Articles Posted in Infection

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Glen Arden received 15 citations for being in violation of public health code between 2018 and 2022 after a total of 3 surveys by state inspectors found multiple deficiencies within the nursing home.

Glen Arden received 15 citations for violations of public health code between 2018 and 2022, according to New York State Department of Health records accessed on April 7, 2022. The Goshen nursing home’s citations resulted from a total of three surveys by state inspectors. The deficiencies they describe include the following:

1. The nursing home did not provide adequate pressure ulcer care. Under Section 483.25 of the Federal Code, nursing homes must provide residents with a level of care necessary to promote the healing of pressure ulcers. A September 2020 citation found that Glen Arden failed to ensure such. The citation specifically states that a nurse practitioner’s recommendations to promote the healing of a “new deep tissue injury” and scab on a resident’s toe “were not implemented timely.” In an interview, the nurse practitioner said that this lapse could potentially result in an infection. A plan of correction undertaken by the facility included the updating of the resident’s care plan and treatment of the resident’s wound. 

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Northern Riverview Health Care Center has received 38 citations for being in violation of  public health code between 2018 and 2022 after a total of 4 surveys by state inspectors found multiple deficiencies within the Haverstraw nursing home.

Northern Riverview Health Care Center received 38 citations for violations of public health code between 2018 and 2022, according to New York State Department of Health records accessed on April 7, 2022. The Haverstraw nursing home’s citations resulted from a total of four surveys by state inspectors. The deficiencies they describe include the following:

1. The nursing home did not employ adequate accident-prevention measures. Under Section 483.25 of the Federal Code, nursing homes must provide residents with adequate supervision and assistance devices to prevent accidents, including elopement. A December 2021 citation found that Northern Riverview Health Care Center failed to ensure such. The citation specifically describes a resident with “severe cognitive impairment,” known to be “a high risk for elopement,” who exited the nursing home through its front door “unnoticed by facility staff.” The individual was later found outside the facility by local police officers. In an interview, the facility’s receptionist said they were distracted at the time of the incident because “the front desk was very busy with employees and visitors coming in and out of the facility, including discharging a resident to home.” A plan of correction undertaken by the facility included the educational counseling of the receptionist.

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The Willlows at Ramapo Rehabilitation and Nursing Center has received 23 citations for being in violation of public health code since 2018 after a total of 4 surveys by state inspectors found multiple deficiencies within the facility.

The Willows at Ramapo Rehabilitation and Nursing Center received 23 citations for violations of public health code between 2018 and 2022, according to New York State Department of Health records accessed on April 7, 2022. The Haverstraw nursing home’s citations resulted from a total of four surveys by state inspectors. The deficiencies they describe include the following:

1. The nursing home did not provide adequate supervision to prevent elopement. Section 483.25 of the Federal Code stipulates that nursing homes must provide residents with a level of supervision necessary to prevent accidents. A September 2021 citation found that The Willows at Ramapo failed to ensure such. The citation specifically describes an incident in which the facility’s receptionist “left the front desk without coverage, leaving the front desk unattended,” after which a resident with severe cognitive impairment “was able to exit the facility undetected by staff.” The resident was later discovered in the parking lot by facility staff. A plan of correction undertaken by the facility included an audit of residents at risk of elopement to ensure the proper placement and functioning of their wander guard devices.

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Isabella Geriatric Center has received 21 citations for being in violation of public health code between 2018 and 2022 after a total of 5 surveys by state inspectors had lead to the discovery of multiple deficiencies within the Manhattan nursing home.

