Inspection Reports for
Danforth Adult Care Center
19 Danforth Street, Hoosick Falls, NY, 12090
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
6.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
22% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Abbreviated Survey
Deficiencies: 2
Date: Nov 26, 2025
Visit Reason
The abbreviated survey was conducted to evaluate compliance with professional standards of care, specifically regarding wound treatment and catheter care for residents.
Findings
The facility failed to ensure a physician order for treatment of a new wound on Resident #1's back and did not provide daily catheter care for Resident #1's indwelling Foley catheter until a physician order was documented on 8/20/2025.
Deficiencies (2)
F 0684: The facility did not ensure a physician order for treatment of a new wound on Resident #1's back identified on 8/04/2025 during a wound care consult.
F 0690: The facility did not ensure daily catheter care for Resident #1's indwelling Foley catheter in May, June, July, and August 2025 until an order was documented on 8/20/2025.
Report Facts
Number of wounds: 6
Dates of catheter care order absence: 4
Wound treatment frequency: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing #1 | Interviewed regarding wound care consult notes and treatment orders. | |
| Director of Nursing #1 | Interviewed regarding wound care treatment orders and wound care monitoring. | |
| Licensed Practical Nurse #1 | Interviewed regarding catheter care procedures and documentation. | |
| Licensed Practical Nurse #2 | Interviewed regarding wound care orders and catheter care documentation. | |
| Licensed Practical Nurse #3 | Interviewed regarding wound care and catheter care procedures. | |
| Administrator #1 | Interviewed regarding delays in receiving wound care consult notes. |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Mar 18, 2025
Visit Reason
One violation related to environmental standards (487.11 (k) (1-3)) with plan/notice of correction approved.
Findings
One violation related to environmental standards (487.11 (k) (1-3)) with plan/notice of correction approved.
Deficiencies (1)
487.11 (k) (1-3) — Environmental standards
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 0
Date: Oct 25, 2024
Visit Reason
No violations found; plan/notice of correction not required.
Findings
No violations found; plan/notice of correction not required.
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Oct 8, 2024
Visit Reason
The survey was conducted as a recertification and abbreviated survey to assess compliance with pharmaceutical services and medication administration requirements.
Findings
The facility failed to ensure medications were provided and administered as ordered for two residents due to unavailable medications and lack of proper physician notification. Documentation and communication deficiencies were noted regarding medication administration and physician notification.
Deficiencies (1)
F 0755: The facility did not provide pharmaceutical services to meet the needs of residents, resulting in medications not being available or administered as ordered for two residents. There was no documentation of physician notification when medications were unavailable.
Report Facts
Residents affected: 2
Medication non-administration dates: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding medication order process and issues with pharmacy. | |
| Licensed Practical Nurse #1 | Interviewed about medication ordering and administration issues. | |
| Assistant Director of Nursing #1 | Interviewed about awareness of medication issues and pharmacy switch. |
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Oct 8, 2024
Visit Reason
The inspection was a recertification survey conducted to assess compliance with regulatory requirements for nursing home operation and resident care.
Findings
The facility was found deficient in multiple areas including failure to provide residents with notice of Medicare coverage termination, inadequate housekeeping and maintenance, incomplete and non-person-centered care plans, failure to maintain residents' ability to perform activities of daily living, improper labeling and storage of medications, and unsafe food storage and preparation practices.
Deficiencies (6)
F 0582: The facility failed to give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Specifically, a Notice to Medicare Provider Non-coverage was not issued to Resident #54 prior to Medicare Part A Service Termination.
F 0584: The facility did not provide effective housekeeping and maintenance services; carpeting in Unit A, Unit B, and the lobby was heavily soiled with dirt.
F 0656: The facility failed to develop and implement comprehensive person-centered care plans with measurable objectives and time frames for 8 residents, including failure to provide communication aids and address specific medical conditions.
F 0676: Resident #7 was not consistently provided a functional communication system despite care plans specifying use of communication boards and translation services.
F 0761: The facility did not ensure drugs and biologicals were labeled and stored properly; opened insulin pens and vials lacked dates opened and expiration dates, risking administration of expired medications.
F 0812: The facility did not store, prepare, distribute, or serve food in accordance with professional standards; equipment and surfaces in the main kitchen and nourishment kitchenettes were soiled and single-use plastic articles were stored on the floor.
Report Facts
Residents reviewed for comprehensive care plans: 19
Residents with deficient care plans: 8
Medication carts reviewed: 2
Medication carts with labeling issues: 1
Resident units with soiled carpeting: 2
Nourishment kitchenettes inspected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Worker #1 | Interviewed regarding missing Notice to Medicare Provider Non-coverage for Resident #54. | |
| Environmental Manager #1 | Interviewed about carpeting cleaning and maintenance. | |
| Administrator #1 | Interviewed about plans to replace carpeting. | |
| Certified Nurse Aide #4 | Interviewed about lack of communication boards and use of translation apps. | |
| Licensed Practical Nurse #3 | Interviewed about awareness and use of language line and communication devices. | |
| Director of Nursing #1 | Interviewed about care plan deficiencies and medication labeling policies. | |
| Licensed Practical Nurse #1 | Interviewed about medication cart review and insulin labeling. | |
| Food Service Director #1 | Interviewed about food service safety deficiencies and corrective actions. |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 0
Date: Sep 20, 2024
Visit Reason
No violations found; plan/notice of correction not required.
