Inspection Reports for Amsterdam Nursing Home

NY

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Inspection Report Summary

The most recent inspection on May 6, 2025, identified deficiencies in several areas including care planning participation, accuracy of assessments, wound care infection control, medication storage, dental service timeliness, and dietary preference adherence. Earlier inspections showed a mixed pattern with some years having no health deficiencies, such as March 11, 2024, while others noted issues related to care planning, staffing, medication management, and quality of care. Complaint investigations were conducted but were not substantiated with enforcement actions or fines listed in the available reports. Prior reports also cited life safety code issues that were corrected promptly. The facility’s inspection history shows recurring themes in care planning and medication management, with no clear improvement or worsening trend over time.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 12.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

149% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

12 9 6 3 0
2022
2024
2025

Inspection Report

Annual Inspection
Deficiencies: 8 Date: May 6, 2025

Visit Reason
The Recertification Survey was conducted from 04/29/2025 to 05/06/2025 to assess compliance with regulatory requirements for Amsterdam Nursing Home Corp.

Findings
The facility was found deficient in multiple areas including resident participation in care planning, accuracy of Minimum Data Set assessments, treatment and care standards, infection control during wound care, range of motion maintenance, medication storage, dental services timeliness, and adherence to resident dietary preferences.

Deficiencies (8)
Resident or their representative was not consistently invited to participate in care plan meetings.
Minimum Data Set assessments did not accurately reflect residents' status, including discharge status and use of wander alert devices.
Resident with a soiled dressing on peripheral intravenous catheter; no documented dressing changes as ordered.
Resident with pressure ulcers did not receive wound care consistent with infection prevention and control practices.
Resident with left-hand contracture not thoroughly assessed or referred for rehabilitation evaluation.
Expired COVID-19 vaccine found in medication refrigerator.
Resident's dentures broke and were not repaired and returned for 50 days without documented explanation.
Resident received whole milk instead of documented preference for lactose-free milk.
Report Facts
Residents sampled: 38 Care plan meetings missed: 2 Days denture repair delayed: 50 Expiration date of COVID-19 vaccine: Mar 11, 2025

Employees mentioned
NameTitleContext
Licensed Practical Nurse #4 Licensed Practical Nurse Interviewed regarding Resident #207's care plan participation
Social Worker #1 Social Worker Interviewed regarding invitations to care plan meetings for Resident #207
Registered Nurse #5 Registered Nurse Interviewed about Resident #265's wander alert device
Registered Nurse #8 Registered Nurse Observed and interviewed regarding wound care for Resident #74
Registered Nurse #6 Unit Manager Interviewed regarding peripheral line dressing for Resident #130
Director of Nursing Director of Nursing Interviewed multiple times regarding various deficiencies including wound care, contracture, medication storage, and denture repair
Certified Nursing Assistant #1 Certified Nursing Assistant Interviewed regarding Resident #162's contracture and functional status
Nurse Practitioner Nurse Practitioner Interviewed regarding Resident #162's contracture and treatment
Attending Physician Physician Interviewed regarding Resident #162's contracture
Registered Nurse #9 Registered Nurse Interviewed regarding medication storage and expired vaccine
Registered Nurse #10 Unit Manager Interviewed regarding medication storage and expired vaccine
Registered Nurse #1 Registered Nurse Interviewed regarding denture repair follow-up for Resident #30
Certified Nursing Assistant #2 Certified Nursing Assistant Interviewed regarding Resident #30's dentures and diet
Dentist Dentist Interviewed regarding delay in denture repair for Resident #30
Registered Dietician Registered Dietician Interviewed regarding Resident #137's dietary preferences
Chief Clinical Dietician Chief Clinical Dietician Interviewed regarding Resident #137's dietary preferences
Certified Nurse Assistant #3 Certified Nurse Assistant Interviewed regarding Resident #137's milk preference

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 10 Date: May 6, 2025

Visit Reason
Complaint Survey with 8 health citations and 2 life safety code citations, all deficiencies corrected by June 17, 2025.

Findings
Complaint Survey with 8 health citations and 2 life safety code citations, all deficiencies corrected by June 17, 2025.

