Inspection Reports for Delhi Rehabilitation and Nursing Center

41861 State Route 10, Delhi, NY, 13753

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Inspection Report Summary

The most recent inspection on July 30, 2024, identified deficiencies related to care planning, food sanitation, medication labeling, pest control, environment, and safety systems, all corrected by late September 2024. Earlier inspections showed a pattern of similar issues including abuse and neglect, accident hazards, care planning, infection control, staffing, and nutrition, with all cited deficiencies addressed within a few months. Complaint investigations were unsubstantiated or corrected promptly, and no fines, immediate jeopardy findings, or license actions were listed in the available reports. The main themes across inspections involved resident care planning, safety, and environmental concerns. The facility’s corrections of all deficiencies suggest efforts toward improvement over time.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 15.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

200% 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: 17 Date: Jul 30, 2024

Visit Reason
Complaint Survey with 13 health and 4 life safety citations, all Level 2 severity with no actual harm, all corrected by late September 2024.

Findings
Complaint Survey with 13 health and 4 life safety citations, all Level 2 severity with no actual harm, all corrected by late September 2024.

Deficiencies (17)
Care plan timing and revision
Comprehensive assessments & timing
Develop/implement comprehensive care plan
Food procurement, store/prepare/serve-sanitary
Free from unnec psychotropic meds/prn use
Free of accident hazards/supervision/devices
Label/store drugs and biologicals
Maintains effective pest control program
Nutritive value/appear, palatable/prefer temp
Physical environment
Quality of care
Requirements before submitting a request for
Ventilation
Electrical equipment - testing and maintenanc
Ep training program
Fire alarm system - testing and maintenance
Roles under a waiver declared by secretary

Inspection Report

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

Visit Reason
Complaint Survey with 2 health citations (Level 2 severity) related to abuse and neglect and accident hazards, both corrected by November 1, 2023.

Findings
Complaint Survey with 2 health citations (Level 2 severity) related to abuse and neglect and accident hazards, both corrected by November 1, 2023.

Deficiencies (2)
Free from abuse and neglect
Free of accident hazards/supervision/devices

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 2 Date: Mar 22, 2023

Visit Reason
Complaint Survey with 2 health citations (Level 2 severity) including abuse and neglect and reporting of alleged violations, all corrected by May 12, 2023.

Findings
Complaint Survey with 2 health citations (Level 2 severity) including abuse and neglect and reporting of alleged violations, all corrected by May 12, 2023.

Deficiencies (2)
Free from abuse and neglect
Reporting of alleged violations

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Feb 22, 2022

Visit Reason
Covid-19 Survey with 1 health citation (Level 0 severity) related to responsibilities of providers; required notification, corrected by April 18, 2022.

Findings
Covid-19 Survey with 1 health citation (Level 0 severity) related to responsibilities of providers; required notification, corrected by April 18, 2022.

Deficiencies (1)
Responsibilities of providers; required notif

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 20 Date: Feb 2, 2022

Visit Reason
Complaint Survey with 19 health and 1 life safety citations, mostly Level 2 severity, covering ADL care, care plans, discharge planning, drug regimen, food sanitation, infection control, notification of changes, nutrition, pain management, privacy, physical environment, staffing, transfer requirements, dementia treatment, and pressure ulcer care, all corrected by March 29-31, 2022.

Findings
Complaint Survey with 19 health and 1 life safety citations, mostly Level 2 severity, covering ADL care, care plans, discharge planning, drug regimen, food sanitation, infection control, notification of changes, nutrition, pain management, privacy, physical environment, staffing, transfer requirements, dementia treatment, and pressure ulcer care, all corrected by March 29-31, 2022.

Deficiencies (20)
ADL care provided for dependent residents
Develop/implement comprehensive care plan
Discharge planning process
Drug regimen review, report irregular, act on
Food procurement, store/prepare/serve-sanitary
Infection control
Notify of changes (injury/decline/room, etc. )
Nutrition/hydration status maintenance
Nutritive value/appear, palatable/prefer temp
Pain management
Personal privacy/confidentiality of records
Physical environment
Reporting of alleged violations
Safe/clean/comfortable/homelike environment
Sufficient nursing staff
Sufficient/competent staff-behav health needs
Transfer and discharge requirements
Treatment/service for dementia
Treatment/svcs to prevent/heal pressure ulcer
Electrical equipment - testing and maintenanc

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 4 Date: Jan 7, 2022

Visit Reason
Complaint Survey with 4 health citations (Level 2 severity) related to meal frequency, infection prevention, resident rights, and nursing staff sufficiency, all corrected by March 2, 2022.

Findings
Complaint Survey with 4 health citations (Level 2 severity) related to meal frequency, infection prevention, resident rights, and nursing staff sufficiency, all corrected by March 2, 2022.

Deficiencies (4)
Frequency of meals/snacks at bedtime
Infection prevention & control
Resident rights/exercise of rights
Sufficient nursing staff

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