Inspection Reports for Carthage Center for Rehabilitaiton and Nursing

1045 West Street, Carthage, NY, 13619

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Inspection Report Summary

The most recent inspection on February 23, 2024, identified one isolated deficiency related to preparation for safe and orderly transfer or discharge, which was corrected by March 20, 2024. Earlier inspections showed a pattern of deficiencies mainly involving quality of care, resident safety, and regulatory compliance, including issues with pressure ulcer treatment, nursing staff sufficiency, and environmental safety. Prior reports noted some deficiencies indicating actual harm, but all were corrected promptly, and no fines or enforcement actions were listed in the available reports. Complaint investigations were unsubstantiated or did not result in additional findings. The facility’s record shows ongoing attention to correcting identified issues, with recent inspections reflecting fewer and more isolated deficiencies.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 9.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

90% 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: 1 Date: Feb 23, 2024

Visit Reason
One isolated Level 2 deficiency related to preparation for safe/orderly transfer/discharge, corrected by March 20, 2024.

Findings
One isolated Level 2 deficiency related to preparation for safe/orderly transfer/discharge, corrected by March 20, 2024.

Deficiencies (1)
Preparation for safe/orderly transfer/dschrg

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 2 Date: Dec 8, 2023

Visit Reason
Two isolated Level 2 deficiencies related to licensing compliance and safe/functional environment, both corrected by January 3, 2024.

Findings
Two isolated Level 2 deficiencies related to licensing compliance and safe/functional environment, both corrected by January 3, 2024.

Deficiencies (2)
License/comply w/ fed/state/locl law/prof std
Safe/functional/sanitary/comfortable environ

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 3 Date: Apr 14, 2023

Visit Reason
Three Level 2 deficiencies including bowel/bladder incontinence, investigation of alleged violations, and lab services notification, with some deficiencies showing pattern scope, all corrected by May 3, 2023.

Findings
Three Level 2 deficiencies including bowel/bladder incontinence, investigation of alleged violations, and lab services notification, with some deficiencies showing pattern scope, all corrected by May 3, 2023.

Deficiencies (3)
Bowel/bladder incontinence, catheter, uti
Investigate/prevent/correct alleged violation
Lab srvcs physician order/notify of results

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 18 Date: Mar 16, 2023

Visit Reason
Multiple Level 2 deficiencies in quality of care and life safety code, including ADL care, accident hazards, nutrition, diet, resident call system, environment, nursing staff sufficiency, corridor doors, electrical equipment, fire drills, gas equipment, fire extinguishers, smoking regulations, sprinkler system, and smoke barriers. Most deficiencies corrected by May 1, 2023.

Findings
Multiple Level 2 deficiencies in quality of care and life safety code, including ADL care, accident hazards, nutrition, diet, resident call system, environment, nursing staff sufficiency, corridor doors, electrical equipment, fire drills, gas equipment, fire extinguishers, smoking regulations, sprinkler system, and smoke barriers. Most deficiencies corrected by May 1, 2023.

Deficiencies (18)
ADL care provided for dependent residents
Free of accident hazards/supervision/devices
Nutritive value/appear, palatable/prefer temp
Provided diet meets needs of each resident
Reasonable accommodations needs/preferences
Resident call system
Right to survey results/advocate agency info
Safe/clean/comfortable/homelike environment
Sufficient nursing staff
Corridor - doors
Electrical equipment - power cords and extens
Electrical equipment - testing and maintenanc
Fire drills
Gas equipment - cylinder and container storag
Portable fire extinguishers
Smoking regulations
Sprinkler system - maintenance and testing
Subdivision of building spaces - smoke barrie

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Nov 30, 2022

Visit Reason
One isolated Level 2 deficiency related to investigation/prevention/correction of alleged violation, corrected by January 12, 2023.

Findings
One isolated Level 2 deficiency related to investigation/prevention/correction of alleged violation, corrected by January 12, 2023.

Deficiencies (1)
Investigate/prevent/correct alleged violation

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 4 Date: Jul 27, 2022

Visit Reason
Four deficiencies including notice requirements before transfer/discharge, permitting residents to return, quality of care, and treatment to prevent/heal pressure ulcers. Two were Level 3 indicating actual harm, others Level 2. All corrected by August 31, 2022.

Findings
Four deficiencies including notice requirements before transfer/discharge, permitting residents to return, quality of care, and treatment to prevent/heal pressure ulcers. Two were Level 3 indicating actual harm, others Level 2. All corrected by August 31, 2022.

Deficiencies (4)
Notice requirements before transfer/discharge
Permitting residents to return to facility
Quality of care
Treatment/svcs to prevent/heal pressure ulcer

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