Deficiencies (last 4 years)
Deficiencies (over 4 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
41% better than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Covid-19 Survey
Capacity: 60
Deficiencies: 1
Date: Dec 18, 2023
Visit Reason
One standard health citation for reporting to the national health safety network with level 2 severity and widespread scope.
Findings
One standard health citation for reporting to the national health safety network with level 2 severity and widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Certification Survey
Capacity: 60
Deficiencies: 7
Date: Aug 17, 2023
Visit Reason
Seven life safety code citations including aisle width, communication plan, electrical systems, fire alarm, HVAC, sprinkler system, and smoke barrier issues, mostly level 2 severity and corrected by October-November 2023.
Findings
Seven life safety code citations including aisle width, communication plan, electrical systems, fire alarm, HVAC, sprinkler system, and smoke barrier issues, mostly level 2 severity and corrected by October-November 2023.
Deficiencies (7)
Aisle, corridor, or ramp width
Development of communication plan
Electrical systems - essential electric syste
Fire alarm system - testing and maintenance
Hvac
Sprinkler system - maintenance and testing
Subdivision of building spaces - smoke barrie
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 17, 2023
Visit Reason
The inspection was conducted as an annual survey of the Jewish Home of Rochester to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Covid-19 Survey
Capacity: 60
Deficiencies: 1
Date: Jul 5, 2022
Visit Reason
One standard health citation for reporting to the national health safety network with level 2 severity and widespread scope.
Findings
One standard health citation for reporting to the national health safety network with level 2 severity and widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 6, 2021
Visit Reason
The inspection was conducted as a Recertification Survey and complaint investigation regarding the facility's failure to timely report allegations of abuse, neglect, or mistreatment to the New York State Department of Health (NYSDOH).
Complaint Details
The complaint investigation (#NY00276039) found that the facility did not report allegations of abuse, neglect, or mistreatment to NYSDOH in a timely manner. The incident involved resident-to-resident physical abuse causing injury, which was reported late to NYSDOH. The Director of Nursing stated the residents were demented and lacked intent, so the incident did not fall under abuse, neglect, or mistreatment, and the facility had 5 days to report the incident.
Findings
The facility failed to report an incident of resident-to-resident physical abuse resulting in injury within the required timeframe to NYSDOH. Specifically, an incident on 5/9/21 involving two residents was not reported until 5/12/21, exceeding the required reporting period.
Deficiencies (1)
Failure to timely report suspected abuse, neglect, or mistreatment to proper authorities.
Report Facts
Days late reporting incident: 3
Residents reviewed: 3
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Completed Incident Investigation Summary and provided interview statements regarding the incident and reporting timeline |
| Licensed Practical Nurse (LPN) | Witnessed the incident and reported it | |
| Registered Nurse (RN) | Completed assessment of injured resident |
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Jan 9, 2019
Visit Reason
The inspection was conducted as a Recertification Survey to assess compliance with regulatory requirements related to resident care plans, medication administration, and psychotropic medication use.
Findings
The facility failed to revise a resident's care plan to reflect refusal of CPAP therapy and did not document education regarding the resident's decision. Additionally, the facility did not ensure that a resident's drug regimen was free from unnecessary medications, as an antipsychotic was administered without proper documentation of diagnosis, symptoms, or non-pharmacological interventions.
Deficiencies (2)
Failure to revise the care plan to reflect the resident's current condition regarding CPAP therapy.
Failure to ensure drug regimen remained free from unnecessary medications; antipsychotic administered without proper documentation.
Report Facts
Treatment Administration Record (TAR) sign-offs: 86
Treatment Administration Record (TAR) sign-offs: 93
Residents reviewed for respiratory care: 2
Residents reviewed for unnecessary medications: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Clinical Coordinator | Interviewed regarding resident refusal of CPAP and care plan revisions | |
| Registered Nurse Manager | Interviewed regarding care plan completion and documentation expectations | |
| Registered Nurse (RN) | Admitted resident and administered IM Haldol; interviewed about medication administration | |
| Physician | Interviewed regarding resident's delirium, medication orders, and treatment rationale | |
| Medical Director | Interviewed regarding medication audit and documentation requirements |
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