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Deficiency Records for New Lebanon Rehabilitation and Healthcare Center
View the most recent health deficiencies and inspection results for New Lebanon Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for New Lebanon Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have an alternate power supply for its alarm system. | Fire Safety | 2025-09-30 | 2025-11-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-09-30 | 2025-11-26 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-09-30 | 2025-11-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-30 | 2025-11-26 | Y |
| 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 | 2025-09-30 | 2025-11-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-30 | 2025-11-26 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-09-30 | 2025-11-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-30 | 2025-11-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-09-30 | 2025-11-26 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-09-30 | 2025-11-26 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2025-09-30 | 2025-11-26 | Y |
| Have policies on smoking. | Health | 2025-09-30 | 2025-11-26 | N |
| Provide activities to meet all resident's needs. | Health | 2025-09-30 | 2025-11-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-30 | 2025-11-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-09-30 | 2025-11-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-09-30 | 2025-11-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-31 | 2025-01-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-09-18 | 2024-10-25 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-09-18 | 2024-10-25 | N |
| Respond appropriately to all alleged violations. | Health | 2024-09-18 | 2024-10-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-18 | 2024-10-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-18 | 2024-10-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-18 | 2024-10-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-18 | 2024-10-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-18 | 2024-10-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-18 | 2024-10-25 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-18 | 2024-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-18 | 2024-10-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-09-18 | 2024-10-25 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-09-18 | 2024-10-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-18 | 2024-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-09 | 2024-10-25 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2024-09-18 | 2024-10-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-18 | 2024-10-25 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-09-18 | 2024-10-25 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-09-18 | 2024-10-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-18 | 2024-10-25 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2024-09-18 | 2024-10-25 | 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 (including nights and weekends) and emergencies. | Health | 2024-09-18 | 2024-10-25 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-09-18 | 2024-10-25 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-09-18 | 2024-10-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-18 | 2024-10-25 | Y |
| Provide or obtain dental services for each resident. | Health | 2024-09-18 | 2024-10-25 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-09-18 | 2024-10-25 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-09-18 | 2024-10-25 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-09-18 | 2024-10-25 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-09-18 | 2024-10-25 | 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 | 2024-09-18 | 2024-10-25 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-09-18 | 2024-10-25 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-09-18 | 2024-10-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-10-09 | 2024-10-25 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-09 | 2024-10-25 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-09-18 | 2024-10-25 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-09-18 | 2024-10-17 | N |
| Post nurse staffing information every day. | Health | 2024-09-18 | 2024-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-11 | 2024-07-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-02 | 2024-07-27 | 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 | 2024-02-28 | 2024-03-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-17 | 2024-01-31 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-10-13 | 2022-11-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-10-13 | 2022-11-23 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2022-10-13 | 2022-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-13 | 2022-11-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-13 | 2022-11-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-13 | 2022-11-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-13 | 2022-11-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-13 | 2022-11-23 | 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 | 2022-10-13 | 2022-11-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-13 | 2022-11-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-13 | 2022-11-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-13 | 2022-11-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-10-13 | 2022-11-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-13 | 2022-11-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-10-13 | 2022-11-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-10-13 | 2022-11-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-13 | 2022-11-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-10-13 | 2022-11-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-13 | 2022-11-23 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-10-13 | 2022-11-23 | N |