Inspection Reports for
Fort Hudson Nursing Center, Inc.
319 Upper Broadway, Fort Edward, NY, 12828
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
9.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
90% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 12
Date: Dec 6, 2024
Visit Reason
Inspection identified 7 standard health citations and 5 life safety code citations, all corrected by early 2025.
Findings
Inspection identified 7 standard health citations and 5 life safety code citations, all corrected by early 2025.
Deficiencies (12)
Develop/implement comprehensive care plan
Free from unnec psychotropic meds/prn use
Organization and administration
Resident allergies, preferences, substitutes
Resident records - identifiable information
Resident self-admin meds-clinically approp
Sufficient nursing staff
Discharge from exits
Elevators
Means of egress - general
Sprinkler system - installation
Subdivision of building spaces - smoke barrie
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Dec 6, 2024
Visit Reason
The inspection was a recertification survey to assess compliance with regulatory requirements for Fort Hudson Nursing Center Inc.
Findings
The facility was found deficient in multiple areas including medication self-administration assessments, incomplete care plans, insufficient nursing staff coverage, improper management of psychotropic medication orders, failure to discontinue dietary supplements as ordered, and incomplete documentation of resident care.
Deficiencies (6)
F 0554: The facility failed to ensure residents #35 and #168 were assessed and had physician orders for safe self-administration of medications, including inhalers and oxygen tanks.
F 0656: Resident #334's care plan did not include documentation of oxygen use despite orders and observations confirming oxygen therapy.
F 0725: The facility did not provide sufficient nursing staff on multiple shifts from 12/01/2024 to 12/05/2024, resulting in delayed call light responses and resident complaints.
F 0758: Residents #59 and #86 had as-needed psychotropic medication orders without stop dates, contrary to facility policy and regulatory requirements.
F 0806: Resident #82 continued to receive a collagen supplement for 35 days after a dietician and physician ordered its discontinuation.
F 0842: Medical records for Residents #21, #144, and #171 lacked consistent and complete documentation of incontinence care, meal consumption, supplement intake, and nourishment.
Report Facts
Staffing shortages: 10
Call light response times: 53
Weight loss: 13.61
Medication administrations: 8
Duration of collagen supplement continuation: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse Practitioner #1 | Documented disagreement with pharmacy recommendation to add end date to psychotropic medication order | |
| Licensed Practical Nurse #1 | Stated expectations regarding medication self-administration documentation and resident care | |
| Assistant Director of Nursing #1 | Provided statements on medication self-administration policy, care plan expectations, and documentation issues | |
| Registered Nurse unit manager #2 | Acknowledged missed discontinuation order for collagen supplement and care plan update | |
| Certified Nurse Aide #1 | Described toileting care and documentation practices for Resident #21 | |
| Licensed Practical Nurse #4 | Stated registered nurses checked for documentation completion | |
| Registered Nurse #3 | Stated licensed practical nurses checked electronic medical record dashboard for CNA task completion |
Inspection Report
Certification Survey
Capacity: 60
Deficiencies: 3
Date: Dec 13, 2021
Visit Reason
Inspection identified 2 standard health citations and 1 life safety code citation, all corrected by early 2022.
Findings
Inspection identified 2 standard health citations and 1 life safety code citation, all corrected by early 2022.
Deficiencies (3)
Food procurement,store/prepare/serve-sanitary
Notify of changes (injury/decline/room, etc.)
Vertical openings - enclosure
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Dec 13, 2021
Visit Reason
The inspection was a recertification survey to assess compliance with regulatory requirements for Fort Hudson Nursing Center Inc.
Findings
The facility failed to immediately notify the physician when a prescribed medication was unavailable, resulting in missed doses for one resident. Additionally, the kitchen did not meet professional food safety standards due to inadequate sanitizer concentration, damaged shelving, broken floor tiles, and unclean equipment.
Deficiencies (2)
10 NYCRR 415.3 (e)(2)(ii)(b) - The facility did not ensure immediate physician notification when Kenalog in Orabase was unavailable, resulting in missed medication administration for Resident #57.
10 NYCRR 415.14(h); Chapter 1 State Sanitary Code Subpart 14-1.90, 14-1.110, 14-1.112, 14-170 - The facility failed to store, prepare, distribute, and serve food in accordance with professional standards due to low sanitizer concentration, damaged shelving, broken floor tiles, and unclean equipment.
Report Facts
Medication doses not administered: 8
Sanitizer concentration: 150
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed regarding medication availability and administration for Resident #57. |
| Registered Nurse #1 | Registered Nurse | Interviewed regarding notification procedures and medication administration for Resident #57. |
| Pharmacist #1 | Pharmacist | Interviewed regarding medication delivery and documentation. |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Interviewed regarding medication receipt from pharmacy. |
| Director of Nursing | Director of Nursing | Interviewed regarding nursing responsibilities for medication availability and notification. |
| Multi Services Director | Multi Services Director | Interviewed regarding kitchen repairs and sanitation issues. |
| Administrator | Administrator | Interviewed regarding addressing kitchen deficiencies. |
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Jul 12, 2019
Visit Reason
The inspection was a recertification survey to assess compliance with Medicare and Medicaid regulations for Fort Hudson Nursing Center Inc.
Findings
The facility was found deficient in several areas including failure to provide proper Medicare notice forms to residents, inaccurate resident assessments, inadequate respiratory care, incomplete medication regimen review policies, unsanitary kitchen floor conditions, and lack of policy for handling foods brought by visitors.
Deficiencies (6)
F 0582: The facility did not provide residents or their representatives with required Medicare notice forms (SNF ABN and NOMNC) informing them of potential financial liability for non-covered rehabilitative services.
F 0641: The facility did not ensure accurate resident assessments; specifically, incorrect documentation of schizophrenia diagnosis and misclassification of weight loss as intentional rather than unintentional.
F 0695: The facility failed to ensure residents in need of respiratory care received appropriate oxygen therapy; an oxygen tank was found empty and not replaced timely for one resident.
F 0756: The facility lacked a policy specifying timeframes for pharmacist notification and actions when irregularities are identified during monthly medication regimen reviews.
F 0812: The facility did not maintain kitchen floors and floor coverings in a clean and sanitary manner; floor tiles in the dish room were not properly grouted and the walk-in cooler floor was covered with debris.
F 0813: The facility did not have a policy ensuring safe and sanitary use and storage of foods brought by family or visitors, nor procedures to assist dependent residents in accessing and consuming these foods.
Report Facts
Residents affected: 3
Residents reviewed for assessment accuracy: 35
Weight loss percentages: 5.9
Weight loss percentages: 15.4
Weight loss percentages: 7.9
Weight loss percentages: 12.8
Weight loss percentages: 5.4
Weight loss percentages: 17.4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietitian #1 | Dietitian | Admitted error in documenting resident weight loss as physician-prescribed |
| RNUM #1 | Registered Nurse Unit Manager | Observed empty oxygen tank and described facility oxygen tank change protocol |
| Administrator | Facility Administrator | Stated expectations for Medicare notice provision, MDS completion, oxygen tank checks, and medication review policy |
| Director of Food Service | Food Service Director | Acknowledged kitchen floor issues and lack of policy for foods brought by visitors |
| MDS Coordinator | Minimum Data Set Coordinator | Explained Medicare notice form procedures and MDS assessment responsibilities |
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