Articles Posted in Pressure Sores

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.

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.

Briarcliff Manor Center for Rehabilitation and Nursing has received a total of 27 citations for being in violation of public health code since 2018 for failing to properly care for pressure ulcers, failing to prevent infection, and for dismissing the rights of the residents.

Briarcliff Manor Center for Rehabilitation and Nursing has received 27 citations for violations of public health code between 2018 and 2021, according to New York State Department of Health records accessed on February 11, 2022. The Briarcliff Manor nursing home’s citations resulted from a total of two surveys by state inspectors. The deficiencies they describe include the following:

1. The nursing home did not provide adequate pressure ulcer care. Section 483.25 of the Federal Code stipulates that nursing homes must provide residents appropriate care to promote the healing of pressure ulcers. A November 2020 citation found that Briarcliff Manor failed to ensure such. The citation states specifically that a resident’s feet were not offloaded at all times per a physician’s order, and that another resident’s heel booties were not applied in accordance with a physician’s order. In an interview, a Certified Nursing Assistant said she was unaware the latter resident should have been wearing heel booties; in another interview, a nurse confirmed that the order for the resident to wear heel booties had not properly been registered into the resident’s record, and “may have been entered into the system incorrectly.” A plan of correction undertaken by the facilities included the in-servicing of relevant staff.

Fordham Nursing Home and Rehabilitation Center has received a total of 15 citations since 2017 for violating public health code on more than one occasion.

Fordham Nursing and Rehabilitation Center received 15 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 provide adequate pressure ulcer care. Under Section 483.25 of the Federal Code, nursing homes must ensure residents receive necessary care and services to prevent the development of pressure ulcers. A December 2019 citation found that Fordham Nursing and Rehabilitation Center failed to ensure such. The citation specifically describes a resident who was “observed on multiple occasions without heel booties or diabetic shoes,” devices meant to prevent pressure ulcers, as ordered by the physician. In an interview, a Certified Nursing Assistant said that “it is not a regular occurrence for the resident to be without her heel booties.” In another interview, a Registered Nurse said she was unable to find the resident’s diabetic shoes in the resident’s room. A plan of correction undertaken by the facility included the application of the shoes to the resident and the location of the heel booties, as well as a notation on the resident’s care plan that “the blue heel booties were to be worn at all times when the resident is in bed and diabetic shoes are to be worn when the resident is out of bed.”