Deficiency Records for North Westchester Restorative Therapy and Nrsg Crt
Updated as of April 01, 2024
A list of the most recent deficiencies for North Westchester Restorative Therapy and Nrsg Crt. 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2021-11-10 | 2022-01-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-10 | 2022-01-18 | 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 | 2021-11-10 | 2022-01-18 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2021-11-10 | 2022-01-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-11-10 | 2022-01-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-10 | 2022-01-18 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-11-10 | 2022-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-10 | 2022-01-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-10 | 2022-01-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-10 | 2022-01-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-10 | 2022-01-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-10 | 2022-01-18 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-11-10 | 2022-01-18 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2021-11-10 | 2022-01-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-10 | 2022-01-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-10 | 2022-01-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-15 | 2019-03-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-15 | 2019-03-15 | 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 | 2019-01-15 | 2019-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-15 | 2019-03-15 | N |
| Dispose of garbage and refuse properly. | Health | 2019-01-15 | 2019-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-15 | 2019-03-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-01-15 | 2019-02-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-15 | 2019-02-19 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-05-08 | 2017-06-08 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-08 | 2017-05-17 | N |
