Delhi Rehabilitation and Nursing Center Cited for Medication Errors

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A nursing home in Delhi, New York has received 35 citations in the last four years.

Delhi Rehabilitation and Nursing Center has received 35 citations for violations of public health code between 2017 and 2021, according to New York State Department of Health records accessed on May 12, 2021. The facility additionally received a $2,000 in 2020. The Delhi 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 adequately prevent medication errors. Section 483.45 of the Federal Code requires nursing homes to keep residents “free of any significant medication errors.” A September 2019 citation found that Delhi Rehabilitation and Nursing Center failed to ensure such. The citation states specifically that staff did not ensure a resident “received significant medications in a timely manner upon admission.” In an interview, the facility’s Director of Nursing said she “was not aware” that the resident did not receive medications when they were admitted, and that at the time it “was not uncommon for newly admitted residents to not have their medications on the evening of admission,” because the facility had no backup pharmacy, meaning that if medications weren’t delivered day-of then staff “had to wait till the next day delivery.” A plan of correction undertaken by the facility included the re-education of licensed nursing staff.

2. The nursing home did not provide adequate pressure ulcer care. Section 483.25 of the Federal Code stipulates that nursing homes must provide residents with a professional level of care designed to prevent the development of pressure ulcers unless medically unavoidable. A September 2019 citation found that Delhi Rehabilitation and Nursing Center failed to ensure such. The citation states specifically that in connection to one resident, the nursing home did not ensure the completion of “an initial nursing and skin assessment were completed upon the resident’s admission, and did not develop a Comprehensive Care Plan” addressing the resident’s risk of developing pressure ulcers after a risk scale performed on admission found the resident to be at moderate risk of developing a pressure ulcer. A plan of correction undertaken by the facility included the re-education of licensed nursing staff on the facility’s pressure ulcer prevention and management policy.

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The nursing home was cited for infection control failures, among other health code violations.

3. The nursing home did not prevent neglect. Section 483.12 of the Federal Code ensures nursing home residents “the right to be free from abuse, neglect, misappropriation of resident property, and exploitation.” A September 2019 citation found that Delhi Rehabilitation and Nursing Center failed to ensure such. The citation states specifically that the facility did not ensure one resident received, in accordance with their care plan and physician’s orders, certain medications during a period lasting from evening until morning of two redacted dates. The citation goes on to describe a Licensed Practical Nurse who did not pass medications in the evening or complete rounds in the following morning, some time after which it was discovered that the resident had expired. In an interview, a Certified Nursing Assistant said that residents were supposed to be checked every two hours. A plan of correction undertaken by the facility included the disciplining and re-education of relevant staff.

The attorneys at the Law Offices of Thomas L. Gallivan, PLLC work diligently to protect the rights of nursing home residents.  Please contact us to discuss in the event you have a potential case involving neglect or abuse.

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