St Johnsville Rehabilitation and Nursing Center

Based on observation, staff interview and record review, it was determined that the facility did not dispose of garbage and refuse properly, during the standard recertification survey. Specifically, 3 of 3 dumpsters were not kept closed and were not located on hard level surfaces. Birds were noted flying out of one dumpster. This resulted in no actual harm with the potential for minimal harm. This wass evidenced as follows;

Record review of the information sign on the facility's dumpsters on 05/17/2010 identified that the dumpsters were to be placed on a hard, level surface.

Observation 05/17/2010 at 1:20 pm revealed that the facility's three refuse dumpsters were not closed and not placed on hard, level surfaces. Further, at this time a staff person was observed placing refuse into the left-most dumpster while a bird was flying out; the staff person did not subsequently close the dumpster.

The Director of Environmental Services stated in an interview on 05/17/2010 at 2:07 pm that staff do not always keep the dumpsters closed as required.

10NYCRR 415.14(h)

Based on observation and staff interview, it was determined that the facility did not comply with Title 10 of the New York State Code of Rules and Regulations. 10 NYCRR section 713-1.19(d)(2) requires that resident room night-lights be operable by a switch at the entrance to the room, during the standard recertification survey. Specifically, the night lights in the resident rooms on 3 of 3 nursing units remain on constantly and cannot be controlled with a switch in the resident's room. This resulted in the potential for minimal harm. This was evidenced as follows.

Observation on 05/18/2010 at 10:00 am revealed that the night lights in the A, B, and C nursing units were on and that a switch was not available in the resident room to turn the night light off.

The Director of Environmental Services stated in an interview on 05/17/2010 at 3:00 pm, that night lights in all resident rooms are on constantly and cannot be controlled with a switch in the resident's room.

Record review of the facility's electrical drawings on 05/17/2010 revealed that switches were not provided in the resident rooms to control the night lights.

10 NYCRR 713-1.19(d)(2)