A list of the most recent deficiencies for Van Rensselaer Manor. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-01 | 2023-06-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-01 | 2023-06-28 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-05-01 | 2023-06-28 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-05-01 | 2023-06-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-01 | 2023-06-21 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-01 | 2023-06-21 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-05-01 | 2023-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-01 | 2023-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-01 | 2023-06-06 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-05-01 | 2023-05-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-05-01 | 2023-05-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-01 | 2023-05-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-06 | 2023-05-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-18 | 2022-09-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-14 | 2021-11-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-14 | 2021-11-22 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-04-02 | 2021-06-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-02 | 2021-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-02 | 2021-05-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-04-02 | 2021-05-14 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-04-02 | 2021-05-14 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-04-02 | 2021-05-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-02 | 2021-05-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-04-02 | 2021-05-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-02 | 2021-05-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-02 | 2021-05-14 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2020-09-30 | 2020-10-20 | N |
