Inspection Reports for Evergreen Commons Rehabilitation and Nursing Center
1070 Luther Road, NY, 12061
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Inspection Report
Complaint Investigation
Deficiencies: 13
Jan 11, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2021 to 2024 with complaint investigations, citations, enforcement actions, and deficiency history.
Findings
Across all inspections, the facility received multiple complaint-related citations primarily involving quality of care and physical environment issues, with no citations related to actual harm or immediate jeopardy. Several deficiencies were corrected following inspections.
Complaint Details
Facility received 35 complaints from November 1, 2021 to October 31, 2025, with 18 complaint-related on-site inspections and 6 complaint-related citations during this period.
Severity Breakdown
Level 2: 13
Deficiencies (13)
| Description | Severity |
|---|---|
| Develop/implement comprehensive care plan: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Essential equipment, safe operating condition: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Food procurement,store/prepare/serve-sanitary: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Free of accident hazards/supervision/devices: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Label/store drugs and biologicals: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Maintains effective pest control program: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Respiratory/tracheostomy care and suctioning: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Safe/clean/comfortable/homelike environment: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Subdivision of building spaces - smoke barrie: Standard Life Safety Code Citation pertaining to life safety code requirements established by the National Fire Protection Agency (NFPA). | Level 2 |
| Vertical openings - enclosure: Standard Life Safety Code Citation pertaining to life safety code requirements established by the National Fire Protection Agency (NFPA). | Level 2 |
| Nutrition/hydration status maintenance: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Reporting - national health safety network: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Free from abuse and neglect: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
Report Facts
Inspections on page: 17
Date range of inspections: From January 17, 2022 to January 11, 2024
Total citations: 21
Number of complaints: 35
Complaint-related citations: 62
Complaint-related on-site inspections: 18
Total fines: 31000
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