of Beds: 40
Number of Residents: 35
Beds Available: 5
Percent Occupancy: 88%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Individual
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

 

19

Facility
20

County
14

NY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

19

2017
9

2016
6

2015

Medicare Ratings

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

 

Details by Inspection Date

6/9/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 8/4/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 8/4/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 8/4/2017
 
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 8/4/2017
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 8/4/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 8/4/2017
 

5/12/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Pattern : Potential 3 6/24/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 6/24/2016
 
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 6/24/2016
 

6/10/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 8/7/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 8/7/2015
 

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 35 139.71 167.28
Registered Nurses 0.68 0.62 0.74
Licensed Practical / Vocational Nurses 0.98 1.00 0.84
Certified Nursing Assistants 2.44 2.27 2.30
Total Staff Hours 4.10 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 9 5 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 95 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 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 6 4 8
of long-stay residents who lose too much weight 13 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 22 16 13
of long-stay residents who self-report moderate to severe pain 3 7 3
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 28 23 16
of long-stay residents whose need for help with daily activities has increased 26 19 13
of long-stay residents with a catheter inserted and left in their bladder 1 1 1
of long-stay residents with a urinary tract infection 9 4 3
of low risk long-stay residents who lose control of their bowels or bladder 50 52 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 94 76 81
of short-stay residents who made improvements in function 74 10 9
of short-stay residents who newly received an antipsychotic medication 4 68 68
of short-stay residents who self-report moderate to severe pain 25 1 1
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88 16 9
of short-stay residents with pressure ulcers that are new or worsened 0 82 82