Inspection Reports for Highbridge Woodycrest Center
936 Woodycrest Avenue, Bronx, NY, 10452
Back to Facility ProfileInspection Report Summary
The most recent inspection on July 16, 2024, identified deficiencies related to the facility’s water management plan for Legionella and the qualifications of the designated Infection Preventionist. Earlier inspections also noted issues with infection preventionist qualifications and infection control, as well as life safety code concerns that were corrected promptly. Prior reports cited accident hazards and infection preventionist training gaps, along with medication management and storage issues in 2019. Complaint investigations were unsubstantiated or involved deficiencies that were corrected in a timely manner. The facility’s record shows recurring themes around infection preventionist qualifications and infection control, with some improvements in addressing life safety and hazard issues over time.
Deficiencies (last 3 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Director of Nursing | Acting Infection Preventionist | Stated that the full-time Infection Preventionist had been out sick for 4 months and both had taken 4 contact hours of infection control training |
| Administrator | Interviewed regarding the water management plan and Infection Preventionist training requirements |
Inspection Report
Complaint InvestigationInspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| RN #3 | Registered Nurse, Infection Preventionist | Named as facility IP responsible for infection control but lacking required training and certification |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding infection prevention and bathroom door incidents; identified as facility IP without required training |
| Maintenance Director | Maintenance Director | Interviewed about bathroom door issues and replacement |
| Administrator | Administrator | Interviewed about infection preventionist qualifications and training awareness |
| Certified Nursing Assistant #4 | Certified Nursing Assistant | Observed bathroom door and provided information about door condition |
| Certified Nursing Assistant #2 | Certified Nursing Assistant | Interviewed about opening bathroom doors with a coin |
Inspection Report
Complaint InvestigationInspection Report
Complaint InvestigationInspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| PNP | Psychiatric Nurse Practitioner | Conducted psychiatric assessments and recommended continuation of Zyprexa for Resident #31. |
| MD | Medical Doctor | Oversaw Resident #31's care, disagreed with some medication regimen recommendations, and did not document clinical rationale. |
| DON | Director of Nursing | Provided information on medication regimen review process and responsibilities. |
| CNA #1 | Certified Nursing Assistant | Reported no inappropriate behaviors or hallucinations for Resident #31. |
| LPN #2 | Licensed Practical Nurse | Reported Resident #31's behavior and cognitive status during rounds. |
| SW | Social Worker | Provided background on Resident #31's psychiatric history and behavior. |
| LPN #1 | Licensed Practical Nurse | Administers influenza vaccines and confirmed use of current season vaccine. |
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