Inspection Reports for Achieve Rehab and Nursing Facility

170 Lake Street, NY, 12754

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 7.6 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

49% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

24 18 12 6 0
2021
2022
2023
2024
2025
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 1 Jan 16, 2025
Visit Reason
One isolated quality of care deficiency with no actual harm, corrected by March 14, 2025.
Findings
One isolated quality of care deficiency with no actual harm, corrected by March 14, 2025.
Deficiencies (1)
Description
Quality of care
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 21 Oct 23, 2024
Visit Reason
Multiple isolated and pattern deficiencies in standard health and life safety code citations related to abuse training, assessments, care plans, food safety, infection control, and fire safety; all corrected by December 2024.
Findings
Multiple isolated and pattern deficiencies in standard health and life safety code citations related to abuse training, assessments, care plans, food safety, infection control, and fire safety; all corrected by December 2024.
Deficiencies (21)
Description
Abuse, neglect, and exploitation training
Accuracy of assessments
Department criminal history review
Develop/implement comprehensive care plan
Food procurement,store/prepare/serve-sanitary
Free of accident hazards/supervision/devices
Infection prevention & control
Label/store drugs and biologicals
Maintains effective pest control program
Nurse aide peform review-12 hr/yr in-service
Nutritive value/appear, palatable/prefer temp
Protection/management of personal funds
Responsibilities of providers; required notif
Cooking facilities
Corridor - doors
Elevators
Fire drills
Gas equipment - cylinder and container storag
Hazardous areas - enclosure
Smoking regulations
Sprinkler system - maintenance and testing
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 1 Oct 11, 2023
Visit Reason
One isolated standard health citation for accident hazards, corrected by December 8, 2023.
Findings
One isolated standard health citation for accident hazards, corrected by December 8, 2023.
Deficiencies (1)
Description
Free of accident hazards/supervision/devices
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 14 Sep 27, 2022
Visit Reason
Multiple isolated standard health and life safety code citations including care plan timing, infection control, pest control, quality of care, transfer requirements, pressure ulcer treatment, and fire safety; all corrected by late 2022.
Findings
Multiple isolated standard health and life safety code citations including care plan timing, infection control, pest control, quality of care, transfer requirements, pressure ulcer treatment, and fire safety; all corrected by late 2022.
Deficiencies (14)
Description
Care plan timing and revision
Infection control
Maintains effective pest control program
Quality of care
Transfer and discharge requirements
Treatment/svcs to prevent/heal pressure ulcer
Develop ep plan, review and update annually
Egress doors
Electrical equipment - power cords and extens
Electrical systems - essential electric syste
Local, state, tribal collaboration process
Portable fire extinguishers
Smoke detection
Sprinkler system - installation
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 1 Nov 23, 2021
Visit Reason
One pattern life safety code citation related to physical environment, corrected by January 15, 2022.
Findings
One pattern life safety code citation related to physical environment, corrected by January 15, 2022.
Deficiencies (1)
Description
Physical environment

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