Inspection Reports for Eastchester Rehabilitation and Health Care Center
2700 Eastchester Road, Bronx, NY, 10469
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
55% better than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Covid-19 Survey
Capacity: 60
Deficiencies: 1
Date: Feb 12, 2024
Visit Reason
Deficiency in reporting to national health safety network with level 2 severity, widespread scope, no severe systemic quality of care problems.
Findings
Deficiency in reporting to national health safety network with level 2 severity, widespread scope, no severe systemic quality of care problems.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Jan 10, 2024
Visit Reason
Deficiency related to infection preventionist qualifications/role with level 2 severity and pattern scope, corrected as of January 31, 2024.
Findings
Deficiency related to infection preventionist qualifications/role with level 2 severity and pattern scope, corrected as of January 31, 2024.
Deficiencies (1)
Infection preventionist qualifications/role
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Jan 10, 2024
Visit Reason
The inspection was conducted as a Recertification survey from 01/03/2024 to 01/10/2024 to evaluate compliance with infection prevention and control requirements.
Findings
The facility failed to ensure the Infection Preventionist completed specialized training in infection prevention prior to being hired. The Infection Preventionist had only completed a standard infection control course awarding 4 hours of continuing education credit. The facility's policy incorrectly documented that the Infection Preventionist had completed specialized training.
Deficiencies (1)
The Infection Preventionist did not complete specialized training in infection prevention prior to being hired as the facility's Infection Preventionist.
Report Facts
Continuing education credit hours: 4
Inspection Report
Covid-19 Survey
Capacity: 60
Deficiencies: 1
Date: Aug 14, 2023
Visit Reason
Deficiency in reporting to national health safety network with level 2 severity, widespread scope, no severe systemic quality of care problems.
Findings
Deficiency in reporting to national health safety network with level 2 severity, widespread scope, no severe systemic quality of care problems.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Oct 8, 2021
Visit Reason
The inspection was conducted as a Recertification survey to assess compliance with regulatory requirements including resident funds management, baseline care planning, and pressure ulcer care.
Findings
The facility was found deficient in properly managing residents' personal funds, including failure to provide quarterly financial statements and insufficient surety bond coverage. Baseline care plans were not consistently developed within 48 hours of admission, and pressure ulcer care was inadequate as a resident was observed without ordered bilateral heel cushions.
Deficiencies (4)
Failure to provide quarterly financial statements to residents for personal funds held by the facility.
Surety bond coverage did not equal the total amount of resident personal funds held by the facility.
Baseline care plans were not developed within 48 hours of admission and written summaries were not provided to residents or representatives.
Resident with an order for bilateral heel off-loading cushion boots was observed without a boot on the right heel on multiple occasions.
Report Facts
Residents reviewed for personal funds: 33
Residents affected by missing quarterly statements: 1
Residents maintaining personal funds accounts: 151
Residents affected by insufficient surety bond coverage: 72
Total resident funds amount: 262729.22
Surety bond amount: 100000
Residents reviewed for baseline care plans: 33
Residents affected by baseline care plan deficiencies: 3
Residents reviewed for pressure ulcer care: 33
Residents affected by pressure ulcer care deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | CNA | Reported resident had only one boot for left heel and no boot for right heel |
| Licensed Practical Nurse #1 | LPN | Acknowledged order for bilateral heel boots and responsibility to provide right heel boot |
| Registered Nurse Unit Manager #1 | RNUM | Confirmed resident should have bilateral heel boots applied as ordered |
| Director of Nursing | DON | Discussed expectations for device application and plans for in-service education |
| Finance Coordinator | Oversight of resident funds and distribution of quarterly statements | |
| Facility Administrator | Administrator | Provided information on surety bond and quarterly statement distribution |
| Social Worker | SW | Interviewed regarding baseline care plan and financial statement processes |
| Registered Nurse #3 | RN | Interviewed about baseline care plan completion process |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Mar 20, 2019
Visit Reason
The inspection was conducted as a recertification survey to evaluate the facility's compliance with care planning requirements for residents, specifically focusing on the development and implementation of comprehensive care plans.
Findings
The facility failed to develop and implement a comprehensive, person-centered care plan for a resident with a neurological condition involving a ventricular-peritoneal (VP) shunt and status post cranioplasty. The care plan did not address the VP shunt despite documented neurological consult recommendations and the resident's complex medical needs.
Deficiencies (1)
Failure to develop and implement a complete care plan that meets all the resident's needs, specifically for a resident with a VP shunt and status post cranioplasty.
Report Facts
Residents reviewed: 39
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RNM #1 | Registered Nurse Manager | Interviewed regarding care plan development for the resident's seizures and VP shunt |
| RN #3 | Facility Educator | Interviewed regarding care plan for increased intracranial pressure |
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