Betsy Ross Rehabilitation Center, Inc
Inspection Report, November 2009
PFI: 0595
Regional Office: Central New York Regional Office
This report displays citations for the three most recent Certification Surveys, and citations for Complaint Surveys during the past three years.
Summary
This table summarizes the citations in the details section of this report and compares them against the statewide average.
| Measure | This Facility | Statewide Average |
|---|---|---|
| Standard Health Deficiencies | 40 | 17 |
| Life Safety Code Deficiencies | 2 | 7 |
| Total Deficiencies | 42 | 24 |
| Deficiencies Related to Actual Harm or Immediate Jeopardy | 10 | 1 |
| % of Deficiencies Related to Actual Harm or Immediate Jeopardy | 24% | 4% |
Details of Certification and Complaint Surveys
Key to understanding citations and surveys:
Potential for no more than Minimal Harm
Potential for more than Minimal Harm
Actual Harm
Immediate Jeopardy
Isolated
Pattern
Widespread
- Certification surveys are on-site inspections required every 9-15 months by the federal government.
- Complaint surveys are on-site inspections held as the result of a complaint. They are only shown here if they resulted in a citation.
April 18, 2009 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle (PDF, KB)
Standard Health Inspection
| Deficiency | Severity
|
Residents Affected |
Substandard Quality of Care |
Correction Date |
|---|---|---|---|---|
| NOT EMPLOY PERSONS GUILTY OF ABUSE | |
|
 |
05/12/2009 |
| FACILITY ESTABLISHES INFECTION CONTROL PROGRAM | |
|
|
05/30/2009 |
| PROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES | |
|
|
05/30/2009 |
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | |
|
|
05/30/2009 |
| SERVICES PROVIDED MEET PROFESSIONAL STANDARDS | |
|
|
05/30/2009 |
| POLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT | |
|
|
06/15/2009 |
Standard Life Safety Code Inspection
No Deficiencies
June 27, 2008 Complaint Survey
View Statement of Deficiencies issued for this Inspection Cycle (PDF, 110 KB)
Standard Health Inspection
| Deficiency | Severity
|
Residents Affected |
Substandard Quality of Care |
Correction Date |
|---|---|---|---|---|
| NOT EMPLOY PERSONS GUILTY OF ABUSE | |
|
|
08/26/2008 |
March 20, 2008 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle (PDF, 455 KB)
Standard Health Inspection
| Deficiency | Severity
|
Residents Affected |
Substandard Quality of Care |
Correction Date |
|---|---|---|---|---|
| DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | |
|
|
05/19/2008 |
| PHYSICIAN RESPONSIBILITIES DURING VISITS | |
|
|
05/19/2008 |
| PROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES | |
|
|
05/19/2008 |
| FACILITY PROVIDES SUFFICIENT FLUID INTAKE | |
|
|
05/19/2008 |
| INFLUENZA AND PNEUMOCOCCAL IMMUNIZATION | |
|
|
05/19/2008 |
| PHARMACY SERVICES | |
|
|
05/19/2008 |
| THERAPEUTIC DIET PRESCRIBED BY PHYSICIAN | |
|
|
05/19/2008 |
| ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | |
|
|
05/19/2008 |
| DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN | |
|
|
05/19/2008 |
| DIGNITY | |
|
|
05/19/2008 |
| PROPER TREATMENT/CARE FOR SPECIAL CARE NEEDS | |
|
|
05/19/2008 |
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | |
|
|
05/19/2008 |
| RANGE OF MOTION TREATMENT AND SERVICES | |
|
|
05/19/2008 |
| RIGHT TO BE FREE FROM PHYSICAL RESTRAINTS NOT REQUIRED FOR TREATMENT | |
|
|
05/19/2008 |
Standard Life Safety Code Inspection
No Deficiencies
May 1, 2007 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle (PDF, 454 KB)
Standard Health Inspection
| Deficiency | Severity
|
Residents Affected |
Substandard Quality of Care |
Correction Date |
|---|---|---|---|---|
| APPROPRIATE TREATMENT FOR MENTAL/PSYCHOSOCIAL DIFFICULTIES | |
|
 |
06/26/2007 |
| NOT EMPLOY PERSONS GUILTY OF ABUSE | |
|
|
06/26/2007 |
| POLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT | |
|
|
06/26/2007 |
| RESIDENTS RIGHT TO BE FREE FROM ABUSE | |
|
|
06/26/2007 |
| FACILITY ADMINISTERED EFFECTIVELY TO OBTAIN HIGHEST PRACTICABLE WELL BEING | |
|
|
06/26/2007 |
| FACILITY MAINTAINS QA COMMITTEE | |
|
|
06/26/2007 |
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | |
|
|
06/26/2007 |
| ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | |
|
|
06/26/2007 |
| FACILITY ESTABLISHES INFECTION CONTROL PROGRAM | |
|
|
06/26/2007 |
| PERSONAL PRIVACY/CONFIDENTIALITY OF RECORDS | |
|
|
06/26/2007 |
| REGULAR PERFORMANCE REV & INSERVICE OF NURSE AIDES | |
|
|
06/26/2007 |
| SAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT | |
|
|
06/26/2007 |
| CLINICAL RECORDS MEET PROFESSIONAL STANDARDS | |
|
|
06/26/2007 |
| DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN | |
|
|
06/26/2007 |
| INFLUENZA AND PNEUMOCOCCAL IMMUNIZATION | |
|
|
06/26/2007 |
| PROPER LABELING OF DRUGS AND BIOLOGICALS | |
|
|
06/26/2007 |
| PROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES | |
|
|
06/26/2007 |
| RIGHT TO BE FREE FROM PHYSICAL RESTRAINTS NOT REQUIRED FOR TREATMENT | |
|
|
06/26/2007 |
| SERVICES PROVIDED MEET PROFESSIONAL STANDARDS | |
|
|
06/26/2007 |
Standard Life Safety Code Inspection
| Deficiency | Severity
|
Residents Affected |
Substandard Quality of Care |
Correction Date |
|---|---|---|---|---|
| AUTOMATIC SMOKE DETECTION SYSTEM | |
|
|
06/26/2007 |
| HAZARDOUS AREAS - SEPARATION | |
|
|
06/26/2007 |
Note: If the latest survey included in this report is more than 12 months old, the Department of Health may have recently surveyed this nursing home or is currently inspecting this home.
If you have questions about the current quality of service delivery at the nursing home, you should contact the facility and request a copy of the latest survey inspection report. The facility is required to post the report in a public area of the nursing home. If you request the report and the nursing home refuses to provide it, please call the New York State Nursing Home Complaint hotline at 1-888-201-4563.