New York Nursing Home News: January 2012 Archives

January 24, 2012

Port Jefferson Station Nursing Home Cited in Deficiency Report

Woodhaven Nursing Home, a Suffolk County-based nursing home facility, was cited for multiple deficiencies in a Department of Health Survey dated April 27, 2011. Among the violations were failure to have secure handrails in place, and failure to care for the resident in a matter maintaining dignity.

hallway.jpgAccording to CFR 483.70(h)(3), a facility must ensure that corridors have firmly secured handrails on each side. In a facility in which numerous residents are fall risks, and the consequences of such falls are extremely serious, secured handrails are a necessity. The study found that three areas of Woodhaven's first floor were not equipped with handrails. Fortunately this did not result in actual harm for any of the residents. However, the study does note that the potential for more than minimal harm was present.

Section 483.15(a) of the Code specifies that the facility must promote the care of patients in such a manner that maintains or enhances his or her individuality. In three instances of Woodhaven failing to meet this standard, specific instructions for infection control were posted outside a residents' rooms, on some occasions left visible after the patient required such care. The information contained in the signs was plainly visible for other residents or visitors to see. When infections occur in nursing homes, as they sometimes do, it is the duty of the facility not only to treat the infection, but also to treat the resident suffering from the infection with dignity in the process. The DOH felt that Woodhaven failed to do this in these circumstances.

The full transcription of the Department of Health report can be found here.

January 20, 2012

Bronx Nursing Home Fined More Than $55,000

smoker.jpgThe Department of Health has fined Mosholu Parkway Nursing and Rehabilitation Center in the Bronx, NY over $55,000 for numerous violations, the most disturbing of which relates to an issue that has been discussed previously on this blog, the failure to keep the facility free of accident hazards. In this particular instance, a resident who was known to be an "unsafe smoker" was severely burned over sixty percent of his body while smoking unsupervised.

According to the facility's own policies, residents are not allowed to smoke unless supervised. This supervision must be maintained during the entire period that the resident is smoking, which is permitted in the "quiet room." At no time are the residents allowed to have their own smoking materials, i.e. matches and cigarettes, but rather these are dispensed by the staff as needed.

On this occasion, the resident is seen on video in his wheelchair moving to and from the quiet room with no supervision. He lights a cigarette on his own with matches that he produces from the side of his wheelchair. At some point thereafter, although not seen on the video, the resident lit himself on fire while unsupervised in the smoking room.

In addition to violating CFR 483.25(h), Mosholu Parkway Nursing Home violated its own policies and procedures in this instance. The staff, however, failed to meet these internal standards. This failure affects not only the resident in question, but also all other residents who are exposed to a fire hazard. A situation such as this can prove to be deadly both for the smoker and for other residents in the event they become trapped in a burning building.

The complete DOH report, including violations for failure to prevent abuse and neglect, and failure to train employees in emergency procedures, can be accessed here.