Articles Posted in Medication Errors

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A nursing home in Cohoes, New York has received 22 health and safety code citations since 2017.

Eddy Village Green received 22 citations for violations of public health code between 2017 and 2021, according to New York State Department of Health records accessed on July 15, 2021. The facility has also received four fines totaling $22,000 since 2016. The Cohoes nursing home’s citations resulted from a total of four inspections by state surveyors. The violations they describe include the following:

1. The nursing home did not adequately protect residents from accidents. Section 483.25 of the Federal Code requires nursing homes to provide residents with environments free of accident hazards and with adequate supervision and assistive devices to prevent avoidable accidents. A 2018 citation found a pattern of failures to prevent such by Eddy Village Green. The citation specifically describes one resident for whom adequate precautions were not taken to prevent elopement; a second resident who was not provided with “identification of the correct diet order to prevent the resident from choking“; and a third resident for whom the facility failed to “ensure the head of his bed was maintained at 45 degrees” in accordance with his physician’s orders. A plan of correction included the application of a wander tag to the first resident and the re-education of relevant staff.

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The New York nursing home has received numerous health code citations.

Chasehealth Rehab and Residential Care received 27 citations for violations of public health code between 2017 and 2021, according to New York State Department of Health records accessed on July 9, 2021. The New Berlin nursing home’s citations resulted from a total of four inspections by state surveyors. The violations they describe include the following:

1. The nursing home did not take adequate steps to prevent accidents. Under Section 483.25 of the Federal Code, nursing homes must ensure residents receive adequate supervision and assistance devices to prevent accidents. A May 2021 citation found that Chasehealth Rehab and Residential Care failed to ensure such. The citation specifically describes an employee who “did not receive training and education on the use of assistive devices,” and who provided a walker to resident but did not assist that resident during ambulation in accordance with the resident’s care plan. The resident consequently fell and sustained “a laceration and skin tear.” A plan of correction undertaken by the facility included the re-education of the employee in question.

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Records show that the nursing home in Malone, New York has received 40 health and safety code citations in recent years.

Alice Hyde Medical Center has received 40 citations for violations of public health code between 2017 and 2021, according to New York State Department of Health records accessed on June 25, 2021. The facility has also received $26,000 in fines, according to those records. The Malone nursing home’s citations resulted from a total of four inspections by state authorities. The violations 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 ensure residents receive adequate supervision to prevent them from sustaining accidents. A January 2020 citation found that Alice Hyde Medical Center failed to ensure such. The citation states specifically that the facility did not ensure a resident who was a known wandering risk “did not elope from the building undetected until she was seen outside at the employee entrance door asking to come back into the facility because she was cold.” According to the citation, the resident’s wander guard alert “was not sounding on the computer” when the resident was outside. In an interview, the nursing home’s facility director aid that the resident was able to enter a stairwell “because there was an issue with the door,” which was attributed to an issue with the door’s magnetic strip. A plan of correction undertaken by the facility included the education of all staff on the facility’s unsafe wandering policy.

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A new law in New York will create staffing standards for nursing homes.

Legislation signed this month by New York Governor Andrew Cuomo will establish new staffing mandates for nursing homes and hospitals in the state. Under the new law, which will take effect in January 2022, nursing homes will be required to “meet a minimum daily average of 3 1/2 hours of nursing care per resident,” according to a report by Healthcare Dive. Continue reading

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The nursing home in Campbell Hall, New York was cited for medication errors, among other things.

Campbell Hall Rehabilitation Center received 60 citations for violations of public health code between 2017 and 2021, according to New York State Department of Health records accessed on June 11, 2021. The facility has also been the subject of fines totaling $18,000 since 2011. The Campbell Hall nursing home’s citations resulted from a total of 15 inspections by state surveyors. The deficiencies they describe include the following:

1. The nursing home did not adequately protect residents from abuse or neglect. Section 483.12 of the Federal Code ensure nursing home residents “the right to be free from abuse, neglect, misappropriation of resident property, and exploitation.” A March 2021 citation found that Campbell Hall Rehabilitation Center failed to ensure such. The citation states specifically that it failed to prevent neglect in an instance where a resident’s “bilateral heel wound dressings were not changed in the time frame specified in the Medical Doctor’s (MD’s) orders.” The citation goes on to describe documentation that the resident “required extensive two-person assistance with bed mobility and transfer” and “extensive one-person assistance with dressing and toilet use.” The resident’s physician’s orders required that bilateral heel booties be “applied at all times” and that the resident’s wound dressings be changed in a certain manner. According to the citation, it was not changed between 7am and 3pm on a certain day, with a Licensed Practical Nurse stating in an interview that she had failed to change the resident’s wound dressing during the specified time frame. That LPN later refused to change the resident’s dressing when directed by a superior, according to the citation, and her termination at the facility was subsequently terminated.

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The nursing home in Clinton, New York has received 48 health code citations since 2017.

Katherine Luther Residential Health Care and Rehabilitation Center has received 48 citations for violations of public health code between 2017 and 2021, according to New York State Department of Health records accessed on June 4, 2021. The facility has also received $52,000 in fines since 2013. The Clinton nursing home’s citations resulted from a total of seven surveys by state inspectors. The deficiencies they describe include the following: Continue reading

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The nursing home in Medina, New York has received citations and fines.

Orchard Rehabilitation & Nursing Center has received 28 citations for violations of public health code between 2017 and 2021, according to New York State Department of Health records accessed on May 28, 2021. The facility has also received $28,000 in fines since 2015. The Medina 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 take proper measures to prevent infection. Section 483.80 of the Federal Code requires nursing homes to prevent the development and transmission of transmissible diseases and infections by establishing and upholding an infection control program. A February 2021 citation found that Orchard Rehabilitation & Nursing Center failed to ensure such. The citation states specifically that during the Covid-19 pandemic, the nursing home did not ensure its staff applied and removed personal protective equipment when they entered Covid-19 units. The citation goes on to state that the nursing home did not ensure five staff members were screened for symptoms of Covid-19 every twelve hours while they were on duty. Even more specifically, the citation describes a Certified Nursing Assistant who was observed “standing less than si feet away from” a resident while the resident “was coughing without wearing a face mask.” In another instance, a resident was observed coughing near a Licensed Practical Nurse who was standing “less than six feet away,” after which the LPN left the room “and did not change their lab coat and went down the hallway to speak with another staff member.” A plan of correction undertaken by the facility included the re-education of relevant staff.

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A nursing home in Palatine Bridge, New York has received citations for medication errors and infection control.

Palatine Nursing Home has received 24 citations for violations of public health code between 2017 and 2021, according to New York State Department of Health records accessed on May 20, 2021. The facility also received a fine of $12,000 in 2021 in connection to findings of rule violations. The Palatine Bridge nursing home’s citations resulted from a total of three surveys by state inspectors. The deficiencies they describe include the following: Continue reading

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A Beacon, New York nursing home has received 29 citations in the last four years.

Fishkill Center for Rehabilitation and Nursing has received 29 citations for violations of public health code between 2017 and 2021, according to New York State Department of Health records accessed on May 20, 2021. The Beacon nursing home’s citations resulted from a total of three surveys by state inspectors. The deficiencies they describe include the following: Continue reading

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A nursing home in Minoa, New York has received 49 health code citations in the last four years.

Onondaga Center for Rehabilitation and Nursing has received 49 citations for violations of public health code between 2017 and 2021, according to New York State Department of Health records accessed on May 13, 2021. The Minoa nursing home’s citations resulted from a total of nine surveys by state inspectors. The deficiencies they describe include the following:

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