Inspection Reports for
West Village Rehabilitation and Nursing Center

214 West Houston Street, New York, NY, 10014

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

2% better than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

8 6 4 2 0
2019
2022
2024

Inspection Report

Annual Inspection
Deficiencies: 2 Date: Aug 7, 2024

Visit Reason
The inspection was conducted as a recertification survey from 07/31/2024 to 08/07/2024 to assess compliance with regulatory requirements for West Village Rehabilitation and Nursing Center.

Findings
The facility failed to develop and implement a comprehensive care plan for a resident's use of the sleeping pill Ambien. Additionally, the facility did not ensure proper disposal of garbage as dumpsters were left uncovered, potentially inviting pests.

Deficiencies (2)
F 0656: The facility did not develop and implement a comprehensive care plan for Resident #21's use of Ambien, a controlled sleeping medication, despite documented orders and administration.
F 0814: The facility failed to properly contain garbage outside; dumpsters were uncovered and left open, which could attract pests.
Report Facts
Residents affected: 1 Residents affected: Many residents affected by garbage disposal deficiency Medication dosage: 10

Employees mentioned
NameTitleContext
Client Care Associate #3Interviewed regarding Resident #21's sleep habits and medication use
Registered Nurse #2Nurse supervisor interviewed about care plan responsibilities and medication
Director of NursingInterviewed about missing care plan for Ambien use
Dietary Aide #1Observed during trash disposal procedure
Director Food ServicesInterviewed about garbage disposal practices
Director Facilities ManagementInterviewed about dumpster lids being kept open

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 2 Date: Aug 7, 2024

Visit Reason
Two Level 2 standard health citations for comprehensive care plan and garbage disposal, both corrected by September 30, 2024.

Findings
Two Level 2 standard health citations for comprehensive care plan and garbage disposal, both corrected by September 30, 2024.

Deficiencies (2)
Develop/implement comprehensive care plan
Dispose garbage and refuse properly

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Feb 20, 2024

Visit Reason
One Level 2 standard health citation for reporting to national health safety network, widespread scope, not corrected at time of report.

Findings
One Level 2 standard health citation for reporting to national health safety network, widespread scope, not corrected at time of report.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Feb 12, 2024

Visit Reason
One Level 2 standard health citation for reporting to national health safety network, widespread scope, not corrected at time of report.

Findings
One Level 2 standard health citation for reporting to national health safety network, widespread scope, not corrected at time of report.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Feb 6, 2024

Visit Reason
One Level 2 standard health citation for reporting to national health safety network, widespread scope, not corrected at time of report.

Findings
One Level 2 standard health citation for reporting to national health safety network, widespread scope, not corrected at time of report.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

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

Visit Reason
One Level 2 standard health citation for reporting to national health safety network, widespread scope, not corrected at time of report.

Findings
One Level 2 standard health citation for reporting to national health safety network, widespread scope, not corrected at time of report.

Deficiencies (1)
Reporting - national health safety network

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 5 Date: Aug 22, 2022

Visit Reason
Multiple standard health and life safety code citations including quality of care (Level 2), corridor doors (Level 2), doors with self-closing devices (Level 2), physical environment (Level 0), and procedures for tracking staff and patients (Level 1), all corrected by late 2022.

Findings
Multiple standard health and life safety code citations including quality of care (Level 2), corridor doors (Level 2), doors with self-closing devices (Level 2), physical environment (Level 0), and procedures for tracking staff and patients (Level 1), all corrected by late 2022.

Deficiencies (5)
Quality of care
Corridor - doors
Doors with self-closing devices
Physical environment
Procedures for tracking of staff and patients

Inspection Report

Abbreviated Survey
Deficiencies: 1 Date: Aug 22, 2022

Visit Reason
The visit was a recertification and abbreviated survey to assess compliance with professional standards of care, triggered by a complaint regarding medication administration.

Complaint Details
The complaint reported that Resident #151 was being underdosed for their IV antibiotic therapy. The complaint was substantiated based on interviews and record review.
Findings
The facility failed to ensure a resident received intravenous antibiotic therapy as ordered, resulting in underdosing and extended stay. The Nurse Practitioner incorrectly transcribed the IV antibiotic order, administering it every 6 hours instead of every 4 hours as prescribed.

Deficiencies (1)
F 0684: The facility did not provide appropriate treatment and care according to orders for Resident #151. The Nurse Practitioner incorrectly transcribed the intravenous antibiotic therapy order, causing underdosing from 10/15/21 to 11/4/21.
Report Facts
Residents sampled: 20 Residents affected: 1

Inspection Report

Annual Inspection
Deficiencies: 1 Date: Oct 29, 2019

Visit Reason
The inspection was conducted as a recertification survey to assess compliance with infection prevention and control requirements.

Findings
The facility failed to maintain infection control practices related to ostomy urine drainage bags, specifically allowing a resident's drainage bag to touch the floor. Policies did not address proper maintenance of drainage bags, and staff interviews confirmed the issue and acknowledged infection control concerns.

Deficiencies (1)
F 0880: The facility did not maintain infection control practices to prevent transmission of infections, as a resident's ostomy urine drainage bag was observed touching the floor. Facility policies lacked specific guidance on maintaining drainage bags.
Report Facts
Residents reviewed for Catheter Care: 2 Total residents sampled: 40

Employees mentioned
NameTitleContext
Licensed Practical Nurse (LPN) #1Interviewed regarding drainage bag touching the floor
Client Care Associate (CCA) #1Interviewed regarding lowering bed and drainage bag touching the floor
Registered Nurse (RN) #1 Unit ManagerInterviewed regarding infection control issue with drainage bag
President of Clinical ServicesInterviewed regarding infection control policies and staff education

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