Inspection Reports for
Methodist Home for Nursing and Rehabilitation
4499 Manhattan College Parkway, Bronx, NY, 10471
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Annual Inspection
Deficiencies: 1
Date: May 16, 2024
Visit Reason
The inspection was a Recertification Survey conducted from May 9, 2024 to May 16, 2024 to assess compliance with professional standards of quality in medication administration at the nursing facility.
Findings
The facility failed to ensure that services met professional standards of quality, specifically that licensed nurses must observe residents swallowing medications. Resident #34 was found holding medication without nurse supervision, contrary to facility policy.
Deficiencies (1)
F 0658: The facility did not ensure licensed nurses observed Resident #34 swallowing medications as required by policy. Resident #34 was found holding a medication cup with four tablets without nurse supervision.
Report Facts
Residents sampled: 22
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #2 | Named in medication administration observation and interview | |
| Registered Nurse #4 | Nurse Manager | Interviewed regarding medication administration policy and supervision |
| Director of Nursing | Interviewed regarding facility medication administration policy |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 4
Date: May 16, 2024
Visit Reason
Complaint Survey with 1 health deficiency and 3 life safety code deficiencies, all corrected.
Findings
Complaint Survey with 1 health deficiency and 3 life safety code deficiencies, all corrected.
Deficiencies (4)
Services provided meet professional standards
Corridor - doors
Electrical systems - essential electric syste
Illumination of means of egress
Inspection Report
Capacity: 60
Deficiencies: 1
Date: May 8, 2023
Visit Reason
Covid-19 Survey with 1 health deficiency related to reporting to national health safety network, not corrected at time of report.
Findings
Covid-19 Survey with 1 health deficiency related to reporting to national health safety network, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Sep 12, 2022
Visit Reason
Complaint Survey with 1 health deficiency related to accident hazards and supervision, corrected.
Findings
Complaint Survey with 1 health deficiency related to accident hazards and supervision, corrected.
Deficiencies (1)
Free of accident hazards/supervision/devices
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Aug 22, 2022
Visit Reason
The inspection was conducted as a recertification survey to assess compliance with regulatory requirements for nursing home operations and resident care.
Findings
The facility was found deficient in timely electronic submission of Minimum Data Set (MDS) assessments, accuracy of MDS assessments reflecting resident status, and provision of appropriate pressure ulcer care to prevent new ulcers from developing.
Deficiencies (3)
F 0640: The facility did not ensure MDS assessments were electronically transmitted within 14 days of completion for 2 residents. The MDS Director acknowledged the oversight and submitted the assessments during the survey.
F 0641: The facility did not ensure the MDS assessment accurately reflected a resident's ongoing hemodialysis treatment. The MDS Coordinator stated the RN who completed the assessment missed coding the treatment.
F 0686: The facility did not ensure a resident received necessary services to prevent new pressure ulcers. Resident #9 was observed multiple times without bilateral heel pads in bed despite physician orders and care plans.
Report Facts
Residents reviewed for Resident Assessment: 2
Residents reviewed for Dialysis Care: 27
Residents reviewed for Pressure Ulcer/Injury: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Director | Responsible for sending completed MDS assessments; acknowledged oversight in submission | |
| MDS Coordinator | Responsible for overseeing MDS assessments; stated RN missed coding hemodialysis treatment | |
| Assistant Director of Nursing (ADNS) | Interviewed regarding responsibility for ensuring MDS assessment accuracy | |
| Certified Nursing Assistant (CNA) #1 | Observed not applying bilateral heel pads to Resident #9 | |
| Certified Nursing Assistant (CNA) #2 | Interviewed about application of bilateral heel pads to Resident #9 | |
| Registered Nurse (RN) #1 | Observed and interviewed regarding application of bilateral heel pads to Resident #9 |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 9
Date: Aug 22, 2022
Visit Reason
Complaint Survey with 3 health deficiencies and 6 life safety code deficiencies, all corrected.
Findings
Complaint Survey with 3 health deficiencies and 6 life safety code deficiencies, all corrected.
Deficiencies (9)
Accuracy of assessments
Encoding/transmitting resident assessments
Treatment/svcs to prevent/heal pressure ulcer
Elevators
Exit signage
Hazardous areas - enclosure
Number of exits - corridors
Sprinkler system - installation
Sprinkler system - maintenance and testing
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Aug 8, 2022
Visit Reason
Complaint Survey with 1 health deficiency related to reporting of alleged violations, corrected.
Findings
Complaint Survey with 1 health deficiency related to reporting of alleged violations, corrected.
Deficiencies (1)
Reporting of alleged violations
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Oct 1, 2019
Visit Reason
The inspection was conducted as a recertification survey to assess compliance with infection prevention and control requirements.
Findings
The facility failed to ensure proper infection control practices related to oxygen tubing, which was observed lying on the floor for multiple residents. Staff did not consistently sanitize or replace tubing after it contacted the floor, posing an infection control risk.
Deficiencies (1)
F 0880: The facility did not maintain infection control practices as oxygen tubing was observed lying on the floor for 3 of 24 sampled residents. Staff failed to sanitize or replace tubing after it contacted the floor, contrary to facility policy.
Report Facts
Sampled residents: 24
Residents with tubing issues: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN #2) | Observed oxygen tubing on floor and did not sanitize before placing it on oxygen tank | |
| Hospice Aide (HA) | Placed oxygen tubing on concentrator without sanitizing after tubing was on floor | |
| Certified Nursing Assistant (CNA #2) | Provided information about Hospice Aide role and infection control responsibilities | |
| Licensed Practical Nurse (LPN #1) | Described facility policy on sanitizing oxygen tubing found on floor | |
| Assistant Director of Nursing (ADON)/Infection Control Preventionist | Responsible for infection control policies and staff inservices | |
| Certified Nursing Assistant (CNA #1) | Described resident oxygen therapy preferences and tubing handling | |
| Housekeeper #1 | Assigned to clean resident #31's room, unaware of infection control training on oxygen tubing | |
| Housekeeper #2 | Observed sweeping around oxygen tubing on floor and described reporting practices |
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