Monroe Community Hospital

Inspection Report, Updated April 2013

PFI: 0440
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 Deficiencies1418
Life Safety Code Deficiencies167
Total Deficiencies3025
Deficiencies Related to Actual Harm or Immediate Jeopardy01
% of Deficiencies Related to Actual Harm or Immediate Jeopardy0%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.
 

July 2, 2012 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
ADL CARE PROVIDED FOR DEPENDENT RESIDENTS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careSeptember 1, 2012

February 29, 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
PROPER LABELING OF DRUGS AND BIOLOGICALS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 23, 2012
FACILITY IS FREE OF ACCIDENT HAZARDS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMarch 22, 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
EXIT LIGHTING View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careApril 2, 2012
SMOKE PARTITION CONSTRUCTION View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 16, 2012
SMOKING REGULATIONS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 30, 2012
STAIRWAY ENCLOSURES AND VERTICAL SHAFTS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 26, 2012
ENCLOSURE DOORS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careApril 27, 2012

August 2, 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 HarmIsolatedNot substandard quality of careAugust 15, 2011
RESIDENTS RIGHT TO BE FREE FROM ABUSE View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careAugust 15, 2011

January 21, 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 IS FREE OF ACCIDENT HAZARDS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 1, 2011
DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMarch 1, 2011
ESSENTIAL EQUIPMENT IN SAFE OPERATING CONDITION View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMarch 4, 2011
NOT EMPLOY PERSONS GUILTY OF ABUSE View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMarch 1, 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
CORRIDOR WALLS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careFebruary 28, 2011
DOORS IN SMOKE PARTITIONS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careFebruary 28, 2011
EVACUATION PLAN View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careFebruary 28, 2011
EXIT ACCESS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 3, 2011
EXIT PARTITIONS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careFebruary 28, 2011
SMOKE PARTITION CONSTRUCTION View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careFebruary 28, 2011
SPRINKLER SYSTEM MAINTENANCE View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 17, 2011
FIRE DRILLS View details of this deficiencyPotential for no more than Minimal HarmWidespreadNot substandard quality of careFebruary 10, 2011

November 13, 2009 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 deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careDecember 20, 2009
FACILITY ESTABLISHES INFECTION CONTROL PROGRAM View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careDecember 20, 2009
HOUSEKEEPING AND MAINTENANCE SERVICES View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careDecember 11, 2009
INFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC. View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careDecember 31, 2009
PERSONAL PRIVACY/CONFIDENTIALITY OF RECORDS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careNovember 20, 2009

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
CORRIDOR DOORS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careNovember 30, 2009
EMERGENCY LIGHTING View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careNovember 13, 2009
SPRINKLER SYSTEM MAINTENANCE View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careJanuary 8, 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.