A list of the most recent deficiencies for Andrus On Hudson. 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? |
|---|---|---|---|---|
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-05-26 | 2023-07-15 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-17 | 2023-06-07 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-03-17 | 2023-06-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-17 | 2023-05-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-17 | 2023-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-17 | 2023-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-17 | 2023-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-17 | 2023-05-15 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-03-17 | 2023-05-15 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-17 | 2023-05-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-03-17 | 2023-05-15 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2023-03-17 | 2023-05-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-17 | 2023-05-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-17 | 2023-05-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-03-17 | 2023-05-15 | 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 | 2023-03-17 | 2023-05-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-17 | 2023-05-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-17 | 2023-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-17 | 2023-05-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-17 | 2023-05-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-17 | 2023-05-15 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-03-17 | 2023-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-17 | 2023-05-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-17 | 2023-05-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-29 | 2022-10-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-29 | 2022-10-28 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-09-30 | 2021-11-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-28 | 2021-08-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-28 | 2021-08-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-26 | 2021-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-02 | 2021-04-26 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-07-29 | 2019-09-26 | 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 | 2019-07-29 | 2019-09-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-29 | 2019-09-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-29 | 2019-09-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-29 | 2019-09-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-07-29 | 2019-09-26 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-07-26 | 2019-08-19 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-07-26 | 2019-08-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-26 | 2019-08-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-26 | 2019-08-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-26 | 2019-08-19 | N |
| Provide or obtain dental services for each resident. | Health | 2019-07-26 | 2019-08-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-26 | 2019-08-19 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-09-28 | 2017-11-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-09-28 | 2017-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-28 | 2017-11-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-09-28 | 2017-11-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-28 | 2017-10-05 | N |
