Inspection Reports for
Norwegian Christian Home and Health Center
1250 67th Street, Brooklyn, NY, 11219
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
6.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% 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: 4
Date: Aug 16, 2024
Visit Reason
Inspection identified 2 health and 2 life safety code deficiencies including baseline care plan, infection prevention & control, exit signage, and stairways and smokeproof enclosures; all corrected by October 11, 2024.
Findings
Inspection identified 2 health and 2 life safety code deficiencies including baseline care plan, infection prevention & control, exit signage, and stairways and smokeproof enclosures; all corrected by October 11, 2024.
Deficiencies (4)
Baseline care plan
Infection prevention & control
Exit signage
Stairways and smokeproof enclosures
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Aug 16, 2024
Visit Reason
The inspection was conducted as a Recertification Survey to assess compliance with regulatory requirements for the nursing home.
Findings
The facility was found deficient in providing residents with a written summary of their baseline care plan and in maintaining proper infection prevention and control practices, specifically regarding urinary catheter care where drainage bags were observed on the floor.
Deficiencies (2)
F 0655: The facility did not ensure Resident #9 and their representative were provided a written summary of the baseline care plan within 48 hours of admission as required by policy.
F 0880: The facility failed to maintain infection prevention and control practices by allowing urinary drainage bags for Residents #4 and #123 to rest on the floor, increasing risk of infection.
Report Facts
Residents reviewed for Comprehensive Care Plan: 31
Residents reviewed for Urinary Catheter: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #2 | Nurse manager interviewed regarding baseline care plan and catheter care | |
| Director of Social Services | Interviewed about baseline care plan procedures and documentation | |
| Director of Nursing | Interviewed about baseline care plan and infection control responsibilities | |
| Certified Nursing Assistant #1 | Interviewed about catheter care practices | |
| Registered Nurse #1 | Interviewed about catheter care instructions to staff |
Inspection Report
Deficiencies: 0
Date: Mar 2, 2023
Visit Reason
The inspection was conducted as a standard regulatory survey of the Norwegian Christian Home and Health Center.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 8
Date: Sep 26, 2022
Visit Reason
Inspection found 5 health and 3 life safety code deficiencies including ADL care, accident hazards, infection control, reporting violations, electrical systems, and sprinkler system issues; all corrected by November 2022.
Findings
Inspection found 5 health and 3 life safety code deficiencies including ADL care, accident hazards, infection control, reporting violations, electrical systems, and sprinkler system issues; all corrected by November 2022.
Deficiencies (8)
ADL care provided for dependent residents
Free of accident hazards/supervision/devices
Infection prevention & control
Reasonable accommodations needs/preferences
Reporting of alleged violations
Electrical systems - essential electric syste
Sprinkler system - installation
Sprinkler system - maintenance and testing
Inspection Report
Annual Inspection
Census: 28
Deficiencies: 3
Date: Sep 26, 2022
Visit Reason
The inspection was a recertification survey conducted from 2022-09-19 to 2022-09-26 to assess compliance with regulatory requirements for the nursing home.
Findings
The facility failed to reasonably accommodate the needs of Resident #124 by leaving the call bell out of reach on multiple occasions. The facility also did not ensure adequate supervision to prevent accidents for Resident #124, a high fall risk, and failed to monitor or modify care plan interventions effectively. Additionally, infection control practices were deficient as a housekeeper did not sanitize hands between handling garbage cans from different resident rooms.
Deficiencies (3)
F 0558: The facility did not ensure Resident #124 had the call bell within reach, despite being a high fall risk and having care plan interventions to encourage call bell use.
F 0689: The facility failed to provide adequate supervision to prevent accidents for Resident #124 and did not monitor or modify care plan interventions despite repeated falls.
F 0880: The facility did not maintain an effective infection prevention and control program; a housekeeper was observed not sanitizing hands between handling garbage cans from multiple resident rooms.
Report Facts
Residents sampled: 28
Falls documented for Resident #124: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #2 | Registered Nurse Supervisor | Interviewed regarding Resident #124's care and fall investigations |
| CNA #3 | Certified Nursing Assistant | Observed assisting Resident #124 and interviewed about care |
| ADON | Assistant Director of Nursing | Interviewed about fall prevention and care plan oversight |
| DOR | Director of Rehabilitation | Interviewed about floor mat use and fall prevention |
| DON | Director of Nursing | Interviewed about fall interventions and care plan updates |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: May 18, 2022
Visit Reason
Inspection identified 1 health deficiency related to accident hazards; corrected by June 20, 2022.
Findings
Inspection identified 1 health deficiency related to accident hazards; corrected by June 20, 2022.
Deficiencies (1)
Free of accident hazards/supervision/devices
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 5
Date: Mar 23, 2022
Visit Reason
Inspection found 5 health deficiencies including administration, reporting violations, medical director responsibilities, and a Level 4 immediate jeopardy for physical restraints; all corrected by April 29, 2022.
Findings
Inspection found 5 health deficiencies including administration, reporting violations, medical director responsibilities, and a Level 4 immediate jeopardy for physical restraints; all corrected by April 29, 2022.
Deficiencies (5)
Administration
Reporting of alleged violations
Reporting of reasonable suspicion of a crime
Responsibilities of medical director
Right to be free from physical restraints
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Jan 3, 2020
Visit Reason
The inspection was conducted as a recertification and abbreviated annual survey to assess compliance with regulatory requirements for the nursing home.
Findings
The facility failed to timely submit Minimum Data Set (MDS) assessments electronically, inaccurately documented residents' mobility limitations in MDS assessments, and did not ensure residents with limited mobility received appropriate devices and assistance as ordered.
Deficiencies (3)
F 0640: The facility did not ensure MDS 3.0 assessments were electronically transmitted within required timeframes. The Discharge MDS assessment for one resident was submitted late after surveyor notification.
F 0641: The facility did not ensure MDS assessments accurately reflected residents' mobility limitations. One resident's MDS incorrectly coded no impairment in range of motion despite documented contractures.
F 0688: The facility did not provide appropriate care and devices to maintain or improve mobility for residents with limited range of motion. Two residents were observed without ordered splint devices in place.
Report Facts
Residents reviewed: 28
Residents reviewed for Position/Mobility: 24
Residents reviewed for Position/Mobility: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator | Interviewed regarding MDS submission and accuracy | |
| Certified Nursing Assistant (CNA #2) | Interviewed regarding resident device use and reporting | |
| Registered Nurse (RN #1) | Interviewed regarding resident care and device checks |
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