Deficiency Records for The Center For Nursing and Rehab at Hoosick Falls
Updated as of April 01, 2024
A list of the most recent deficiencies for The Center For Nursing and Rehab at Hoosick Falls. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-13 | 2023-04-28 | Y |
| 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 | 2022-08-30 | 2022-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-30 | 2022-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-30 | 2022-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-30 | 2022-10-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-30 | 2022-10-28 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-08-30 | 2022-10-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-30 | 2022-10-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-30 | 2022-10-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-05 | 2021-11-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-05 | 2021-11-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-05 | 2021-11-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-20 | 2020-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-20 | 2020-04-10 | N |
| Dispose of garbage and refuse properly. | Health | 2020-02-20 | 2020-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-20 | 2020-04-10 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2020-02-20 | 2020-04-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-02-24 | 2020-04-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-24 | 2020-04-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-02-24 | 2020-04-10 | 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 | 2020-02-24 | 2020-04-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-24 | 2020-04-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-24 | 2020-04-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-24 | 2020-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-24 | 2020-04-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-02-24 | 2020-04-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-15 | 2019-04-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-15 | 2019-04-16 | 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 | 2019-02-15 | 2019-04-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-02-15 | 2019-04-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-15 | 2019-04-16 | N |
| Provide activities to meet all resident's needs. | Health | 2019-02-15 | 2019-04-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-15 | 2019-04-16 | 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 | 2019-02-15 | 2019-04-16 | 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 | 2019-02-15 | 2019-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-15 | 2019-04-16 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-02-15 | 2019-04-16 | 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 | 2019-02-15 | 2019-04-16 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-02-15 | 2019-04-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-02-15 | 2019-04-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-15 | 2019-04-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-02-15 | 2019-04-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-15 | 2019-04-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-02-15 | 2019-04-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-15 | 2019-04-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-15 | 2019-04-16 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-02-15 | 2019-04-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-15 | 2019-04-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-02-15 | 2019-04-16 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-02-15 | 2019-04-16 | N |
