Deficiency Records for Nyack Ridge Rehabilitation and Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Nyack Ridge Rehabilitation and Nursing Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-25 | 2023-11-01 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-09-25 | 2023-11-01 | N |
| Respond appropriately to all alleged violations. | Health | 2023-09-25 | 2023-11-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-09-25 | 2023-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-25 | 2023-11-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-25 | 2023-11-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-09-25 | 2023-11-01 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-09-25 | 2023-11-01 | 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 | 2023-09-25 | 2023-11-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-09-25 | 2023-11-01 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-09-25 | 2023-11-01 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-09-25 | 2023-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-25 | 2023-11-01 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-09-25 | 2023-11-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-28 | 2023-11-01 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2023-09-28 | 2023-11-01 | 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 | 2023-09-28 | 2023-11-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-28 | 2023-11-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-09-28 | 2023-11-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-28 | 2023-11-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-25 | 2023-10-23 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-06-12 | 2023-09-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-12 | 2023-09-01 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-06-12 | 2023-09-01 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-06-12 | 2023-09-01 | Y |
| Post nurse staffing information every day. | Health | 2023-06-12 | 2023-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-25 | 2023-04-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-08 | 2022-08-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-08 | 2022-08-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-14 | 2022-04-25 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-02-27 | 2020-04-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-02-27 | 2020-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-27 | 2020-04-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-06-15 | 2018-09-21 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-06-15 | 2018-08-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-06-15 | 2018-08-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-15 | 2018-08-23 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-06-15 | 2018-08-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-06-15 | 2018-08-23 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-06-15 | 2018-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-15 | 2018-08-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-15 | 2018-08-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-06-15 | 2018-08-23 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-06-21 | 2018-08-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-06-21 | 2018-08-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-06-21 | 2018-08-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-21 | 2018-08-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-06-21 | 2018-08-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-21 | 2018-08-15 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-06-21 | 2018-08-15 | N |
