Inspection Reports for Delmar Center for Rehabilitation and Nursing
125 Rockefeller Road, Delmar, NY, 12054
Back to Facility ProfileInspection Report Summary
The most recent inspection on January 23, 2025, identified deficiencies related to quality of care and life safety issues, all of which were corrected by March-April 2025. Earlier inspections also noted various deficiencies primarily involving care planning, medication management, infection prevention, accident hazards, and life safety code compliance, with all issues addressed within a few months of each survey. Complaint investigations did not result in any substantiated complaints, and no fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s deficiencies have consistently been at Level 2 severity and were corrected promptly after each inspection. The pattern suggests ongoing attention to compliance with some recurring themes but no escalation in severity over time.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
1.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
69% better than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 2
Date: Jan 23, 2025
Visit Reason
Complaint survey with 33 standard health citations and 17 life safety code citations, all Level 2 severity, addressing quality of care and life safety issues, all corrected by March-April 2025.
Findings
Complaint survey with 33 standard health citations and 17 life safety code citations, all Level 2 severity, addressing quality of care and life safety issues, all corrected by March-April 2025.
Deficiencies (2)
Standard Health Citations — activities meet interest/needs, administration, care plan timing and revision, competent nursing staff, comprehensive care plan, garbage disposal, drug regimen, food procurement sanitary, free from abuse and neglect, accident hazards, medication error rates, grievances, infection prevention and control, infection preventionist qualifications, investigation of alleged violations, bed hold policy, nutrition/hydration, PASARR screening, personal food policy, QAA committee, quality of care, reporting of alleged violations, resident records, resident rights, resident self-admin meds, med errors, respiratory/tracheostomy care, provider responsibilities, survey results rights, RN coverage, safe/clean environment, sufficient nursing staff, transfer and discharge requirements
Standard Life Safety Code Citations — corridor doors, discharge from exits, doors with self-closing devices, electrical equipment and systems, EP testing and training, fire alarm system, horizontal exits, illumination of means of egress, maintenance/testing of doors, means of egress general, organization and administration, hazard risk assessment plan, sprinkler system installation and maintenance
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: May 23, 2024
Visit Reason
Complaint survey with 10 standard health citations, all Level 2 severity, related to accident hazards, investigation of alleged violations, lab services, drug labeling, laboratory services, quality of care, reporting violations, resident records, resident rights, and med errors, all corrected by July 16, 2024.
Findings
Complaint survey with 10 standard health citations, all Level 2 severity, related to accident hazards, investigation of alleged violations, lab services, drug labeling, laboratory services, quality of care, reporting violations, resident records, resident rights, and med errors, all corrected by July 16, 2024.
Deficiencies (1)
Standard Health Citations — accident hazards, investigation/prevention of violations, lab services physician order and notification, drug labeling/storage, laboratory services, quality of care, reporting of alleged violations, resident records, resident rights, med errors
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Nov 30, 2023
Visit Reason
Complaint survey with 8 standard health citations, all Level 2 severity, including ADL care, comprehensive care plan, facility assessment, food procurement sanitary, infection prevention, dental services, safe environment, and pressure ulcer treatment, all corrected by January 2024.
Findings
Complaint survey with 8 standard health citations, all Level 2 severity, including ADL care, comprehensive care plan, facility assessment, food procurement sanitary, infection prevention, dental services, safe environment, and pressure ulcer treatment, all corrected by January 2024.
Deficiencies (1)
Standard Health Citations — ADL care, comprehensive care plan, facility assessment, food procurement sanitary, infection prevention and control, routine/emergency dental services, safe/clean environment, treatment to prevent/heal pressure ulcers
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Apr 26, 2023
Visit Reason
Complaint survey with 1 standard health citation for right to access/purchase copies of records, Level 2 severity, correction status unclear.
Findings
Complaint survey with 1 standard health citation for right to access/purchase copies of records, Level 2 severity, correction status unclear.
Deficiencies (1)
Standard Health Citation — right to access/purchase copies of records
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Jan 31, 2023
Visit Reason
Complaint survey with 11 standard health citations and 3 life safety code citations, all Level 2 severity, covering ADL care, drug regimen review, food procurement sanitary, accident hazards, infection prevention, pest control, rehab services, resident allergies, med errors, safe environment, training, EP testing and training, and multiple occupancies, all corrected by March 2023.
Findings
Complaint survey with 11 standard health citations and 3 life safety code citations, all Level 2 severity, covering ADL care, drug regimen review, food procurement sanitary, accident hazards, infection prevention, pest control, rehab services, resident allergies, med errors, safe environment, training, EP testing and training, and multiple occupancies, all corrected by March 2023.
Deficiencies (1)
Standard Health Citations — ADL care, drug regimen review, food procurement sanitary, accident hazards, infection prevention and control, pest control, specialized rehab services, resident allergies, med errors, safe/clean environment, training requirements; Standard Life Safety Code Citations — EP testing requirements, EP training program, multiple occupancies
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Aug 10, 2022
Visit Reason
Complaint survey with 4 standard health citations, all Level 2 severity, including accuracy of assessments, comprehensive care plan, resident records, and respiratory/tracheostomy care, some corrected by October 2022.
Findings
Complaint survey with 4 standard health citations, all Level 2 severity, including accuracy of assessments, comprehensive care plan, resident records, and respiratory/tracheostomy care, some corrected by October 2022.
Deficiencies (1)
Standard Health Citations — accuracy of assessments, comprehensive care plan, resident records, respiratory/tracheostomy care
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Oct 18, 2021
Visit Reason
Complaint survey with 2 standard health citations, both Level 2 severity, for comprehensive care plan and resident records, corrected by October 28, 2021.
Findings
Complaint survey with 2 standard health citations, both Level 2 severity, for comprehensive care plan and resident records, corrected by October 28, 2021.
Deficiencies (1)
Standard Health Citations — comprehensive care plan, resident records
Loading inspection reports...
