NORWICH REHABILITATION & NURSING CENTER

Nursing Home Inspector

88 CALVARY DRIVE
NORWICH, NY 13815
Chenango County
Phone: 607-336-3915
Provider Number: 335759
Last Inspection: 09/08/2016

About the Nursing Home

Number of Beds: 80
Number of Residents: 79
Beds Available: 1
Percent Occupancy: 99%
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

 

43

Facility
30

County
14

NY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

43

2016
21

2015
11

2014

Medicare Ratings

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

 

Details by Inspection Date

9/8/2016 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. Pattern : Minimal 4 11/7/2016
 
Failed To: Give residents a notice of rights, rules, services and charges. Pattern : Minimal 4 11/7/2016
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Pattern : Potential 3 11/7/2016
 
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated : Minimal 3 11/7/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 11/7/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 11/7/2016
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 11/7/2016
 
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 11/7/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 11/7/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 11/7/2016
 
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 11/7/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 11/7/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 11/7/2016
 

6/12/2015 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. Pattern : Minimal 4 7/30/2015
 
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 7/30/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 7/30/2015
 
Failed To: Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. Isolated : Minimal 3 7/30/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 7/30/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 7/30/2015
 

5/1/2014 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 6/20/2014
 
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 6/20/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 6/20/2014
 

Complaint Investigation Deficiencies

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

10/10/2017 Investigation

 
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 unknown
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NY State Avg
Number of Residents 79 97.80 167.28
Registered Nurses 0.79 0.52 0.74
Licensed Practical / Vocational Nurses 1.08 0.77 0.84
Certified Nursing Assistants 2.24 2.30 2.30
Total Staff Hours 4.11 3.59 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 4 6 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 96 97 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95 94 96
of long-stay residents experiencing one or more falls with major injury 3 2 2
of long-stay residents who have depressive symptoms 5 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 20 13 15
of long-stay residents who received an antipsychotic medication 17 13 13
of long-stay residents who self-report moderate to severe pain 2 6 3
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 26 22 16
of long-stay residents whose need for help with daily activities has increased 24 21 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 9 4 3
of low risk long-stay residents who lose control of their bowels or bladder 56 46 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 82 85 81
of short-stay residents who had an outpatient emergency department visit 13 12 9
of short-stay residents who made improvements in function 83 72 68
of short-stay residents who newly received an antipsychotic medication 2 2 1
of short-stay residents who self-report moderate to severe pain 9 13 9
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 95 86 82
of short-stay residents who were rehospitalized after a nursing home admission 22 15 21
of short-stay residents who were successfully discharged to the community 47 41 48
of short-stay residents with pressure ulcers that are new or worsened 1 1 0