Deficiencies (10)
Accuracy of assessments — quality of care
Increase/prevent decrease in rom/mobility — quality of care
Label/store drugs and biologicals — quality of care
Menus meet resident nds/prep in adv/followed — quality of care
Quality of care — quality of care
Right to participate in planning care — quality of care
Routine/emergency dental srvcs in nfs — quality of care
Treatment/svcs to prevent/heal pressure ulcer — quality of care
Emergency lighting — life safety code
Smoking regulations — life safety code

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Mar 11, 2024

Visit Reason
The inspection was conducted as a routine annual survey of the Amsterdam Nursing Home Corp (1992) to assess compliance with health and safety regulations.

Findings
No health deficiencies were found during the inspection, indicating full compliance with applicable standards.

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 2 Date: Mar 11, 2024

Visit Reason
Complaint Survey with 2 life safety code citations, deficiencies corrected by March 26, 2024.

Findings
Complaint Survey with 2 life safety code citations, deficiencies corrected by March 26, 2024.

Deficiencies (2)
Electrical equipment - power cords and extens — life safety code
Hazardous areas - enclosure — life safety code

Inspection Report

Annual Inspection
Deficiencies: 6 Date: Feb 16, 2022

Visit Reason
The inspection was a Recertification Survey to assess compliance with regulatory requirements for nursing home care.

Findings
The facility was found deficient in multiple areas including failure to develop and implement baseline and comprehensive care plans timely, insufficient nursing staff to meet resident needs, failure to timely review and act on pharmacist medication regimen reviews, and improper labeling and storage of medications such as insulin pens.

Deficiencies (6)
Failure to create and implement baseline care plans within 48 hours of admission and failure to provide residents and representatives with written summaries.
Failure to develop and implement comprehensive care plans addressing all resident needs including Foley catheter care, dialysis, and nutritional interventions.
Failure to develop and revise hospice care plans quarterly as required.
Insufficient nursing staff on multiple days resulting in unmet resident care needs and incidents of resident-to-resident abuse.
Failure to ensure licensed pharmacist medication regimen reviews were timely reviewed and acted upon by medical staff.
Failure to label insulin pens with date opened and resident name, and failure to store medications according to manufacturer recommendations.
Report Facts
Days fully staffed to par level: 4 Resident weights recorded: 2 Medication Regimen Review sign-off date: 2022

Employees mentioned
NameTitleContext
RN #1 Registered Nurse Supervisor Interviewed regarding baseline care plan responsibilities and medication storage.
DON Director of Nursing Interviewed multiple times regarding care plan development, staffing, medication regimen reviews, and medication storage.
Chief Clinical Dietician Chief Clinical Dietician Interviewed regarding nutritional care plan responsibilities and weight monitoring.
RN #7 Registered Nurse Manager Interviewed regarding care plan for dialysis treatment.
RN #3 Registered Nurse Interviewed regarding hospice care plan review.
RN #4 Registered Nurse Unit Manager Interviewed regarding responsibility for care plan development and review.
CNA #1 Certified Nursing Assistant Interviewed regarding resident weight monitoring.
CNA #2 Certified Nursing Assistant Interviewed regarding catheter care and resident weight monitoring.
CNA #10 Certified Nursing Assistant Interviewed regarding staffing shortages and resident care on weekends.
CNA #11 Certified Nursing Assistant Interviewed regarding staffing shortages and resident care on weekends.
Staffing Coordinator Staffing Coordinator Interviewed regarding staffing challenges and recruitment efforts.
FPS Facility Pharmacist Supervisor Interviewed regarding medication regimen review process and delays.
MD Medical Director Interviewed regarding medication regimen review process and facility staffing challenges.
Administrator Facility Administrator Interviewed regarding medication regimen review process and staffing.
LPN #1 Licensed Practical Nurse Interviewed regarding medication storage and labeling.

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 12 Date: Feb 16, 2022

Visit Reason
Complaint Survey with 9 health citations and 3 life safety code citations, deficiencies corrected by April 2022.

Findings
Complaint Survey with 9 health citations and 3 life safety code citations, deficiencies corrected by April 2022.

Deficiencies (12)
ADL care provided for dependent residents — quality of care
Baseline care plan — quality of care
Care plan timing and revision — quality of care
Develop/implement comprehensive care plan — quality of care
Drug regimen review, report irregular, act on — quality of care
Free from abuse and neglect — quality of care
General requirements — quality of care
Label/store drugs and biologicals — quality of care
Sufficient nursing staff — quality of care
Means of egress - general — life safety code
Standards of construction for new existing nh — life safety code
Vertical openings - enclosure — life safety code

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