Inspection Reports for Campbell Hall Rehabilitation Center Inc
23 Kiernan Rd, Campbell Hall, NY, 10916
Back to Facility ProfileInspection Report Summary
The most recent inspection on April 29, 2025, identified deficiencies related to assessments, care plans, abuse prevention, investigation of violations, nurse aide training, and dementia treatment, all of which were corrected within a month. Earlier inspections showed a pattern of similar issues, including accident hazards, staff competency, and reporting requirements, with one Level 3 severity citation for accident hazards in July 2024. Complaint investigations were generally unsubstantiated aside from these cited deficiencies, and no fines or enforcement actions were listed in the available reports. Prior reports also noted ongoing challenges with timely and accurate assessments and care planning, as well as consistent issues with reporting to the national health safety network during the COVID-19 surveys. The facility appears to address deficiencies promptly, showing some improvement in resolving issues after identification.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
37% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 6
Date: Apr 29, 2025
Visit Reason
Complaint Survey with 6 standard health citations related to accuracy of assessments, care plans, abuse prevention, investigation of violations, nurse aide training, and dementia treatment. All deficiencies corrected by May 28, 2025.
Findings
Complaint Survey with 6 standard health citations related to accuracy of assessments, care plans, abuse prevention, investigation of violations, nurse aide training, and dementia treatment. All deficiencies corrected by May 28, 2025.
Deficiencies (6)
Accuracy of assessments
Develop/implement comprehensive care plan
Free from abuse and neglect
Investigate/prevent/correct alleged violation
Required in-service training for nurse aides
Treatment/service for dementia
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 7
Date: Jul 22, 2024
Visit Reason
Complaint Survey with 7 standard health citations including administration, behavioral health services, facility assessment, accident hazards, investigation of violations, nurse aide training, and staff competency. One Level 3 severity for accident hazards. All deficiencies corrected by September 30, 2024.
Findings
Complaint Survey with 7 standard health citations including administration, behavioral health services, facility assessment, accident hazards, investigation of violations, nurse aide training, and staff competency. One Level 3 severity for accident hazards. All deficiencies corrected by September 30, 2024.
Deficiencies (7)
Administration
Behavioral health services
Facility assessment
Free of accident hazards/supervision/devices
Investigate/prevent/correct alleged violation
Nurse aide peform review-12 hr/yr in-service
Sufficient/competent staff-behav health needs
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 2
Date: Apr 18, 2024
Visit Reason
Complaint Survey with 2 standard health citations related to accuracy of assessments and care plan timing and revision. Both Level 2 severity and corrected by May 24, 2024.
Findings
Complaint Survey with 2 standard health citations related to accuracy of assessments and care plan timing and revision. Both Level 2 severity and corrected by May 24, 2024.
Deficiencies (2)
Accuracy of assessments
Care plan timing and revision
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 30, 2024
Visit Reason
Covid-19 Survey with 1 standard health citation related to reporting to national health safety network. Level 2 severity, widespread scope, not corrected at time of report.
Findings
Covid-19 Survey with 1 standard health citation related to reporting to national health safety network. Level 2 severity, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 22, 2024
Visit Reason
Covid-19 Survey with 1 standard health citation for reporting to national health safety network. Level 2 severity, widespread scope, not corrected at time of report.
Findings
Covid-19 Survey with 1 standard health citation for reporting to national health safety network. Level 2 severity, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 8, 2024
Visit Reason
Covid-19 Survey with 1 standard health citation for reporting to national health safety network. Level 2 severity, widespread scope, not corrected at time of report.
Findings
Covid-19 Survey with 1 standard health citation for reporting to national health safety network. Level 2 severity, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 2, 2024
Visit Reason
Covid-19 Survey with 1 standard health citation for reporting to national health safety network. Level 2 severity, widespread scope, not corrected at time of report.
Findings
Covid-19 Survey with 1 standard health citation for reporting to national health safety network. Level 2 severity, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Dec 26, 2023
Visit Reason
Covid-19 Survey with 1 standard health citation for reporting to national health safety network. Level 2 severity, widespread scope, not corrected at time of report.
Findings
Covid-19 Survey with 1 standard health citation for reporting to national health safety network. Level 2 severity, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Dec 21, 2023
Visit Reason
Complaint Survey with 1 standard health citation related to free of accident hazards/supervision/devices. Level 2 severity, isolated scope, corrected by March 20, 2024.
Findings
Complaint Survey with 1 standard health citation related to free of accident hazards/supervision/devices. Level 2 severity, isolated scope, corrected by March 20, 2024.
Deficiencies (1)
Free of accident hazards/supervision/devices
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