Table of Contents
The Brightonian, Inc
Inspection Report, Updated April 2013
PFI: 0463
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.
| Measure | This Facility | Statewide Average |
|---|---|---|
| Standard Health Deficiencies | 30 | 18 |
| Life Safety Code Deficiencies | 11 | 7 |
| Total Deficiencies | 41 | 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.
January 30, 2013 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity  | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
ADL CARE PROVIDED FOR DEPENDENT RESIDENTS  | | |  | March 15, 2013 |
| DIGNITY | | | | March 15, 2013 |
| SUFFICIENT NURSING STAFF ON A 24-HOUR BASIS | | | | March 15, 2013 |
| ASSESSMENT AFTER A SIGNIFICANT CHANGE | | | | March 15, 2013 |
| FACILITY PROVIDES SUFFICIENT FLUID INTAKE | | | | March 15, 2013 |
| HOUSEKEEPING AND MAINTENANCE SERVICES | | | | March 15, 2013 |
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | March 15, 2013 |
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | | | | March 15, 2013 |
| RESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE | | | | March 15, 2013 |
| CLINICAL RECORDS MEET PROFESSIONAL STANDARDS | | | | March 15, 2013 |
| COMPLIANCE WITH FEDERAL/STATE/LOCAL LAWS/PROFESSIONAL STANDARDS | | | | February 27, 2013 |
| COMPREHENSIVE ASSESSMENTS | | | | February 27, 2013 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| AUTOMATIC SPRINKLER SYSTEM | | | | February 28, 2013 |
March 9, 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 |
|---|---|---|---|---|
| FOOD IS PREPARED TO MEET INDIVIDUAL NEEDS | | | | April 16, 2012 |
| FOOD PROPERLY PREPARED, PALATABLE, ETC. | | | | April 16, 2012 |
| PROPER LABELING OF DRUGS AND BIOLOGICALS | | | | April 16, 2012 |
| STANDARDS OF CONSTRUCTION FOR NEW NURSING HOME | | | | May 9, 2012 |
| ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | | | | April 16, 2012 |
| APPROPRIATE TREATMENT FOR MENTAL/PSYCHOSOCIAL DIFFICULTIES | | | | April 16, 2012 |
| DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN | | | | April 16, 2012 |
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | April 16, 2012 |
| SERVICES PROVIDED MEET PROFESSIONAL STANDARDS | | | | April 16, 2012 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| AUTOMATIC SPRINKLER SYSTEM | | | | April 17, 2012 |
| CORRIDOR DOORS | | | | April 16, 2012 |
| EXIT ACCESS | | | | May 4, 2012 |
September 27, 2011 Complaint Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| SERVICES PROVIDED MEET PROFESSIONAL STANDARDS | | | | September 28, 2011 |
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | November 9, 2011 |
January 6, 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 IS FREE OF ACCIDENT HAZARDS | | | | February 15, 2011 |
| FACILITY ESTABLISHES INFECTION CONTROL PROGRAM | | | | February 15, 2011 |
| INFLUENZA AND PNEUMOCOCCAL IMMUNIZATION | | | | February 15, 2011 |
| SERVICES PROVIDED MEET PROFESSIONAL STANDARDS | | | | February 15, 2011 |
| STANDARDS OF CONSTRUCTION FOR NEW NURSING HOME | | | | February 17, 2011 |
| GENERAL SAFETY STANDARDS OF EXISTING NURSING HOME | | | | February 17, 2011 |
| INFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC. | | | | February 18, 2011 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| AUTOMATIC SPRINKLER SYSTEM | | | | February 17, 2011 |
| CONSTRUCTION TYPE | | | | February 25, 2011 |
| CORRIDOR DOORS | | | | February 15, 2011 |
| ENCLOSURE DOORS | | | | March 4, 2011 |
| EXIT SIGNS | | | | March 28, 2011 |
| HAZARDOUS AREAS - SEPARATION | | | | March 31, 2011 |
| SMOKE PARTITION CONSTRUCTION | | | | March 15, 2011 |
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.