Deficiency Records for New York State Veterans Home at Montrose
Updated as of March 01, 2024
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 |
