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Deficiency Records for New York State Veterans Home at Montrose

A list of the most recent deficiencies for New York State Veterans Home at Montrose. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for New York State Veterans Home at Montrose. 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?
Install proper backup exit lighting. Fire Safety 2023-08-24 2023-10-13 N
Develop a communication plan. Fire Safety 2023-08-24 2023-09-22 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-24 2023-09-22 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-08-24 2023-09-20 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 2023-08-24 2023-09-19 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-07-27 2023-09-12 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 2023-07-27 2023-09-12 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2023-07-27 2023-09-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-07-27 2023-09-12 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2023-07-27 2023-09-12 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-07-27 2023-09-12 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-07-27 2023-09-12 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-07-27 2023-09-12 Y
Install corridor and hallway doors that block smoke. Fire Safety 2019-06-22 2019-08-18 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2019-06-22 2019-08-18 N
Have proper power supply for life support equipment. Fire Safety 2019-06-22 2019-08-18 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-06-22 2019-08-18 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-06-22 2019-08-15 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2019-06-22 2019-08-15 N
Address subsistence needs for staff and patients. Fire Safety 2018-07-13 2018-09-14 N
Conduct testing and exercise requirements. Fire Safety 2018-07-13 2018-09-14 N
Have exits that are accessible at all times. Fire Safety 2018-07-13 2018-09-14 N
Install proper backup exit lighting. Fire Safety 2018-07-13 2018-09-14 N
Install an approved automatic sprinkler system. Fire Safety 2018-07-13 2018-09-14 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-07-13 2018-09-14 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 2018-07-13 2018-09-12 N

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