Inspection Reports for Sprain Brook Manor Rehab

77 Jackson Ave, Scarsdale, NY, 10583

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Inspection Report Summary

The most recent inspection on May 14, 2024, identified multiple deficiencies related to care planning, food sanitation, quality of care, resident rights, emergency preparedness, and facility maintenance, all of which were corrected by June 28, 2024. Earlier inspections showed a pattern of quality of care issues and a reporting deficiency related to the national health safety network, with one quality of care deficiency corrected in 2023 and a reporting issue noted in early 2024 without correction. Inspectors cited main themes involving care quality, emergency preparedness, and facility safety systems. Complaint investigations were not substantiated in the available reports. The facility appears to have addressed the most recent deficiencies promptly, indicating some improvement in compliance.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 8.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

67% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

16 12 8 4 0
2023
2024

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 15 Date: May 14, 2024

Visit Reason
Inspection identified multiple standard health and life safety code deficiencies related to care planning, food sanitation, quality of care, resident rights, dental services, emergency preparedness, electrical equipment, fire alarm system, gas equipment, hazardous areas, interior finishes, sprinkler system, construction standards, and smoke barriers. All deficiencies were corrected by June 28, 2024.

Findings
Inspection identified multiple standard health and life safety code deficiencies related to care planning, food sanitation, quality of care, resident rights, dental services, emergency preparedness, electrical equipment, fire alarm system, gas equipment, hazardous areas, interior finishes, sprinkler system, construction standards, and smoke barriers. All deficiencies were corrected by June 28, 2024.

Deficiencies (15)
Care plan timing and revision
Food procurement,store/prepare/serve-sanitary
Quality of care
Resident rights/exercise of rights
Routine/emergency dental srvcs in nfs
Develop ep plan, review and update annually
Electrical equipment - power cords and extens
Fire alarm system - testing and maintenance
Gas equipment - cylinder and container storag
Hazardous areas - enclosure
Interior wall and ceiling finish
Organization and administration
Sprinkler system - maintenance and testing
Standards of construction for new existing nh
Subdivision of building spaces - smoke barrie

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Jan 30, 2024

Visit Reason
Covid-19 Survey identified a deficiency in reporting to the national health safety network with widespread scope and level 2 severity. No correction noted.

Findings
Covid-19 Survey identified a deficiency in reporting to the national health safety network with widespread scope and level 2 severity. No correction noted.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Mar 6, 2023

Visit Reason
Complaint Survey found a quality of care deficiency with isolated scope and level 2 severity, corrected as of May 2, 2023.

Findings
Complaint Survey found a quality of care deficiency with isolated scope and level 2 severity, corrected as of May 2, 2023.

Deficiencies (1)
Quality of care

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