Eastern Star Home & Infirmary

Inspection Report
Report Period: October 2010 to September 2014

PFI: 0624
Regional Office: Central New York Regional Office

This report displays citations for Certification Surveys and Complaint Surveys during the reporting period.

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 Deficiencies1423
Life Safety Code Deficiencies611
Total Deficiencies2034
Deficiencies Related to Actual Harm or Immediate Jeopardy01
% of Deficiencies Related to Actual Harm or Immediate Jeopardy0%3%

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.
 

June 5, 2014 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
STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careJuly 25, 2014
FACILITY ESTABLISHES INFECTION CONTROL PROGRAM View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careJuly 6, 2014
NOT EMPLOY PERSONS GUILTY OF ABUSE View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careJuly 31, 2014
PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careJuly 31, 2014

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
AUTOMATIC SPRINKLER SYSTEM View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careJuly 10, 2014

May 15, 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
FACILITY IS FREE OF ACCIDENT HAZARDS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careJuly 14, 2013
LAB SERVICES ONLY WHEN ORDERED BY PHYSICIAN View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careJuly 14, 2013
SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careJuly 14, 2013

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
DOORS IN SMOKE PARTITIONS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careJuly 14, 2013

May 3, 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
RESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careJuly 2, 2012
SERVICES PROVIDED MEET PROFESSIONAL STANDARDS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careJune 29, 2012
NURSE STAFFING View details of this deficiencyPotential for no more than Minimal HarmWidespreadNot substandard quality of careJune 29, 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
COOKING EQUIPMENT View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careJune 24, 2012
FIRE DRILLS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careJune 1, 2012
SMOKE PARTITION CONSTRUCTION View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careJuly 2, 2012
STAIRWAY ENCLOSURES AND VERTICAL SHAFTS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careJuly 2, 2012

April 28, 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
SAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careJune 26, 2011
DEPARTMENT CRIMINAL HISTORY REVIEW DOH PROPOSED DISAPPROVAL/DIRECT CARE PROHIBITED View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careJune 26, 2011
INFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC. View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careJune 26, 2011
SERVICES PROVIDED MEET PROFESSIONAL STANDARDS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careJune 26, 2011

Standard Life Safety Code Inspection

No Deficiencies

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.