EAST HAVEN NURSING AND REHAB CENTER

Nursing Home Inspector

2323 EASTCHESTER ROAD
BRONX, NY 10469
Bronx County
Phone: 718-655-2848
Provider Number: 335723
Last Inspection: 01/10/2017

About the Nursing Home

Number of Beds: 200
Number of Residents: 197
Beds Available: 3
Percent Occupancy: 99%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
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

 

17

Facility
8

County
14

NY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

17

2017
17

2015
39

2014

Medicare Ratings

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

 

Details by Inspection Date

1/10/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 2/28/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 2/28/2017
 
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 2/28/2017
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 2/28/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 2/28/2017
 

10/30/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 11/30/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 11/30/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 11/30/2015
 
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 11/30/2015
 
Failed To: Have enough backup water supply for essential areas of the nursing home. Pattern : Minimal 4 11/30/2015
 

11/6/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Immediate 6 12/5/2014
 
Failed To: Give notice to the resident before a room or roommate change. Isolated : Minimal 3 12/5/2014
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 12/5/2014
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 12/5/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Immediate 6 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 12/5/2014
 
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 12/5/2014
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Pattern : Immediate 6 12/5/2014
 
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 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 197 239.15 167.28
Registered Nurses 0.31 0.57 0.74
Licensed Practical / Vocational Nurses 0.51 0.66 0.84
Certified Nursing Assistants 1.71 2.16 2.30
Total Staff Hours 2.52 3.40 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 7 7 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 98 95 96
of long-stay residents experiencing one or more falls with major injury 3 1 2
of long-stay residents who have depressive symptoms 0 14 8
of long-stay residents who lose too much weight 6 5 6
of long-stay residents who received an antianxiety or hypnotic medication 7 8 15
of long-stay residents who received an antipsychotic medication 9 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 8 12 16
of long-stay residents whose need for help with daily activities has increased 12 10 13
of long-stay residents with a catheter inserted and left in their bladder 3 1 1
of long-stay residents with a urinary tract infection 3 1 3
of low risk long-stay residents who lose control of their bowels or bladder 29 40 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 74 73 81
of short-stay residents who had an outpatient emergency department visit 6 7 9
of short-stay residents who made improvements in function 69 68 68
of short-stay residents who newly received an antipsychotic medication 0 2 1
of short-stay residents who self-report moderate to severe pain 3 5 9
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 62 72 82
of short-stay residents who were rehospitalized after a nursing home admission 23 21 21
of short-stay residents who were successfully discharged to the community 32 36 48
of short-stay residents with pressure ulcers that are new or worsened 1 0 0