Deficiency Records for Trustees of Eastern Star Hall and Home of The N Y S
Updated as of April 01, 2024
A list of the most recent deficiencies for Trustees of Eastern Star Hall and Home of The N Y S. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-23 | 2023-05-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-23 | 2023-05-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-23 | 2023-05-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-23 | 2023-05-11 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-02-23 | 2023-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-23 | 2023-05-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-23 | 2023-05-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-23 | 2023-04-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-23 | 2023-04-21 | 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 | 2020-02-14 | 2020-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-14 | 2020-04-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-13 | 2020-04-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-13 | 2020-04-10 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-02-13 | 2020-04-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-13 | 2020-04-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-02-13 | 2020-04-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-26 | 2018-11-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-26 | 2018-11-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-26 | 2018-11-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-26 | 2018-11-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-26 | 2018-11-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-26 | 2018-11-02 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-09-26 | 2018-11-02 | N |
