Inspection Reports for Delhi Rehabilitation and Nursing Center

41861 State Route 10, NY, 13753

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Deficiencies per Year

36 27 18 9 0
2024
Severe High Moderate Low Unclassified
Inspection Report Complaint Investigation Deficiencies: 35 Jul 30, 2024
Visit Reason
State-compiled facility profile showing multiple complaint surveys and a Covid-19 survey from 2022 to 2024 with deficiency and enforcement history.
Findings
Across multiple complaint surveys and a Covid-19 survey, the facility had numerous Level 2 deficiencies primarily related to quality of care and life safety code issues, all corrected by follow-up dates. Enforcement actions include fines for quality of care deficiencies.
Complaint Details
Facility received 16 complaints from November 1, 2021 to October 31, 2025, with 13 complaint-related on-site inspections and 52 complaint-related citations across categories including quality of care (26), resident rights (11), dietary services (9), physical environment (5), and administration (1).
Severity Breakdown
Level 2: 35 Level 0: 2
Deficiencies (35)
DescriptionSeverity
Care plan timing and revision: Standard Health Inspection Citation pertaining to quality of care.Level 2
Comprehensive assessments & timing: Standard Health Inspection Citation pertaining to quality of care.Level 2
Develop/implement comprehensive care plan: Standard Health Inspection Citation pertaining to quality of care.Level 2
Food procurement,store/prepare/serve-sanitary: Standard Health Inspection Citation pertaining to quality of care.Level 2
Free from unnec psychotropic meds/prn use: Standard Health Inspection Citation pertaining to quality of care.Level 2
Free of accident hazards/supervision/devices: Standard Health Inspection Citation pertaining to quality of care.Level 2
Label/store drugs and biologicals: Standard Health Inspection Citation pertaining to quality of care.Level 2
Maintains effective pest control program: Standard Health Inspection Citation pertaining to quality of care.Level 2
Nutritive value/appear, palatable/prefer temp: Standard Health Inspection Citation pertaining to quality of care.Level 2
Physical environment: Standard Health Inspection Citation pertaining to quality of care.Level 0
Quality of care: Standard Health Inspection Citation pertaining to quality of care.Level 2
Requirements before submitting a request for: Standard Health Inspection Citation pertaining to quality of care.Level 0
Ventilation: Standard Health Inspection Citation pertaining to quality of care.Level 2
Electrical equipment - testing and maintenanc: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Ep training program: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Fire alarm system - testing and maintenance: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Roles under a waiver declared by secretary: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Free from abuse and neglect: Standard Health Inspection Citation pertaining to quality of care.Level 2
Free of accident hazards/supervision/devices: Standard Health Inspection Citation pertaining to quality of care.Level 2
Reporting of alleged violations: Standard Health Inspection Citation pertaining to quality of care.Level 2
ADL care provided for dependent residents: Standard Health Inspection Citation pertaining to quality of care.Level 2
Discharge planning process: Standard Health Inspection Citation pertaining to quality of care.Level 2
Drug regimen review, report irregular, act on: Standard Health Inspection Citation pertaining to quality of care.Level 2
Infection control: Standard Health Inspection Citation pertaining to quality of care.Level 2
Notify of changes (injury/decline/room, etc. ): Standard Health Inspection Citation pertaining to quality of care.Level 2
Nutrition/hydration status maintenance: Standard Health Inspection Citation pertaining to quality of care.Level 2
Pain management: Standard Health Inspection Citation pertaining to quality of care.Level 2
Personal privacy/confidentiality of records: Standard Health Inspection Citation pertaining to quality of care.Level 2
Physical environment: Standard Health Inspection Citation pertaining to quality of care.Level 2
Safe/clean/comfortable/homelike environment: Standard Health Inspection Citation pertaining to quality of care.Level 2
Sufficient nursing staff: Standard Health Inspection Citation pertaining to quality of care.Level 2
Sufficient/competent staff-behav health needs: Standard Health Inspection Citation pertaining to quality of care.Level 2
Transfer and discharge requirements: Standard Health Inspection Citation pertaining to quality of care.Level 2
Treatment/service for dementia: Standard Health Inspection Citation pertaining to quality of care.Level 2
Treatment/svcs to prevent/heal pressure ulcer: Standard Health Inspection Citation pertaining to quality of care.Level 2
Report Facts
Inspections on page: 13 Inspections with citations: 6 Inspections with no citations: 7 Total citations: 24 Total complaints: 16 Total complaint-related citations: 52 Total fines: 18000

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