The Shore Winds, LLC

Inspection Report, Updated April 2013

PFI: 0437
Regional Office: WRO--Rochester Area 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.

MeasureThis FacilityStatewide Average
Standard Health Deficiencies2818
Life Safety Code Deficiencies317
Total Deficiencies5925
Deficiencies Related to Actual Harm or Immediate Jeopardy21
% of Deficiencies Related to Actual Harm or Immediate Jeopardy3%4%

Details of Certification and Complaint Surveys

Key to understanding citations and surveys:

  • Potential for no more than Minimal Harm
    Potential for no more than Minimal Harm
  • Potential for more than Minimal Harm
    Potential for more than Minimal Harm
  • Actual Harm
    Actual Harm
  • Immediate Jeopardy
    Immediate Jeopardy
  • Isolated
    Isolated
  • Pattern
    Pattern
  • Widespread
    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.
 

January 8, 2013 Certification Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
ORGANIZATION AND ADMINISTRATION View details of this deficiencyPotential for more than Minimal HarmWidespreadNot substandard quality of caren/a
ACTIVITY PROGRAM MEETS INDIVIDUAL NEEDS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of caren/a
CORRIDORS HAVE FIRMLY SECURED HANDRAILS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of caren/a
ADL CARE PROVIDED FOR DEPENDENT RESIDENTS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of caren/a
DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of caren/a
FACILITY ESTABLISHES INFECTION CONTROL PROGRAM View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of caren/a
INFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC. View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of caren/a
NOT EMPLOY PERSONS GUILTY OF ABUSE View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of caren/a
PERSONAL PRIVACY/CONFIDENTIALITY OF RECORDS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of caren/a
PROPER LABELING OF DRUGS AND BIOLOGICALS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of caren/a
RIGHT TO REFUSE TREATMENT/RESEARCH; FORM ADVANCE DIRECTIVES View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of caren/a
HOUSEKEEPING AND MAINTENANCE SERVICES View details of this deficiencyPotential for no more than Minimal HarmPatternNot substandard quality of caren/a

Standard Life Safety Code Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
CONSTRUCTION TYPE View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of caren/a
CORRIDOR DOORS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of caren/a
EXIT ACCESS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of caren/a
EXIT LIGHTING View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of caren/a
GENERATORS INSPECTED/TESTED View details of this deficiencyPotential for no more than Minimal HarmWidespreadNot substandard quality of caren/a

February 8, 2012 Certification Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
FACILITY IS FREE OF ACCIDENT HAZARDS View details of this deficiencyImmediate JeopardyPatternSubstandard quality of careMarch 7, 2012
PROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES View details of this deficiencyActual HarmIsolatedNot substandard quality of careMarch 7, 2012
CORRIDORS HAVE FIRMLY SECURED HANDRAILS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMarch 10, 2012
DEVELOP COMPREHENSIVE CARE PLANS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careFebruary 28, 2012
FACILITY ESTABLISHES INFECTION CONTROL PROGRAM View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMarch 7, 2012
NOT EMPLOY PERSONS GUILTY OF ABUSE View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMarch 7, 2012
PROPER LABELING OF DRUGS AND BIOLOGICALS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMarch 7, 2012
PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMarch 7, 2012

Standard Life Safety Code Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
TESTING OF FIRE ALARM View details of this deficiencyPotential for more than Minimal HarmWidespreadNot substandard quality of careMarch 15, 2012
CORRIDOR DOORS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 15, 2012
CORRIDOR WALLS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 12, 2012
EMERGENCY PLAN View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 6, 2012
EXIT LIGHTING View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 6, 2012
EXIT PARTITIONS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 15, 2012
FIRE DRILLS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 15, 2012
FURNISHING AND DECORATIONS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 15, 2012
SMOKE PARTITION CONSTRUCTION View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 12, 2012
STAIRWAY ENCLOSURES AND VERTICAL SHAFTS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 15, 2012
VENTILATING EQUIPMENT View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 14, 2012
PORTABLE FIRE EXTINGUISHERS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMarch 2, 2012

April 7, 2011 Certification Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
FACILITY ESTABLISHES INFECTION CONTROL PROGRAM View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careApril 19, 2011
FACILITY IS FREE OF ACCIDENT HAZARDS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careApril 28, 2011
PROPER LABELING OF DRUGS AND BIOLOGICALS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careApril 12, 2011
RESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careApril 19, 2011
SERVICES PROVIDED MEET PROFESSIONAL STANDARDS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careApril 8, 2011
CRIMINAL HISTORY RECORD CHECK REQUIRED NOTIFICATION POLICIES & PROCEDURES REQUIRED View details of this deficiencyPotential for no more than Minimal HarmWidespreadNot substandard quality of careApril 8, 2011

Standard Life Safety Code Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
CONSTRUCTION TYPE View details of this deficiencyPotential for more than Minimal HarmWidespreadNot substandard quality of careJune 15, 2011
CORRIDOR DOORS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMay 20, 2011
CORRIDOR WALLS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careJune 13, 2011
EMERGENCY PLAN View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careJune 15, 2011
EXIT ACCESS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMay 25, 2011
EXIT PARTITIONS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMay 17, 2011
FURNISHING AND DECORATIONS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careJune 3, 2011
HAZARDOUS AREAS - SEPARATION View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMay 17, 2011
MEDICAL GAS SYSTEM View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careJune 3, 2011
NO SMOKING SIGNS WHERE OXYGEN USED View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careJune 3, 2011
PORTABLE FIRE EXTINGUISHERS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMay 17, 2011
STAIRS AND SMOKE PROOF TOWERS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMay 26, 2011
TESTING OF FIRE ALARM View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMay 17, 2011
COMBUSTIBLE CURTAINS View details of this deficiencyPotential for no more than Minimal HarmPatternNot substandard quality of careMay 17, 2011

March 29, 2011 Complaint Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
FACILITY IS FREE OF ACCIDENT HAZARDS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careApril 22, 2011

May 17, 2010 Complaint Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
NOT EMPLOY PERSONS GUILTY OF ABUSE View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careJune 4, 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.