Inspection Reports for Northern Metropolitan Residential Health Care Facility Inc

225 Maple Avenue, Monsey, NY, 10952

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Inspection Report Summary

The most recent inspection on July 30, 2024, found multiple deficiencies related to health and life safety codes, all of which were corrected by early September 2024. Earlier inspections showed similar issues, with a complaint survey on November 22, 2021, also identifying several deficiencies that were corrected by early 2022. The main themes of deficiencies involved infection prevention and control, care planning, food safety, and various environmental and safety system concerns such as electrical equipment, emergency preparedness, and fire safety. No fines, immediate jeopardy findings, or license actions were listed in the available reports, and no substantiated complaints were noted. The facility appears to address identified issues promptly, showing a pattern of correction following inspections.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 21 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

312% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

32 24 16 8 0
2021
2024

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 31 Date: Jul 30, 2024

Visit Reason
Complaint survey with multiple standard health and life safety code citations, all corrected by late August or early September 2024.

Findings
Complaint survey with multiple standard health and life safety code citations, all corrected by late August or early September 2024.

Deficiencies (31)
Antibiotic stewardship program
Develop/implement comprehensive care plan
Food procurement,store/prepare/serve-sanitary
Infection prevention & control
Label/store drugs and biologicals
Menus meet resident nds/prep in adv/followed
Notice requirements before transfer/discharge
Pain management
Resident rights/exercise of rights
Safe/clean/comfortable/homelike environment
Aisle, corridor, or ramp width
Cooking facilities
Corridor - doors
Develop ep plan, review and update annually
Egress doors
Electrical equipment - power cords and extens
Electrical equipment - testing and maintenanc
Electrical systems - essential electric syste
Electrical systems - other
Emergency lighting
Exit signage
Fire drills
Gas equipment - cylinder and container storag
Hazardous areas - enclosure
Horizontal sliding doors
Illumination of means of egress
Physical environment
Sprinkler system - installation
Sprinkler system - maintenance and testing
Stairways and smokeproof enclosures
Subsistence needs for staff and patients

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 11 Date: Nov 22, 2021

Visit Reason
Complaint survey with standard health and life safety code citations, all corrected by early 2022.

Findings
Complaint survey with standard health and life safety code citations, all corrected by early 2022.

Deficiencies (11)
Posted nurse staffing information
Discharge from exits
Egress doors
Electrical equipment - power cords and extens
Ep testing requirements
Fire drills
Hazardous areas - enclosure
Illumination of means of egress
Maintenance, inspection & testing - doors
Physical environment
Sprinkler system - installation

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