Inspection Reports for Capstone Center for Rehabilitation and Nursing

302 Swart Hill Road, NY, 12010

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 11.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

122% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

20 15 10 5 0
2022
2023
2024
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 19 Dec 10, 2024
Visit Reason
Inspection identified 16 health and 3 life safety deficiencies mostly Level 2, many corrected by January 29, 2025.
Findings
Inspection identified 16 health and 3 life safety deficiencies mostly Level 2, many corrected by January 29, 2025.
Deficiencies (19)
DescriptionSeverity
Activities daily living (adls)/mntn abilitiesLevel 2
Activities meet interest/needs each residentLevel 2
AdministrationLevel 2
Care plan timing and revisionLevel 2
Competent nursing staffLevel 2
Lab srvcs physician order/notify of resultsLevel 2
Label/store drugs and biologicalsLevel 2
Notify of changes (injury/decline/room, etc. )Level 3
Pain managementLevel 2
Reasonable accommodations needs/preferencesLevel 2
Resident rights/exercise of rightsLevel 2
Residents are free of significant med errorsLevel 2
Respiratory/tracheostomy care and suctioningLevel 2
Safe/clean/comfortable/homelike environmentLevel 2
Sufficient nursing staffLevel 2
Tube feeding mgmt/restore eating skillsLevel 2
Discharge from exitsLevel 2
Doors with self-closing devicesLevel 2
Gas equipment - precautions for handling oxygLevel 2
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 3 May 28, 2024
Visit Reason
Complaint survey with 3 health deficiencies, all Level 2, including permitting residents to return, reporting alleged violations, and sufficient nursing staff; some corrected by August 2024.
Findings
Complaint survey with 3 health deficiencies, all Level 2, including permitting residents to return, reporting alleged violations, and sufficient nursing staff; some corrected by August 2024.
Deficiencies (3)
DescriptionSeverity
Permitting residents to return to facilityLevel 2
Reporting of alleged violationsLevel 2
Sufficient nursing staffLevel 2
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 1 Mar 1, 2024
Visit Reason
Complaint survey with 1 health deficiency related to quality of care, Level 2, corrected by March 18, 2024.
Findings
Complaint survey with 1 health deficiency related to quality of care, Level 2, corrected by March 18, 2024.
Deficiencies (1)
DescriptionSeverity
Quality of careLevel 2
Inspection Report Capacity: 60 Deficiencies: 1 Dec 7, 2023
Visit Reason
Covid-19 survey with 1 life safety deficiency related to subdivision of building spaces - smoke barrier, Level 2, corrected by January 25, 2024.
Findings
Covid-19 survey with 1 life safety deficiency related to subdivision of building spaces - smoke barrier, Level 2, corrected by January 25, 2024.
Deficiencies (1)
DescriptionSeverity
Subdivision of building spaces - smoke barrieLevel 2
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 10 Jan 21, 2022
Visit Reason
Complaint survey with multiple health and life safety deficiencies mostly Level 2, including ADL care, food procurement, psychotropic meds, grievances, infection control, resident rights, safe environment, dementia care, and electrical equipment; many corrected by March 2022.
Findings
Complaint survey with multiple health and life safety deficiencies mostly Level 2, including ADL care, food procurement, psychotropic meds, grievances, infection control, resident rights, safe environment, dementia care, and electrical equipment; many corrected by March 2022.
Deficiencies (10)
DescriptionSeverity
ADL care provided for dependent residentsLevel 2
Food procurement,store/prepare/serve-sanitaryLevel 2
Free from unnec psychotropic meds/prn useLevel 2
GrievancesLevel 2
Infection prevention & controlLevel 2
Resident rights/exercise of rightsLevel 2
Safe/clean/comfortable/homelike environmentLevel 2
Treatment/service for dementiaLevel 2
Electrical equipment - testing and maintenancLevel 2
Maintenance, inspection & testing - doorsLevel 2

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