Table of Contents
Degraff Memorial Hospital-Skilled Nursing Facility
Inspection Report, Updated April 2013
PFI: 0582
Regional Office: WRO--Buffalo 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 | 24 | 18 |
| Life Safety Code Deficiencies | 10 | 7 |
| Total Deficiencies | 34 | 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.
October 12, 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 |
|---|---|---|---|---|
STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS  | | |  | December 10, 2012 |
| DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | | | | December 10, 2012 |
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | December 10, 2012 |
| PROPER LABELING OF DRUGS AND BIOLOGICALS | | | | December 10, 2012 |
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | | | | December 10, 2012 |
| RESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST | | | | December 10, 2012 |
| SELF-DETERMINATION - RESIDENT MAKES CHOICES | | | | December 10, 2012 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| CONSTRUCTION TYPE | | | | December 10, 2012 |
| CORRIDOR WALLS | | | | December 10, 2012 |
| EMERGENCY PLAN | | | | December 10, 2012 |
| MEDICAL GAS SYSTEM | | | | December 10, 2012 |
October 25, 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 |
|---|---|---|---|---|
| CLINICAL RECORDS MEET PROFESSIONAL STANDARDS | | | | December 19, 2011 |
| SERVICES PROVIDED MEET PROFESSIONAL STANDARDS | | | | December 19, 2011 |
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | December 19, 2011 |
| PASARR REQUIREMENTS FOR MI AND MR | | | | December 19, 2011 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| EMERGENCY PLAN | | | | December 19, 2011 |
| MEDICAL GAS SYSTEM | | | | December 19, 2011 |
October 5, 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 | | | | November 20, 2010 |
| PROPER LABELING OF DRUGS AND BIOLOGICALS | | | | November 20, 2010 |
| SERVICES PROVIDED MEET PROFESSIONAL STANDARDS | | | | November 30, 2010 |
| ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | | | | November 20, 2010 |
| DEVELOP COMPREHENSIVE CARE PLANS | | | | November 20, 2010 |
| DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN | | | | November 20, 2010 |
| FACILITY IS FREE OF ACCIDENT HAZARDS | | | | November 20, 2010 |
| PROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES | | | | November 20, 2010 |
| RESIDENT GIVEN TREATMENT TO IMPROVE/MAINTAIN ADLS | | | | November 20, 2010 |
| RESIDENT NOT CATHETERIZED UNLESS UNAVOIDABLE | | | | November 20, 2010 |
| FACILITY MANAGEMENT OF RESIDENT FUNDS | | | | November 20, 2010 |
| RESIDENT CAN SEND/RECEIVE UNOPENED MAIL | | | | November 20, 2010 |
| RESIDENT RECEIVES NOTICE BEFORE ROOM/ROOMMATE CHANGE | | | | November 20, 2010 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| DOORS IN FIRE AND SMOKE PARTITIONS | | | | November 20, 2010 |
| EMERGENCY PLAN | | | | November 20, 2010 |
| PIPED-IN OXYGEN SYSTEM | | | | November 20, 2010 |
| SMOKE PARTITION CONSTRUCTION | | | | November 20, 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.