Articles Posted in Falls & Fractures

East Haven Nursing and Rehabilitation Center has received a total of 16 citations from three separate state inspections since 2017.

East Haven Nursing & Rehabilitation Center received 16 citations for violations of public health code between 2017 and 2021, according to New York State Department of Health records accessed on January 14, 2022. The Bronx nursing home’s citations resulted from a total of three inspections by state surveyors. The deficiencies they describe include the following:

1. The nursing home did not take adequate steps to prevent accidents. Section 483.25 of the Federal Code stipulates that nursing homes must provide residents with “adequate supervision and assistance devices to prevent accidents.” A February 2020 citation found that East Haven Nursing & Rehabilitation Center failed to ensure such. The citation specifically states that after a resident receiving one-on-one supervision suffered a fall in her room, there was no investigation initiated. The citation goes on to state that the resident had suffered “3 or more falls” in the previous three months, and had been assessed as at high risk for falls. In an interview, the facility’s Assistant Director of Nursing said that an accident report indicated that “resident was found on the floor and not that the 1:1 aide assigned to the resident actually witnessed the fall,” despite the aide’s duty to “constantly” supervise and observe the resident. The ADNS added that he believed an investigation was conducted “but cannot provide any information as to how the resident was found on the floor when a 1:1 aide was scheduled to be watching her.” A plan of correction undertaken by the facility included the education of the ADNS by the Director of Nursing. 

St. Margaret’s Center has been in violation of public health codes and has received 31 citations in the last four years for failing to prevent accidents and injuries and for lacking proper infection control and not following the proper safety precautions when caring for patients’ cuts and wounds.

St. Margaret’s Center received 31 citations for violations of public health code between 2017 and 2021, according to New York State Department of Health records accessed on September 25, 2021. It has also received three fines totaling $36,000 since 2015. The Albany nursing home’s citations resulted from a total of seven surveys by state inspectors. The violations they describe include the following:

1. The nursing home did not adequately prevent accidents. Nursing home residents have the right to an environment as free as possible of accident hazards under Section 483.25 of the Federal Code. A February 11 citation found that St. Margaret’s Center failed to ensure such. The citation specifically describes the facility’s failure to ensure the siderails on a resident’s crib “were properly positioned and latched to prevent a fall from the crib.” According to the citation, a Certified Nursing Aide observed the resident flip out of their crib, after which the resident was observed sitting up on the floor, “crying and bleeding from the right side of the mouth.” A plan of correction undertaken by the facility included the re-education of nursing staff on the proper use of crib rails.