HAVEN MANOR HEALTH CARE CENTER L L C

Nursing Home Inspector

1441 GATEWAY BOULEVARD
FAR ROCKAWAY, NY 11691
Queens County
Phone: 718-471-1500
Provider Number: 335676
Last Inspection: 07/11/2017

About the Nursing Home

Number of Beds: 240
Number of Residents: 224
Beds Available: 16
Percent Occupancy: 93%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: For profit - Partnership
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

 

0

Facility
7

County
14

NY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

0

2017
6

2016
9

2015

Medicare Ratings

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

 

Details by Inspection Date

4/18/2016 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 6/7/2016
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 6/7/2016
 

4/20/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. Isolated : Minimal 3 6/5/2015
 
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated : Minimal 3 6/5/2015
 
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 6/5/2015
 

Complaint Investigation Deficiencies

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

3/12/2015 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 4/16/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 4/16/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 4/16/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 4/16/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NY State Avg
Number of Residents 224 195.05 167.28
Registered Nurses 0.26 0.73 0.74
Licensed Practical / Vocational Nurses 0.63 0.65 0.84
Certified Nursing Assistants 1.08 2.07 2.30
Total Staff Hours 1.97 3.45 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 5 8 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 94 95 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 96 96
of long-stay residents experiencing one or more falls with major injury 2 1 2
of long-stay residents who have depressive symptoms 5 14 8
of long-stay residents who lose too much weight 3 5 6
of long-stay residents who received an antianxiety or hypnotic medication 23 13 15
of long-stay residents who received an antipsychotic medication 28 13 13
of long-stay residents who self-report moderate to severe pain 0 1 3
of long-stay residents who were physically restrained 1 0 0
of long-stay residents whose ability to move independently worsened 10 12 16
of long-stay residents whose need for help with daily activities has increased 21 11 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 1 3 3
of low risk long-stay residents who lose control of their bowels or bladder 28 39 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 49 76 81
of short-stay residents who had an outpatient emergency department visit 13 7 9
of short-stay residents who self-report moderate to severe pain 0 65 68
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 62 2 1
of short-stay residents who were rehospitalized after a nursing home admission 27 5 9
of short-stay residents with pressure ulcers that are new or worsened 0 77 82