Inspection Reports for United Hebrew of New Rochelle
391 Pelham Rd, New Rochelle, NY 10805, NY, 10805
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 10, 2023, identified one deficiency related to reporting to the national health safety network. Earlier inspections showed multiple deficiencies in areas such as quality of care, infection control, food sanitation, resident rights, and physical environment, with most issues corrected by late 2023. Complaint investigations did not result in substantiated findings, and enforcement actions were not listed in the available reports. Prior reports noted deficiencies in resident dignity, activities programming, and hygiene practices, as well as care planning and abuse prevention, all of which were addressed over time. The inspection history suggests some improvement, with recent findings focused mainly on reporting requirements rather than care or safety issues.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
5.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
8% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Covid-19 Survey
Capacity: 60
Deficiencies: 1
Date: Oct 10, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network with widespread scope and no actual harm.
Findings
One Level 2 deficiency related to reporting to the national health safety network with widespread scope and no actual harm.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 8
Date: Oct 6, 2023
Visit Reason
Multiple Level 2 deficiencies in quality of care and life safety code including activities, food sanitation, infection control, resident rights, illumination, door maintenance, physical environment, and sprinkler system. Most corrected by late 2023.
Findings
Multiple Level 2 deficiencies in quality of care and life safety code including activities, food sanitation, infection control, resident rights, illumination, door maintenance, physical environment, and sprinkler system. Most corrected by late 2023.
Deficiencies (8)
Activities meet interest/needs each resident
Food procurement,store/prepare/serve-sanitary
Infection prevention & control
Resident rights/exercise of rights
Illumination of means of egress
Maintenance, inspection & testing - doors
Physical environment
Sprinkler system - installation
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Oct 6, 2023
Visit Reason
The inspection was a recertification survey conducted from 10/2/23 to 10/6/23 to assess compliance with regulatory requirements in various areas including resident dignity, activities programming, food service sanitation, and infection control.
Findings
The facility was found deficient in maintaining resident dignity related to uncovered urine drainage bags, inadequate activities programming due to staffing shortages, improper food service hygiene practices by staff, and failure to implement proper infection prevention and control measures including PPE use and hand hygiene for residents on contact precautions.
Deficiencies (4)
Resident #7's urinary catheter drainage bag was not concealed to prevent direct observation of urine by others.
The facility did not ensure an ongoing program of activities to meet the needs and interests of residents, negatively affecting Resident #18's quality of life.
Registered nurse (RN) #1 did not perform hand hygiene between serving residents during a breakfast meal and wore gloves improperly, risking cross contamination.
Two Certified Nurse Aides (CNAs) failed to use Personal Protective Equipment (PPE) and proper hand hygiene when assisting a resident on contact precautions for C. difficile infection.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 1
Activities staff before pandemic: 9
Current activities staff: 2
Activities staff sometimes: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nurse Aide | Primary aide caring for Resident #7, involved in catheter care deficiency |
| LPN #1 | Licensed Practical Nurse | Interviewed regarding urine collection bag coverage practices |
| LPN #2 | Licensed Practical Nurse | Interviewed regarding urine collection bag coverage practices |
| Registered Nurse Unit Manager #1 | Registered Nurse Unit Manager | Interviewed regarding urine collection bag coverage and activities programming |
| Chief Nursing Officer | Chief Nursing Officer | Interviewed regarding urine collection bag policy |
| Resident #18's Activities Director | Activities Director | Interviewed regarding activities staffing and programming |
| RN #1 | Registered Nurse | Observed and interviewed regarding improper glove use during food service |
| Director of Nursing | Director of Nursing | Interviewed regarding food service glove policy and infection control |
| CNA #2 | Certified Nurse Aide | Observed and interviewed regarding failure to use PPE and hand hygiene for resident on contact precautions |
| CNA #3 | Certified Nurse Aide | Observed and interviewed regarding failure to use PPE and hand hygiene for resident on contact precautions |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 4
Date: Dec 23, 2022
Visit Reason
Several Level 2 deficiencies related to baseline care plan, abuse prevention, investigation and reporting of alleged violations. All corrected by early 2023.
Findings
Several Level 2 deficiencies related to baseline care plan, abuse prevention, investigation and reporting of alleged violations. All corrected by early 2023.
Deficiencies (4)
Baseline care plan
Free from abuse and neglect
Investigate/prevent/correct alleged violation
Reporting of alleged violations
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Jun 13, 2019
Visit Reason
The inspection was conducted as a recertification survey to assess compliance with regulatory requirements related to resident notification of bed hold policies and access to vision and hearing services.
Findings
The facility failed to ensure timely written notification of the bed hold policy was given to a resident or her representative prior to hospital transfer, and did not ensure proper treatment and assistive devices were provided to maintain hearing ability for a resident with a broken hearing aid.
Deficiencies (2)
Failure to notify the resident or representative in writing about the nursing home's bed hold policy prior to hospital transfer.
Failure to assist a resident in gaining access to vision and hearing services, specifically not providing a broken hearing aid for over a year.
Report Facts
Residents reviewed: 38
Residents affected: 1
Residents reviewed: 2
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Social Work | Interviewed regarding bed hold notification deficiency |
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Oct 24, 2017
Visit Reason
The inspection was conducted as a recertification survey to evaluate the facility's compliance with food storage, cooking, and serving sanitary standards.
Findings
The facility failed to ensure safe and sanitary food handling practices, including thawing frozen ground meat beyond recommended time, a nourishment unit refrigerator lacking a thermometer, and a Certified Nurse Aide handling resident food without a barrier during two lunch meals.
Deficiencies (3)
Frozen ground meat placed in the refrigerator for thawing was not cooked in a timely manner.
One of seven nourishment unit refrigerators did not contain a thermometer.
A Certified Nurse Aide did not use a barrier to handle sandwiches served to Resident #255 during two lunch meals.
Report Facts
Weight of ground beef: 8
Number of nourishment unit refrigerators: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Unit Registered Nurse Manager | Registered Nurse Manager | Interviewed regarding CNA's improper food handling |
| Certified Nurse Aide | CNA | Observed handling resident food without barrier |
| Head Cook | Interviewed about thawing policy for ground beef | |
| Unit Clerk | Interviewed about missing thermometer in refrigerator |
Inspection Report
Capacity: 60
Deficiencies: 0
Visit Reason
Two inspections resulted in no citations.
Findings
Two inspections resulted in no citations.
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