Inspection Reports for St. Camillus Residential Health Care Facility

813 Fay Rd, Syracuse, NY 13219, USA, NY, 13219

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Deficiencies (last 7 years)

Deficiencies (over 7 years) 5.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

12% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

28 21 14 7 0
2017
2019
2020
2021
2022
2023
2024

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: May 21, 2024

Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA002465400.

Complaint Details
Investigation of intake #GA002465400 with no rule violations found.
Findings
No rule violations were cited as a result of this inspection/investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Apr 8, 2024

Visit Reason
The purpose of this visit was to investigate intakes #GA00245507, #GA00245471, and #GA00244776.

Complaint Details
Investigation of three intakes was conducted with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Mar 26, 2024

Visit Reason
The purpose of this offsite/desk review was to investigate Intake #GA00244007.

Complaint Details
Investigation of Intake #GA00244007 with no rule violations found.
Findings
No rule violations were cited as a result of this review.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Feb 15, 2024

Visit Reason
The purpose of this visit was to investigate intake #GA00242624.

Complaint Details
Investigation of intake #GA00242624 with no rule violations found.
Findings
No rule violation was cited as a result of this investigation.

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Jan 22, 2024

Visit Reason
One isolated Level 3 deficiency related to accident hazards and supervision causing actual harm.

Findings
One isolated Level 3 deficiency related to accident hazards and supervision causing actual harm.

Deficiencies (1)
Free of accident hazards/supervision/devices

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 25 Date: Nov 20, 2023

Visit Reason
Multiple isolated and patterned Level 2 deficiencies related to quality of care, resident rights, dietary services, and life safety code issues; all corrected by January 2024.

Findings
Multiple isolated and patterned Level 2 deficiencies related to quality of care, resident rights, dietary services, and life safety code issues; all corrected by January 2024.

Deficiencies (25)
Activities meet interest/needs each resident
ADL care provided for dependent residents
Assistive devices - eating equipment/utensils
Develop/implement comprehensive care plan
Food procurement,store/prepare/serve-sanitary
Medicaid/medicare coverage/liability notice
Nutritive value/appear, palatable/prefer temp
Quality of care
Resident call system
Resident rights/exercise of rights
Responsibilities of providers; required notif
Safe/clean/comfortable/homelike environment
Sufficient nursing staff
Cooking facilities
Corridor - doors
Doors with self-closing devices
Electrical systems - essential electric syste
Elevators
Fire alarm system - testing and maintenance
Gas equipment - cylinder and container storag
Hazardous areas - enclosure
Maintenance, inspection & testing - doors
Portable fire extinguishers
Sprinkler system - installation
Sprinkler system - maintenance and testing

Inspection Report

Follow-Up
Deficiencies: 0 Date: Nov 8, 2023

Visit Reason
The purpose of this visit was to conduct a follow-up from the 9/7/2023 inspection.

Findings
No rule violations were cited as a result of this inspection.

Inspection Report

Complaint Investigation
Census: 20 Deficiencies: 5 Date: Sep 7, 2023

Visit Reason
The visit was conducted to perform a compliance inspection and investigate complaint intakes #GA00238314 and #GA00237625, starting on 2023-09-05 with an onsite visit on 2023-09-07.

Complaint Details
The investigation was initiated due to complaint intakes #GA00238314 and #GA00237625. Findings included bed bug infestations in residents' rooms, failure to relocate affected residents adequately, and lack of awareness by staff of the infestations and bites. Pest control treatments were limited and incomplete, and no family contacts were made for affected residents lacking family or with family out of town.
Findings
The facility failed to maintain electrical outlets and light fixtures in safe condition, had an inadequate pest control program resulting in bed bug infestations affecting multiple residents, failed to ensure bedroom furnishings were clean and in good condition, did not properly update medication administration records, and failed to provide adequate care and services to residents in compliance with regulations.

Deficiencies (5)
Failed to maintain wall type electric outlets and light fixtures in a safe and operating condition.
Failed to ensure that an insect, rodent or pest control program was maintained and conducted to protect residents' health; bed bugs and eggs found in multiple residents' rooms.
Failed to ensure bedroom furnishings included comfortable springs and mattresses that were clean and in good condition for 3 of 6 sampled residents.
Failed to ensure staff updated the Medication Assistance Records (MAR) each time medications were offered or taken.
Failed to ensure each resident received adequate and appropriate care and services in compliance with laws and regulations for 3 of 6 sampled residents.
Report Facts
Residents sampled: 6 Residents affected by bed bugs: 4 Residents with medication MAR issues: 5 Facility census: 20 Heating treatment duration: 24 Heating treatment duration: 36 Heating temperature: 125

Employees mentioned
NameTitleContext
Staff AInterviewed regarding electrical outlet plate, pest control, room moves, and medication administration practices
Staff BInterviewed regarding light fixture bulbs and pest control awareness
Staff CObserved and interviewed regarding medication preparation and MAR documentation
EFPest control company representative interviewed about treatment methods and limitations

Inspection Report

Complaint Investigation
Deficiencies: 3 Date: Jul 3, 2023

Visit Reason
The purpose of this visit was to investigate intake #GA00232271, #GA00235290, and #GA00236220 with an on-site visit conducted from 07/03/2023 to 07/12/2023.

