Table of Contents
Charles T Sitrin Health Care Center Inc
Inspection Report, Updated June 2013
PFI: 0620
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 | 22 | 18 |
| Life Safety Code Deficiencies | 5 | 7 |
| Total Deficiencies | 27 | 25 |
| Deficiencies Related to Actual Harm or Immediate Jeopardy | 5 | 1 |
| % of Deficiencies Related to Actual Harm or Immediate Jeopardy | 19% | 3% |
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.
August 29, 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 IS FREE OF ACCIDENT HAZARDS  | | |  | October 28, 2012 |
| SELF-DETERMINATION - RESIDENT MAKES CHOICES | | | | October 28, 2012 |
| DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | | | | October 28, 2012 |
| MEDICALLY RELATED SOCIAL SERVICES | | | | October 28, 2012 |
| PROPER LABELING OF DRUGS AND BIOLOGICALS | | | | October 28, 2012 |
| PROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES | | | | October 28, 2012 |
| REASONS FOR TRANSFER/DISCHARGE OF RESIDENT | | | | October 28, 2012 |
| RESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE | | | | October 28, 2012 |
| STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS | | | | October 28, 2012 |
| FACILITY HAS ADEQUATE OUTSIDE VENTILATION | | | | October 28, 2012 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| HAZARDOUS AREAS - SEPARATION | | | | October 28, 2012 |
| DOORS IN FIRE AND SMOKE PARTITIONS | | | | October 28, 2012 |
| FURNISHING AND DECORATIONS | | | | October 28, 2012 |
| MEDICAL GAS SYSTEM | | | | October 28, 2012 |
July 10, 2012 Complaint Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | | |  | August 21, 2012 |
| RESIDENTS' CARE SUPERVISED BY A PHYSICIAN | | | | August 21, 2012 |
June 9, 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 |
|---|---|---|---|---|
| ADLS DO NOT DECLINE UNLESS UNAVOIDABLE | | | | August 9, 2011 |
| FACILITY ESTABLISHES EQUAL ACCESS POLICIES | | | | August 9, 2011 |
| FACILITY ESTABLISHES INFECTION CONTROL PROGRAM | | | | August 9, 2011 |
| INFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC. | | | | August 9, 2011 |
| NOTICE OF BED-HOLD POLICY TO RESIDENT UPON TRANSFER | | | | August 9, 2011 |
Standard Life Safety Code Inspection
| No Deficiencies |
|---|
August 24, 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 IS FREE OF ACCIDENT HAZARDS | | | | November 8, 2010 |
| FACILITY ADMINISTERED EFFECTIVELY TO OBTAIN HIGHEST PRACTICABLE WELL BEING | | | | November 19, 2010 |
| FOOD IS PREPARED TO MEET INDIVIDUAL NEEDS | | | | November 19, 2010 |
| MENUS MEET NUTRITIONAL NEEDS/PREPARATION IN ADVANCE/FOLLOWED | | | | November 8, 2010 |
| ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | | | | November 8, 2010 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| WASTEBASKETS | | | | November 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.