CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Troy Victorian Rehabilitation and Nursing Care Cntr
View the most recent health deficiencies and inspection results for Troy Victorian Rehabilitation and Nursing Care Cntr. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Troy Victorian Rehabilitation and Nursing Care Cntr. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-09 | 2026-05-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-09 | 2026-05-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-09 | 2026-05-08 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-09 | 2025-11-13 | 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 | 2025-05-09 | 2025-10-03 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-05-09 | 2025-10-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-09 | 2025-09-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-05-09 | 2025-08-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-05-09 | 2025-08-18 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2025-05-09 | 2025-08-08 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-05-09 | 2025-08-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-05-09 | 2025-08-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-05-09 | 2025-08-07 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-05-09 | 2025-07-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-05-09 | 2025-07-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-09 | 2025-07-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-05-09 | 2025-07-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-05-09 | 2025-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-09 | 2025-07-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-09 | 2025-07-15 | 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 | 2025-05-09 | 2025-07-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-05-09 | 2025-07-15 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-05-09 | 2025-07-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-05-09 | 2025-07-15 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-05-09 | 2025-07-11 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2025-05-09 | 2025-07-11 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2025-05-09 | 2025-07-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-05-09 | 2025-07-11 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-05-09 | 2025-07-10 | N |
| Dispose of garbage and refuse properly. | Health | 2025-05-09 | 2025-07-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-09 | 2025-07-09 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-05-09 | 2025-07-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-09 | 2025-07-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-09 | 2025-07-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-09 | 2025-07-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-09 | 2025-07-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-05-09 | 2025-07-08 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-09 | 2025-07-08 | 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 | 2025-05-09 | 2025-07-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-05-09 | 2025-07-08 | 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 | 2025-05-09 | 2025-07-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-05-09 | 2025-07-08 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-05-09 | 2025-07-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-09 | 2025-07-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-09 | 2025-07-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-09 | 2025-07-08 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-05-09 | 2025-07-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-09 | 2025-07-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-09 | 2025-07-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-09 | 2025-07-07 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-05-09 | 2025-06-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-05-09 | 2025-06-02 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-05-09 | 2025-06-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-10 | 2025-03-19 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-08-14 | 2024-10-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-05 | 2024-08-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-05 | 2024-08-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-05 | 2024-08-04 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-03-25 | 2024-06-06 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-03-25 | 2024-06-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-25 | 2024-06-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-07 | 2024-01-25 | 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 | 2023-12-07 | 2024-01-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-07 | 2024-01-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-07 | 2024-01-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-07 | 2024-01-25 | Y |
| 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 | 2023-08-22 | 2023-08-31 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-20 | 2023-06-29 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-04-20 | 2023-06-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-20 | 2023-06-20 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-04-20 | 2023-06-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-20 | 2023-06-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-20 | 2023-06-19 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-20 | 2023-06-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-20 | 2023-06-19 | 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 | 2023-04-20 | 2023-06-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-20 | 2023-06-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-20 | 2023-06-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-20 | 2023-06-19 | N |
| 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 | 2023-04-20 | 2023-06-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-20 | 2023-06-19 | 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 | 2023-04-20 | 2023-06-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-04-20 | 2023-06-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-04-20 | 2023-06-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-27 | 2021-06-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-27 | 2021-06-21 | 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 | 2021-04-27 | 2021-06-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-04-27 | 2021-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-27 | 2021-06-21 | 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 | 2021-04-27 | 2021-06-21 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-04-27 | 2021-06-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-27 | 2021-06-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-27 | 2021-06-21 | 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 | 2021-04-27 | 2021-06-21 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-04-27 | 2021-06-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-27 | 2021-06-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-04-27 | 2021-06-21 | N |
| Respond appropriately to all alleged violations. | Health | 2021-04-27 | 2021-06-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-27 | 2021-06-21 | 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 | 2021-04-27 | 2021-06-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-27 | 2021-06-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-04-27 | 2021-06-21 | N |