Table of Contents
Lewis County General Hospital-Nursing Home Unit
Inspection Report, Updated April 2013
PFI: 0384
Regional Office: Central New York Regional Office
This report displays citations for the three most recent Certification Surveys, and citations for Complaint Surveys during the past three years.
Summary
This table summarizes the citations in the details section of this report and compares them against the statewide average.
| Measure | This Facility | Statewide Average |
|---|---|---|
| Standard Health Deficiencies | 11 | 18 |
| Life Safety Code Deficiencies | 3 | 7 |
| Total Deficiencies | 14 | 25 |
| Deficiencies Related to Actual Harm or Immediate Jeopardy | 0 | 1 |
| % of Deficiencies Related to Actual Harm or Immediate Jeopardy | 0% | 4% |
Details of Certification and Complaint Surveys
Key to understanding citations and surveys:
Potential for no more than Minimal Harm
Potential for more than Minimal Harm
Actual Harm
Immediate Jeopardy
Isolated
Pattern
Widespread
- Certification surveys are on-site inspections required every 9-15 months by the federal government.
- Complaint surveys are on-site inspections held as the result of a complaint. They are only shown here if they resulted in a citation.
November 8, 2012 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity  | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
FACILITY ESTABLISHES INFECTION CONTROL PROGRAM  | | |  | January 7, 2013 |
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | | | | January 7, 2013 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| MAIN SPRINKLER CONTROL | | | | January 7, 2013 |
| CORRIDOR DOORS | | | | January 7, 2013 |
| CORRIDOR WALLS | | | | January 7, 2013 |
November 10, 2011 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| FACILITY ESTABLISHES INFECTION CONTROL PROGRAM | | | | December 31, 2011 |
| FACILITY IS FREE OF ACCIDENT HAZARDS | | | | December 31, 2011 |
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | December 31, 2011 |
| RESIDENT GIVEN TREATMENT TO IMPROVE/MAINTAIN ADLS | | | | December 31, 2011 |
| RESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE | | | | December 31, 2011 |
Standard Life Safety Code Inspection
| No Deficiencies |
|---|
December 8, 2010 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| FACILITY ESTABLISHES INFECTION CONTROL PROGRAM | | | | January 30, 2011 |
| FACILITY IS FREE OF ACCIDENT HAZARDS | | | | January 30, 2011 |
Standard Life Safety Code Inspection
| No Deficiencies |
|---|
April 12, 2010 Complaint Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | October 11, 2010 |
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | | | | October 11, 2010 |
Note: If the latest survey included in this report is more than 12 months old, the Department of Health may have recently surveyed this nursing home or is currently inspecting this home.
If you have questions about the current quality of service delivery at the nursing home, you should contact the facility and request a copy of the latest survey inspection report. The facility is required to post the report in a public area of the nursing home. If you request the report and the nursing home refuses to provide it, please call the New York State Nursing Home Complaint hotline at 1-888-201-4563.