Isabella Geriatric Center has received 21 citations for violations of public health code between 2018 and 2022, according to New York State Department of Health records accessed on April 1, 2022. The Manhattan nursing home’s citations resulted from a total of 5 surveys by state inspectors. The deficiencies they describe include the following:

1. The nursing home did not adequately protect residents from accidents. Section 483.25 of the Federal Code stipulates that nursing homes must provide residents with adequate supervision to prevent accidents. A July 2021 citation found that Isabela Geriatric Center failed to ensure such. The citation specifically describes an instance in which a resident being escorted to an outside appointment was not secured in their chair with a safety belt. As a result, the citation states, the resident slid from their chair to the floor of an ambulette, sustaining “bilateral fractures of the lower extremities.” A plan of correction undertaken by the facility included the re-education of relevant staff.

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Northern Manhattan Rehabilitation and Nursing Center has received 38 citations for being in violation of public health code since 2018 after a total of six surveys by state inspectors revealed multiple deficiencies within the Manhattan nursing home.

Northern Manhattan Rehabilitation and Nursing Center has received 38 citations for violations of public health code between 2018 and 2022, according to New York State Department of Health records accessed on April 1, 2022. The Manhattan nursing home’s citations resulted from a total of six surveys by state inspectors. The deficiencies they describe include the following:

1. The nursing home did not adequately prevent and control infection. Section 483.80 of the Federal Code stipulates that nursing homes must endeavor to create a safe environment for residents in part by establishing and maintaining an infection prevention and control program. An October 2021 citation found that Northern Manhattan Rehabilitation and Nursing Center failed to ensure such. The citation states specifically that residents’ oxygen tubing “was observed on multiple occasions touching the floor,” in violation of facility policy. The citation goes on to state that the nursing home lacked “a functional, site-specific water management plan, sampling plan, or a completed and up-to-date environmental risk assessment for Legionella.” In an interview about the oxygen tubing issue, the facility’s Director of Nursing said that “oxygen tubing at no time should be on the floor, and the tubing must be placed close to the patient and should not be anywhere on the floor.” A plan of correction undertaken by the facility included the education of staff providing care for the two residents, as well as the development of water management and sampling plans.

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Terence Cardinal Cooke Health Care Center has received 29 citations for being in violation of public health code since 2018 after a total of 6 surveys were performed by state inspectors.

Terence Cardinal Cooke Health Care Center has received 29 citations for violations of public health code between 2018 and 2022, according to New York State Department of Health records accessed on April 1, 2022. The Manhattan nursing home’s citations resulted from a total of six surveys by state inspectors. The deficiencies they describe include the following:

1. The nursing home did not properly prevent and control infection. Section 483.80 of the Federal Code requires nursing homes to create and uphold a program designed to help prevent the development and transmission of diseases and infections. A March 2021 citation found that Terence Cardinal Cooke Health Care Center failed to ensure such. The citation specifically describes an instance in which a massage therapist performed services in the room of a resident on contact and droplet precautions, but without wearing personal protective equipment, as required by state guidance and facility policy. In an interview, the facility’s administrator said that the staffer “should have been wearing mask, gown, gloves, and face shield since they were touching the resident.” A plan of correction undertaken by the facility included the education of the massage therapist on the use and disposal of PPE.

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Coler Rehabilitation and Nursing Care Center has received 27 citations for being in violation of public health code since 2018 after a total of six surveys by state inspectors found multiple deficiencies within the Roosevelt Island nursing home.

Coler Rehabilitation and Nursing Care Center has received 27 citations for violations of public health code between 2018 and 2022, according to New York State Department of Health records accessed on March 25, 2022. The Roosevelt Island nursing home’s citations resulted from a total of six surveys by state inspectors. The deficiencies they describe include the following:

1. The nursing home did not protect residents from sexual abuse. Under Section 483.12 of the Federal Code, nursing home residents have the right “to be free from abuse,” including sexual abuse. A January 2022 citation found that Coler Rehabilitation and Nursing Care Center failed to ensure such. The citation specifically describes in which a resident allegedly wheeled another resident into a stairwell and touched her “breasts and pelvic area,” to which the latter resident said she “did not consent.” In an interview, the facility’s risk manager stated that even though the incident had been recorded over on the facility’s cameras, an investigation concluded that “the allegation did occur,” because of the victim’s “consistent interview and emotions regarding the allegation.” A plan of correction undertaken by the facility included the notification of police, restrictions on the resident who allegedly perpetrated the abuse, and training of nursing staff.