Findings
No violations found; plan/notice of correction not required.
Inspection Report
Renewal
Capacity: 60
Deficiencies: 11
Date: Jul 25, 2024
Visit Reason
Eleven violations related to general provisions, resident services, food service, environmental standards, and disaster planning; plan/notice of correction approved.
Findings
Eleven violations related to general provisions, resident services, food service, environmental standards, and disaster planning; plan/notice of correction approved.
Deficiencies (11)
487.3 (b) — General provisions
487.7 (f) (11) (iii) — Resident services
487.7 (f) (11) (x) — Resident services
487.8 (e) (9-10) — Food service
487.8 (e) (11) — Food service
487.11 (b) (1-2) — Environmental standards
487.11 (f) (11) — Environmental standards
487.11 (h) (9-10,19) — Environmental standards
487.11 (k) (14) — Environmental standards
487.11 (k) (1-3) — Environmental standards
487.12 (a-b) — Disaster and emergency planning
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 0
Date: Mar 15, 2024
Visit Reason
No violations found; plan/notice of correction not required.
Findings
No violations found; plan/notice of correction not required.
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 0
Date: Mar 12, 2024
Visit Reason
No violations found; plan/notice of correction not required.
Findings
No violations found; plan/notice of correction not required.
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 0
Date: Mar 12, 2024
Visit Reason
No violations found; plan/notice of correction not required.
Findings
No violations found; plan/notice of correction not required.
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 0
Date: Oct 5, 2023
Visit Reason
No violations found; plan/notice of correction not required.
Findings
No violations found; plan/notice of correction not required.
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 0
Date: Sep 1, 2023
Visit Reason
No violations found; plan/notice of correction not required.
Findings
No violations found; plan/notice of correction not required.
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 0
Date: May 24, 2023
Visit Reason
No violations found; plan/notice of correction not required.
Findings
No violations found; plan/notice of correction not required.
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Mar 13, 2023
Visit Reason
The abbreviated survey was conducted to investigate the facility's failure to timely report an allegation of neglect involving medication administration to several residents.
Findings
The facility did not ensure an allegation of neglect was reported immediately, but not later than 2 hours after the allegation was made for 7 of 14 residents reviewed. The issue involved a Registered Nurse signing for medications not administered during the evening shift on 3/2/2023.
Deficiencies (1)
F 0609: The facility failed to timely report suspected abuse, neglect, or theft and did not report the results of the investigation to proper authorities within the required timeframe.
Report Facts
Residents affected: 7
Residents reviewed: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #4 | Licensed Practical Nurse | Reported the medication incident to the Director of Nursing |
| Director of Nursing | Director of Nursing | Responsible for reporting abuse and neglect per facility policy |
| Registered Nurse #1 | Registered Nurse | Signed for medications not administered to residents |
| Regional Administrator | Regional Administrator | Provided interview statements regarding abuse reporting |
| Administrator | Administrator | Provided interview statements regarding abuse and neglect reporting timelines |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 0
Date: Nov 23, 2022
Visit Reason
No violations found; plan/notice of correction not required.
Findings
No violations found; plan/notice of correction not required.
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 0
Date: Nov 23, 2022
Visit Reason
No violations found; plan/notice of correction not required.
Findings
No violations found; plan/notice of correction not required.
Inspection Report
Capacity: 60
Deficiencies: 0
Date: Sep 21, 2022
Visit Reason
No violations found; plan/notice of correction not required.
Findings
No violations found; plan/notice of correction not required.
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Aug 30, 2022
Visit Reason
The inspection was conducted as a recertification survey to assess compliance with regulatory standards for nursing home operations and resident care.
Findings
The facility was found deficient in maintaining a safe, clean environment, developing comprehensive care plans for residents, ensuring food safety standards, and implementing an effective infection prevention and control program including visitor screening and contact precautions.
Deficiencies (4)
F 0584: The facility did not provide effective maintenance services for two resident units; carpeting in A-Unit and B-Unit corridors was heavily soiled with black build-up and spot stains.
F 0656: The facility failed to develop and implement comprehensive person-centered care plans with measurable objectives for 3 of 19 residents, missing interventions for contact precautions and diagnoses such as hyperlipidemia, GERD, biliary cholangitis, constipation, and angina pectoris.
F 0812: Food was not stored, prepared, distributed, or served according to professional standards; multiple kitchen and nourishment room areas were soiled, spray bottles unlabeled, and the correct sanitizer test kit was not provided.
