Luxor Nursing and Rehabilitation at Mills Pond Cited for Pressure Ulcers

Luxor Nursing and Rehabilitation at Mills Pond received 20 citations for violations of public health code between 2016 and 2020, according to New York State Department of Health records accessed on April 3, 2020. The facility has also received a 2017 fine of $10,000 in connection to findings in a 2017 inspection that it violated unspecified health code provisions. The St. James 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 adequate measures to treat and care for pressure ulcers. Section 483.25 of the Federal Code specifies that nursing homes must ensure residents with pressure ulcers receive “necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing.” A June 2016 citation found that Luxor Nursing and Rehabilitation at Mills Pond did not ensure such for one resident. The citation states specifically that the resident’s medical record “lacked individualized care specific to the resident who was at risk for developing” pressure ulcers and that interventions “that were in place were not provided.” The resident later developed two pressure ulcers, according to the citation, which states that these deficiencies had the “potential to cause more than minimal harm.” A plan of correction undertaken by the facility included the re-education of the nurse assigned to the resident in question.

2. The nursing home did not ensure residents were kept free from unnecessary medications. Section 483.25 of the Federal Code ensures that nursing home resident drug regimens “must be free from unnecessary drugs.” An August 2017 citation found that Luxor Nursing and Rehabilitation at Mills Pond did not ensure such for one resident. The citation states specifically that a resident was receiving an anti-psychotic medication, but that the facility did not ensure the attempt of a gradual dose reduction in the past year. A plan of correction undertaken by the facility included the examination of the resident and the initiation of a gradual dose reduction.

3. The nursing home did not adequately prevent medication errors. Section 483.45 of the Federal Code stipulates that nursing homes must ensure residents “are free of any significant medication errors.” A July 2017 citation found that Luxor Nursing and Rehabilitation at Mills Pond did not ensure such for one resident. The citation states specifically that a resident was discharged “with prescriptions intended for a different resident.” When the resident later consumed those medications, the citation states, they were transferred to an emergency room “for evaluation due to her complaints of not feeling well, where she was observed in the critical care ER.” The citation states that this deficiency resulted in “actual harm” to the resident.

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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