Deficiency Records for Hudson Valley Rehabilitation and Extended Care Ctr
Updated as of March 01, 2024
A list of the most recent deficiencies for Hudson Valley Rehabilitation and Extended Care Ctr. 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 | 2023-07-13 | 2023-08-29 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-01-26 | 2023-03-27 | 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 | 2023-01-26 | 2023-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-26 | 2023-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-26 | 2023-03-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-26 | 2023-03-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-26 | 2023-03-27 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-26 | 2023-02-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-01-26 | 2023-02-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-26 | 2023-02-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-26 | 2023-02-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-26 | 2023-02-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-26 | 2023-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-26 | 2023-02-28 | 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 | 2019-02-27 | 2019-04-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-27 | 2019-04-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-02-27 | 2019-04-29 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-02-27 | 2019-04-29 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-02-27 | 2019-04-29 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2019-02-27 | 2019-04-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-27 | 2019-04-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-27 | 2019-04-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-27 | 2019-04-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-27 | 2019-04-29 | N |
| 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 | 2019-02-27 | 2019-04-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-27 | 2019-04-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-02-27 | 2019-04-29 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-02-27 | 2019-04-29 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-02-27 | 2019-04-29 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-02-27 | 2019-04-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-27 | 2019-04-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-27 | 2019-04-29 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2019-02-27 | 2019-04-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-06-21 | 2017-08-18 | 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 | 2017-06-21 | 2017-08-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-06-21 | 2017-08-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-06-21 | 2017-08-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-06-21 | 2017-08-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-06-21 | 2017-07-31 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-06-21 | 2017-07-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-21 | 2017-07-31 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-21 | 2017-07-31 | N |
