Deficiency Records for New York Congregational Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for New York Congregational 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-03 | 2022-03-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-01-03 | 2022-03-03 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-01-03 | 2022-03-03 | 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 | 2022-01-03 | 2022-03-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-03 | 2022-03-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-03 | 2022-03-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-03 | 2022-03-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-03 | 2022-03-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-03 | 2022-02-17 | 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 | 2022-01-03 | 2022-02-17 | N |
| Provide activities to meet all resident's needs. | Health | 2022-01-03 | 2022-02-17 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-01-03 | 2022-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-03 | 2022-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-03 | 2022-02-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-03 | 2022-02-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-03 | 2022-02-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-03 | 2022-02-17 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-03 | 2022-02-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-22 | 2021-05-28 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-03-22 | 2021-05-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-22 | 2021-05-28 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-03-22 | 2021-05-28 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-05 | 2019-10-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-05 | 2019-10-10 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-08-05 | 2019-10-10 | 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 | 2019-08-05 | 2019-08-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-10-20 | 2017-12-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-20 | 2017-12-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-10-20 | 2017-12-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-10-20 | 2017-12-08 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-10-20 | 2017-12-04 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2017-10-20 | 2017-12-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-20 | 2017-12-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-10-20 | 2017-11-10 | N |