Complaint Details
The visit was complaint-related, investigating three intake numbers (#GA00232271, #GA00235290, and #GA00236220).
Findings
The facility failed to maintain an effective pest control program, with live bed bug activity observed in 7 of 10 resident rooms and on a resident. Poisons and chemical pest control materials were improperly stored and accessible in resident rooms and other areas. Additionally, the facility failed to ensure residents' rights to manage their financial affairs, with missing account records and mishandling of resident-issued government assistance monetary cards.

Deficiencies (3)
Failed to ensure an effective insect, rodent or pest control program; live bed bug activity observed in 7 of 10 resident rooms and on a resident.
Failed to ensure poisons, caustics, and other dangerous materials were stored and safeguarded away from residents and food/medication areas; unsecured aerosol cans of bed bug spray found in 6 of 10 resident rooms and chemical pest controls in the front office.
Failed to ensure residents' right to manage their own financial affairs; missing account book and balance for resident accounts, and improper handling of resident-issued government assistance monetary cards.
Report Facts
Resident rooms with live bed bug activity: 7 Resident rooms with unsecured aerosol cans of bed bug spray: 6

Employees mentioned
NameTitleContext
Staff AInterviewed regarding bed bug activity, pest control practices, and resident financial affairs; stated lack of knowledge about residents having chemical sprays and missing pest control receipts.
Staff BInterviewed regarding knowledge of bed bug infestations and use of pest control sprays.

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: Jun 14, 2022

Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00224346.

Complaint Details
Investigation of intake #GA00224346 regarding pest infestation and cleanliness issues in the facility.
Findings
The facility failed to maintain a safe and clean environment for residents, with multiple observations of live and dead bed bugs and roaches in residents' rooms and common areas. Clutter and inadequate housekeeping were noted, and residents remained in rooms despite infestation due to unavailability of alternate rooms.

Deficiencies (2)
Facility failed to ensure the home was maintained to provide adequately for all health, safety, and well-being of residents, with bed bugs and roaches observed in rooms and common areas for 3 of 4 sampled residents.
Facility failed to ensure the home cleaned residents' living spaces periodically and as needed to prevent health hazards for 3 of 4 sampled residents.
Report Facts
Bed bugs observed: 20 Bed bugs observed: 15 Roaches observed: 6

Inspection Report

Complaint Investigation
Deficiencies: 4 Date: Jun 24, 2021

Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intakes #GA00214765 and #GA00210297.

Complaint Details
The inspection was conducted in response to complaint intakes #GA00214765 and #GA00210297.
Findings
The facility failed to maintain an adequate hot water system with water temperature not exceeding 120°F, failed to ensure unlicensed staff demonstrated medication skills competency, failed to update the Medication Assistance Record (MAR) properly, and failed to obtain record check applications for direct access employees.

Deficiencies (4)
The facility failed to ensure the hot water system supplied water not exceeding 120 degrees Fahrenheit; water temperature was found at 131.4 degrees F in Resident #4's bathroom.
Unlicensed staff (Staff B and Staff C) did not demonstrate medication skills competency as required; no documentation was found.
Staff failed to update the Medication Assistance Record (MAR) each time medication was offered or taken for Resident #5.
The facility failed to obtain record check applications for direct access employees (Staff B and Staff C) upon application or prior to placement.
Report Facts
Water temperature: 131.4 Number of sampled staff with missing medication competency documentation: 2 Number of sampled staff with missing record check applications: 2 Number of missed MAR initials: 1

Employees mentioned
NameTitleContext
Staff AWitnessed water temperature reading and provided interview statements regarding hot water and medication administration
Staff BSampled staff lacking medication competency documentation and record check application; admitted to not signing MAR
Staff CSampled staff lacking medication competency documentation and record check application; reported resident refusal of medication

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Nov 10, 2020

Visit Reason
The purpose of this inspection was to investigate intake #GA00209012.

Complaint Details
Investigation started on 2020-11-04 and was completed on 2020-11-10. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Nov 19, 2019

Visit Reason
The visit was conducted to investigate intake # GA0020069.

Complaint Details
Investigation of intake # GA0020069 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Routine
Deficiencies: 0 Date: Jul 17, 2019

Visit Reason
The purpose of this visit was to conduct a compliance inspection.

Findings
No rule violations were cited as a result of this inspection.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jul 25, 2017

Visit Reason
The purpose of this visit was to investigate complaint GA00177308.

Complaint Details
Complaint GA00177308 was investigated and found to have no rule violations.
Findings
No rule violations were cited as a result of this inspection.

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Jun 20, 2017

Visit Reason
The purpose of this visit was to conduct an annual inspection of the facility.

Findings
No rule violations were cited as a result of this inspection.

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