Deficiency Records for Van Rensselaer Manor
Updated as of March 01, 2020
This is not the most recent data for Van Rensselaer Manor. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-24 | 2019-12-20 | Y |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-12-21 | 2019-03-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-12-21 | 2019-03-15 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2018-12-21 | 2019-03-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-21 | 2019-02-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-12-21 | 2019-02-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-21 | 2019-02-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-12-21 | 2019-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-21 | 2019-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-21 | 2019-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-21 | 2019-02-28 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-21 | 2019-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-21 | 2019-02-26 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-12-21 | 2019-02-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-12-21 | 2019-02-18 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2018-12-21 | 2019-02-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-12-21 | 2019-02-18 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-12-21 | 2019-02-18 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2018-12-21 | 2019-02-15 | N |
| Provide two separate exits in rooms of more than 1000 square feet. | Fire Safety | 2017-04-12 | 2017-06-11 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-04-12 | 2017-06-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-04-12 | 2017-06-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-04-12 | 2017-06-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-04-12 | 2017-06-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-04-12 | 2017-06-11 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-12 | 2017-06-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-12 | 2017-06-11 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-01-28 | 2016-03-25 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-01-28 | 2016-03-25 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-01-28 | 2016-03-25 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-01-28 | 2016-03-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-01-28 | 2016-03-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-28 | 2016-03-25 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-01-28 | 2016-03-25 | N |
