Inspection Reports for St Luke Residential Health Care Facility Inc

299 East River Road, Oswego, NY, 13126

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Inspection Report Summary

The most recent inspection on March 14, 2025, identified multiple deficiencies including issues with ADL care, infection control, nutrition, resident rights, and life safety code compliance, some of which involved actual harm and immediate jeopardy but were corrected within a few months. Earlier inspections showed a pattern of various deficiencies related mainly to resident care, infection control, safety hazards, and reporting requirements, with most issues corrected promptly. Complaint investigations were generally unsubstantiated or resulted in timely corrections, and no fines or license actions were listed in the available reports. Prior reports noted recurring concerns with infection prevention, accident hazards, and care planning, while some COVID-19 reporting deficiencies remained uncorrected for a time. The overall trend suggests ongoing challenges with compliance that have been addressed over time, though the facility has experienced repeated citations in similar areas.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 14.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

180% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

28 21 14 7 0
2022
2023
2025

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 28 Date: Mar 14, 2025

Visit Reason
Complaint Survey with 20 health and 8 life safety citations including deficiencies in ADL care, administration, bedrails, care plans, infection control, nutrition, quality of care, resident rights, and life safety code issues. Some deficiencies indicated actual harm and immediate jeopardy but were corrected by May 4 or June 2, 2025.

Findings
Complaint Survey with 20 health and 8 life safety citations including deficiencies in ADL care, administration, bedrails, care plans, infection control, nutrition, quality of care, resident rights, and life safety code issues. Some deficiencies indicated actual harm and immediate jeopardy but were corrected by May 4 or June 2, 2025.

Deficiencies (28)
ADL care provided for dependent residents
Administration
Bedrails
Bowel/bladder incontinence, catheter, uti
Develop/implement comprehensive care plan
Dialysis
Encoding/transmitting resident assessments
Free of accident hazards/supervision/devices
Infection prevention & control
Label/store drugs and biologicals
Nurse aide peform review-12 hr/yr in-service
Nutrition/hydration status maintenance
Provided diet meets needs of each resident
Quality of care
Request/refuse/dscntnue trmnt;formlte adv dir
Resident rights/exercise of rights
Right to be free from chemical restraints
Safe/clean/comfortable/homelike environment
Sufficient nursing staff
Treatment/svcs to prevent/heal pressure ulcer
Building construction type and height
Electrical equipment - testing and maintenanc
Hazardous areas - enclosure
Multiple occupancies - construction type
Portable fire extinguishers
Sprinkler system - maintenance and testing
Sprinkler system - out of service
Vertical openings - enclosure

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Dec 28, 2023

Visit Reason
Complaint Survey with 1 health citation for tube feeding management and restoring eating skills, corrected by February 25, 2024.

Findings
Complaint Survey with 1 health citation for tube feeding management and restoring eating skills, corrected by February 25, 2024.

Deficiencies (1)
Tube feeding mgmt/restore eating skills

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 2 Date: Jun 9, 2023

Visit Reason
Complaint Survey with 2 health citations for notifying changes and treatment/services to prevent or heal pressure ulcers, corrected by August 7, 2023.

Findings
Complaint Survey with 2 health citations for notifying changes and treatment/services to prevent or heal pressure ulcers, corrected by August 7, 2023.

Deficiencies (2)
Notify of changes (injury/decline/room, etc. )
Treatment/svcs to prevent/heal pressure ulcer

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: May 3, 2023

Visit Reason
Complaint Survey with 1 health citation for respect, dignity, and right to have personal property, corrected by July 1, 2023.

Findings
Complaint Survey with 1 health citation for respect, dignity, and right to have personal property, corrected by July 1, 2023.

Deficiencies (1)
Respect, dignity/right to have prsnl property

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 7 Date: Apr 13, 2023

Visit Reason
Complaint Survey with 5 health and 2 life safety citations including accident hazards, infection control, safe environment, dementia treatment, and means of egress. Most deficiencies corrected by June 11, 2023.

Findings
Complaint Survey with 5 health and 2 life safety citations including accident hazards, infection control, safe environment, dementia treatment, and means of egress. Most deficiencies corrected by June 11, 2023.

Deficiencies (7)
Free of accident hazards/supervision/devices
Infection control
Infection prevention & control
Safe/clean/comfortable/homelike environment
Treatment/service for dementia
Means of egress - general
Sprinkler system - maintenance and testing

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Dec 27, 2022

Visit Reason
Covid-19 Survey with 1 health citation for reporting to national health safety network, widespread scope, not corrected as of report.

Findings
Covid-19 Survey with 1 health citation for reporting to national health safety network, widespread scope, not corrected as of report.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Oct 24, 2022

Visit Reason
Covid-19 Survey with 1 health citation for reporting to national health safety network, widespread scope, not corrected as of report.

Findings
Covid-19 Survey with 1 health citation for reporting to national health safety network, widespread scope, not corrected as of report.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Apr 27, 2022

Visit Reason
Complaint Survey with 1 health citation for free of accident hazards/supervision/devices, isolated scope, corrected by June 24, 2022.

Findings
Complaint Survey with 1 health citation for free of accident hazards/supervision/devices, isolated scope, corrected by June 24, 2022.

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

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Apr 18, 2022

Visit Reason
Covid-19 Survey with 1 health citation for reporting to national health safety network, widespread scope, not corrected as of report.

Findings
Covid-19 Survey with 1 health citation for reporting to national health safety network, widespread scope, not corrected as of report.

Deficiencies (1)
Reporting - national health safety network

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