F 0880: The infection prevention and control program was inadequate; visitors were inconsistently screened for COVID-19 symptoms, and contact precautions for Resident #24 with MRSA were not properly implemented with missing signage and PPE outside the room.
Report Facts
Residents reviewed for comprehensive care plans: 19
Residents with deficient care plans: 3
Visitors not completing screening: 12
Visitors screened: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Stated care plans needed for residents on contact precautions |
| Infection Preventionist/Staff Educator | Infection Preventionist/Staff Educator | Confirmed care plans needed for contact precautions and monitored visitor screening |
| Director of Nursing | Director of Nursing | Confirmed care plan deficiencies and contact precaution implementation issues |
| Nurse Manager #1 | Nurse Manager | Acknowledged missing contact precaution signage and PPE for Resident #24 |
| Director of Guest Services | Director of Guest Services | Reported kitchen sanitation issues and odor source |
| Administrator | Administrator | Acknowledged food service deficiencies and corrective actions planned |
| Temporary Nurse Aide #1 | Temporary Nurse Aide | Described requirements for contact precaution signage and PPE |
| Social Worker/Activities Director | Social Worker/Activities Director | Described visitor screening process and responsibilities |
| Occupational Therapist #2 | Occupational Therapist | Described visitor screening and rapid testing procedures |
Inspection Report
Follow-Up
Capacity: 60
Deficiencies: 0
Date: Jan 25, 2022
Visit Reason
No violations found; plan/notice of correction not required.
Findings
No violations found; plan/notice of correction not required.
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 0
Date: Dec 17, 2021
Visit Reason
No violations found; plan/notice of correction not required.
Findings
No violations found; plan/notice of correction not required.
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Sep 23, 2021
Visit Reason
One violation related to environmental standards (487.11 (h) (5)) with plan/notice of correction approved.
Findings
One violation related to environmental standards (487.11 (h) (5)) with plan/notice of correction approved.
Deficiencies (1)
487.11 (h) (5) — Environmental standards
Inspection Report
Renewal
Capacity: 60
Deficiencies: 5
Date: Jul 29, 2021
Visit Reason
Five violations related to general provisions, resident services, food service, and disaster planning; plan/notice of correction approved.
Findings
Five violations related to general provisions, resident services, food service, and disaster planning; plan/notice of correction approved.
Deficiencies (5)
487.3 (b) — General provisions
487.7 (f) (11) (x) — Resident services
487.7 (f) (12) (iii) — Resident services
487.8 (e) (1) — Food service
487.12 (a-b) — Disaster and emergency planning
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Feb 20, 2020
Visit Reason
The inspection was conducted as a recertification survey and an abbreviated survey to assess compliance with regulatory standards in various areas including resident safety, food service, infection control, and staff education.
Findings
The facility was found deficient in ensuring resident safety related to chemical hair relaxant use causing a chemical burn, food service safety violations including improper storage and sanitation, inadequate garbage disposal, failure to maintain infection prevention during wound care, and lack of staff education on abuse, neglect, and dementia care, especially for contracted staff.
Deficiencies (5)
F 0689: The facility failed to ensure the resident's skin integrity was protected during application of a chemical hair relaxant, resulting in a chemical burn due to not following manufacturer instructions including failure to use petroleum jelly and use of heat.
F 0812: The facility did not store, prepare, distribute, or serve food in accordance with professional standards, including toxic substances stored near food gloves, uncalibrated thermometers, peeling contact paper, soiled floors, and lack of sanitizer test kit.
F 0814: The facility failed to properly dispose of garbage and refuse, evidenced by a trash compactor door portal soiled with thick white build-up.
F 0880: The facility did not maintain infection prevention during a dressing change for a resident's stage 3 pressure ulcer, including failure to cleanse scissors, use barriers, change gloves, and proper handling of supplies.
F 0943: The facility failed to provide staff education on abuse, neglect, exploitation, and dementia care to contracted staff, specifically the Hair Stylist who had not received training since initial orientation years ago.
Report Facts
Food thermometer readings: 23
Food thermometer readings: 29
Date of incident: Feb 11, 2020
Date of physician order: Feb 14, 2020
Date of dressing change observation: Feb 19, 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Involved in staff education and interviewed regarding chemical burn incident |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Performed dressing change with infection prevention deficiencies |
| Registered Nurse Manager #3 | Registered Nurse Manager | Interviewed regarding infection prevention during dressing change |
| Director of Nursing | Director of Nursing | Interviewed regarding chemical burn incident and staff education policies |
| Administrator | Administrator | Interviewed regarding chemical burn incident, staff education, and facility policies |
| Hair Stylist | Contracted Hair Stylist | Involved in chemical burn incident and lacked required training |
| Director of Plant Operations | Director of Plant Operations | Interviewed regarding trash compactor cleanliness |
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