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Haym Solomon Home for the Aged has received 22 citations for being in violation of public health code since 2018 after state inspectors found deficiencies within the Brooklyn facility.

Haym Solomon Home for the Aged has received 22 citations for violations of public health code between 2018 and 2022, according to New York State Department of Health records accessed on March 25, 2022. The Brooklyn nursing home’s citations resulted from a total of three surveys by state inspectors. The deficiencies they describe include the following:

1. The nursing home did not take adequate measures to prevent accidents. Section 483.25 of the Federal Code stipulates that nursing homes must ensure residents receive adequate supervision to prevent accidents. A June 2018 citation found that Haym Solomon Home for the Aged failed to ensure such for one resident. The citation specifically describes an instance in which a Certified Nursing Assistant “did not follow the plan of care and provide necessary supervision to a resident during a shower.” The resident in question required two-person assistance for showers, and was left alone by the CNA. After being left alone, the citation states, the resident fell from their shower chair. The CNA in question “did not call for the assistance of a nurse” after the resident fell, instead lifting the resident on their own and returning them to the chair. The citation states that the resident suffered a redacted injury. A plan of correction undertaken by the facility included the counseling and disciplining of the CNA.

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Cobble Hill Health Center has received 22 citations for being in violation of public health code since 2018 after a total of 5 surveys by state inspectors found multiple deficiencies within the Brooklyn nursing home.

Cobble Hill Health Center has received 22 citations for violations of public health code between 2018 and 2022, according to New York State Department of Health records accessed on March 19, 2022. The Brooklyn nursing home’s citations resulted from a total of five surveys by state inspectors. The deficiencies they describe include the following:

1. The nursing home did not adequately prevent accidents. Section 483.25 of the Federal Code stipulates that nursing homes must provide residents with adequate supervision to prevent accidents. A December 2021 citation found that Cobble Hill Health Center failed to ensure such. The citation specifically describes who was “allowed Out on Pass (OOP) unescorted without a safety assessment or physician’s orders.” The resident did not return to the nursing home at the end of the day, the citation states, noting that the facility “was unable to locate” them. The facility received a call from a hospital reporting that the resident had fallen at home and was admitted, said the citation, adding that “there was no documented evidence” in the resident’s medical record that they had been assessed to determine the risk of leaving the facility unescorted. A plan of correction undertaken by the facility included the education of nursing staff on out-on-pass orders.

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Bushwick Center for Rehabilitation and Health Care in Brooklyn, NY has received a total of 13 citations for being in violation of public health code since 2018 after state inspectors found multiple deficiencies within the facility.

Bushwick Center for Rehabilitation and Health Care has received 13 citations for violations of public health code between 2018 and 2022, according to New York State Department of Health records accessed on March 19, 2022. The Brooklyn nursing home’s citations resulted from a total of four surveys by state inspectors. The deficiencies they describe include the following:

1. The nursing home provided inadequate pressure ulcer care. Under Section 483.25 of the Federal Code, nursing homes must ensure residents receive professional levels of care to prevent the development of pressure ulcers where clinically avoidable. A May 2021 citation found that Bushwick Center for Rehabilitation and Health Care failed to ensure such. The citation specifically describes a resident identified as at high risk for the development ulcers, who “was not provided with preventive skin care to prevent skin breakdown and pressure ulcers upon admission.” The citation goes on to state that the resident consequently developed a deep tissue injury and two moisture-associated wounds. In an interview, the facility’s wound care nurse said “There should have been interventions in place to prevent skin breakdowns,” and further that “Anyone who is at risk for skin breakdown should have interventions in place to prevent skin breakdown upon admission.” A plan of correction undertaken by the facility included the education of nursing staff on pressure ulcer prevention.

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