Inspection Reports for Troy Victorian Rehabilitation & Nursing Care Center

100 New Turnpike Road, Troy, NY, 12182

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Inspection Report Summary

The most recent inspection on May 9, 2025, identified multiple deficiencies related to care planning, abuse prevention, medication errors, and the physical environment, with most issues corrected by July 2025. Earlier inspections showed a pattern of citations involving care planning, abuse prevention, medication management, safety hazards, and reporting requirements, including a prior immediate jeopardy finding for accident hazards that was corrected. Inspectors frequently cited issues with resident care plans, abuse prevention, medication error rates, and safety supervision, while enforcement actions such as fines or license suspensions were not listed in the available reports. Complaint investigations were unsubstantiated or not noted, and no substantiated complaints were reported. The facility’s record shows recurring areas of concern but also demonstrates correction of deficiencies over time.

Deficiencies (last 4 years)

Deficiencies (over 4 years) 15.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

200% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

24 18 12 6 0
2021
2023
2024
2025

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 24 Date: May 9, 2025

Visit Reason
Multiple standard health and life safety code citations were issued, including deficiencies in care planning, abuse prevention, medication error rates, and physical environment. Most deficiencies were corrected by July 2025.

Findings
Multiple standard health and life safety code citations were issued, including deficiencies in care planning, abuse prevention, medication error rates, and physical environment. Most deficiencies were corrected by July 2025.

Deficiencies (24)
Care plan timing and revision
Comprehensive assessments & timing
Corridors have firmly secured handrails
Develop/implement comprehensive care plan
Dispose garbage and refuse properly
Drug regimen review, report irregular, act on
Food procurement,store/prepare/serve-sanitary
Free from abuse and neglect
Free of medication error rts 5 prcnt or more
General requirements
Infection prevention & control
License/comply w/ fed/state/locl law/prof std
Maintains effective pest control program
Notify of changes (injury/decline/room, etc. )
Nutritive value/appear, palatable/prefer temp
Pasarr screening for md & id
Pharmacy srvcs/procedures/pharmacist/records
Quality of care
Reporting of alleged violations
Resident records - identifiable information
Resident rights/exercise of rights
Residents are free of significant med errors
Sufficient nursing staff
Treatment/svcs to prevent/heal pressure ulcer

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Feb 10, 2025

Visit Reason
One standard health citation issued for free of accident hazards/supervision/devices, corrected by March 2025.

Findings
One standard health citation issued for free of accident hazards/supervision/devices, corrected by March 2025.

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

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Aug 14, 2024

Visit Reason
One standard health citation issued for sufficient nursing staff, corrected by October 2024.

Findings
One standard health citation issued for sufficient nursing staff, corrected by October 2024.

Deficiencies (1)
Sufficient nursing staff

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 3 Date: Jul 5, 2024

Visit Reason
Three standard health citations issued including free from abuse and neglect (Level 2), free of accident hazards (Level 4 immediate jeopardy), and reporting of alleged violations, all corrected by August 2024.

Findings
Three standard health citations issued including free from abuse and neglect (Level 2), free of accident hazards (Level 4 immediate jeopardy), and reporting of alleged violations, all corrected by August 2024.

Deficiencies (3)
Free from abuse and neglect
Free of accident hazards/supervision/devices
Reporting of alleged violations

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 3 Date: Mar 25, 2024

Visit Reason
Three standard health citations issued including care plan timing and revision, free from abuse and neglect, and free from misappropriation/exploitation, all corrected by June 2024.

Findings
Three standard health citations issued including care plan timing and revision, free from abuse and neglect, and free from misappropriation/exploitation, all corrected by June 2024.

Deficiencies (3)
Care plan timing and revision
Free from abuse and neglect
Free from misappropriation/exploitation

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 5 Date: Dec 7, 2023

Visit Reason
Five standard health citations issued including bowel/bladder incontinence, investigate/prevent/correct alleged violation, reporting of alleged violations, resident records - identifiable information, and resident rights/exercise of rights, all corrected by January 2024.

Findings
Five standard health citations issued including bowel/bladder incontinence, investigate/prevent/correct alleged violation, reporting of alleged violations, resident records - identifiable information, and resident rights/exercise of rights, all corrected by January 2024.

Deficiencies (5)
Bowel/bladder incontinence, catheter, uti
Investigate/prevent/correct alleged violation
Reporting of alleged violations
Resident records - identifiable information
Resident rights/exercise of rights

Inspection Report

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

Visit Reason
One standard health citation issued for reporting - national health safety network, not corrected as of report date.

Findings
One standard health citation issued for reporting - national health safety network, not corrected as of report date.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Aug 22, 2023

Visit Reason
One standard life safety code citation issued for egress doors, corrected by August 31, 2023.

Findings
One standard life safety code citation issued for egress doors, corrected by August 31, 2023.

Deficiencies (1)
Egress doors

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Apr 21, 2023

Visit Reason
One standard health citation issued for treatment/services to prevent/heal pressure ulcer, corrected by June 28, 2023.

Findings
One standard health citation issued for treatment/services to prevent/heal pressure ulcer, corrected by June 28, 2023.

Deficiencies (1)
Treatment/svcs to prevent/heal pressure ulcer

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 18 Date: Apr 20, 2023

Visit Reason
Multiple standard health and life safety code citations issued including comprehensive care plan, garbage disposal, drug regimen review, accident hazards, medication error rates, safety standards, notice requirements, quality of care, safe environment, electrical equipment, fire alarm system, gas equipment, maintenance/testing of doors, smoke barriers, vertical openings, and others. Most corrected by June 2023.

Findings
Multiple standard health and life safety code citations issued including comprehensive care plan, garbage disposal, drug regimen review, accident hazards, medication error rates, safety standards, notice requirements, quality of care, safe environment, electrical equipment, fire alarm system, gas equipment, maintenance/testing of doors, smoke barriers, vertical openings, and others. Most corrected by June 2023.

Deficiencies (18)
Develop/implement comprehensive care plan
Dispose garbage and refuse properly
Drug regimen review, report irregular, act on
Free of accident hazards/supervision/devices
Free of medication error rts 5 prcnt or more
General safety standards of existing nh
Notice of bed hold policy before/upon trnsfr
Notice requirements before transfer/discharge
Quality of care
Safe/clean/comfortable/homelike environment
Electrical equipment - testing and maintenanc
Electrical systems - essential electric syste
Ep training program
Fire alarm system - installation
Gas equipment - qualifications and training
Maintenance, inspection & testing - doors
Subdivision of building spaces - smoke barrie
Vertical openings - enclosure

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Apr 19, 2023

Visit Reason
One standard health citation issued for resident records - identifiable information, corrected by June 19, 2023.

Findings
One standard health citation issued for resident records - identifiable information, corrected by June 19, 2023.

Deficiencies (1)
Resident records - identifiable information

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Mar 15, 2023

Visit Reason
One standard life safety code citation issued for electrical equipment testing and maintenance, corrected by March 31, 2023.

Findings
One standard life safety code citation issued for electrical equipment testing and maintenance, corrected by March 31, 2023.

Deficiencies (1)
Electrical equipment - testing and maintenanc

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Nov 15, 2021

Visit Reason
One standard health citation issued for reporting - national health safety network, not corrected as of report date.

Findings
One standard health citation issued for reporting - national health safety network, not corrected as of report date.

Deficiencies (1)
Reporting - national health safety network

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