Elizabeth Seton Pediatric Center

Inspection Report, November 2009

PFI: 3984
Regional Office: MARO--New York City Area 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.

MeasureThis
Facility
Statewide
Average
Standard Health Deficiencies 7 17
Life Safety Code Deficiencies 7 7
Total Deficiencies 14 24
Deficiencies Related to Actual Harm or Immediate Jeopardy 0 1
% of Deficiencies Related to Actual Harm or Immediate Jeopardy 0% 4%

Details of Certification and Complaint Surveys

Key to understanding citations and surveys:

  • Potential for no more than Minimal Harm
    Potential for no more than Minimal Harm
  • Potential for more than Minimal Harm
    Potential for more than Minimal Harm
  • Acutal Harm
    Actual Harm
  • Immediate Jeopardy
    Immediate Jeopardy
  • Isolated
    Isolated
  • Pattern
    Pattern
  • Widespread
    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.
 

August 31, 2009 Certification Survey

Request additional details about this Inspection Cycle Learn more about Statement Of Deficiencies

Standard Health Inspection Learn more about Standard Health Inspections

No Deficiencies

Standard Life Safety Code Inspection Learn more about Standard Life Safety Code Inspections

No Deficiencies

September 16, 2008 Complaint Survey

View Statement of Deficiencies issued for this Inspection Cycle (PDF, 117 KB) Learn more about Statement Of Deficiencies

Standard Health Inspection Learn more about Standard Health Inspections

Deficiency Severity Learn more about severity Residents
Affected Learn more about scope
Substandard
Quality of
Care Learn more about Substandard Quality of Care
Correction
Date Learn more about Correction Date
FACILITY PROVIDES DRUGS AND BIOLOGICALS Potential for more than Minimal Harm Isolated No 10/30/2008
RESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS Potential for more than Minimal Harm Isolated No 10/30/2008

July 18, 2008 Certification Survey

View Statement of Deficiencies issued for this Inspection Cycle (PDF, 329 KB) Learn more about Statement Of Deficiencies

Standard Health Inspection Learn more about Standard Health Inspections

Deficiency Severity Learn more about severity Residents
Affected Learn more about scope
Substandard
Quality of
Care Learn more about Substandard Quality of Care
Correction
Date Learn more about Correction Date
CLINICAL RECORDS MEET PROFESSIONAL STANDARDS Potential for more than Minimal Harm Isolated No 08/25/2008
SERVICES PROVIDED MEET PROFESSIONAL STANDARDS Potential for more than Minimal Harm Isolated No 08/25/2008
STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS Potential for more than Minimal Harm Isolated No 08/25/2008

Standard Life Safety Code Inspection Learn more about Standard Life Safety Code Inspections

Deficiency Severity Learn more about severity Residents
Affected Learn more about scope
Substandard
Quality of
Care Learn more about Substandard Quality of Care
Correction
Date Learn more about Correction Date
EMERGENCY LIGHTING Potential for more than Minimal Harm Pattern No 08/05/2008
STANDARDS OF CONSTRUCTION FOR NEW NURSING HOME Potential for more than Minimal Harm Isolated No 08/31/2008
SPRINKLER SYSTEM MAINTENANCE Potential for no more than Minimal Harm Pattern No 08/15/2008

July 5, 2007 Certification Survey

View Statement of Deficiencies issued for this Inspection Cycle (PDF, 314 KB) Learn more about Statement Of Deficiencies

Standard Health Inspection Learn more about Standard Health Inspections

Deficiency Severity Learn more about severity Residents
Affected Learn more about scope
Substandard
Quality of
Care Learn more about Substandard Quality of Care
Correction
Date Learn more about Correction Date
STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS Potential for more than Minimal Harm Pattern No 07/27/2007
SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN Potential for more than Minimal Harm Isolated No 07/27/2007

Standard Life Safety Code Inspection Learn more about Standard Life Safety Code Inspections

Deficiency Severity Learn more about severity Residents
Affected Learn more about scope
Substandard
Quality of
Care Learn more about Substandard Quality of Care
Correction
Date Learn more about Correction Date
EXIT ACCESS Potential for more than Minimal Harm Pattern No 08/10/2007
VENTILATING EQUIPMENT Potential for more than Minimal Harm Pattern No 08/17/2007
HAZARDOUS AREAS - SEPARATION Potential for more than Minimal Harm Isolated No 07/20/2007
STANDARDS OF CONSTRUCTION FOR NEW NURSING HOME Potential for more than Minimal Harm Isolated No 07/31/2007

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.

Related Information