Table of Contents
Van Duyn Home and Hospital
Inspection Report, Updated June 2013
PFI: 0650
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 | 42 | 18 |
| Life Safety Code Deficiencies | 5 | 7 |
| Total Deficiencies | 47 | 25 |
| Deficiencies Related to Actual Harm or Immediate Jeopardy | 9 | 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.
March 15, 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  | | |  | May 14, 2013 |
| DIGNITY | | | | May 14, 2013 |
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | May 14, 2013 |
| POLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT | | | | May 14, 2013 |
| SUFFICIENT NURSING STAFF ON A 24-HOUR BASIS | | | | May 14, 2013 |
| FACILITY IS FREE OF ACCIDENT HAZARDS | | | | May 14, 2013 |
| INFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC. | | | | May 14, 2013 |
| PROPER CARE & SERVICES FOR RESIDENT W/ NASO-GASTRIC TUBE | | | | May 14, 2013 |
| PROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES | | | | May 14, 2013 |
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | | | | May 14, 2013 |
| PROVIDES SPECIAL EATING EQUIPMENT/UTENSILS | | | | May 14, 2013 |
| RESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE | | | | May 14, 2013 |
| SUBSTITUTES OFFERED OF SIMILAR NUTRITIVE VALUE | | | | May 14, 2013 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| MAIN SPRINKLER CONTROL | | | | May 14, 2013 |
December 5, 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 |
|---|---|---|---|---|
| FACILITY IS FREE OF ACCIDENT HAZARDS | | | | January 25, 2013 |
September 17, 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 |
|---|---|---|---|---|
| ACTIVITY PROGRAM MEETS INDIVIDUAL NEEDS | | | | November 16, 2012 |
| ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | | | | November 16, 2012 |
| CRIMINAL HISTORY RECORD CHECK NOT PERFORMED PROVIDER SHALL SUBMIT REQUEST FOR CHECK | | | | November 16, 2012 |
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | November 16, 2012 |
| PROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES | | | | November 16, 2012 |
| RESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE | | | | November 16, 2012 |
| STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS | | | | November 16, 2012 |
| HOUSEKEEPING AND MAINTENANCE SERVICES | | | | November 16, 2012 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| MAIN SPRINKLER CONTROL | | | | November 16, 2012 |
| CORRIDOR WALLS | | | | November 16, 2012 |
| MEDICAL GAS SYSTEM | | | | November 16, 2012 |
| DOORS IN FIRE AND SMOKE PARTITIONS | | | | November 16, 2012 |
March 6, 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 |
|---|---|---|---|---|
| ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | | | | April 30, 2012 |
| FACILITY ESTABLISHES INFECTION CONTROL PROGRAM | | | | April 30, 2012 |
| FACILITY IS FREE OF ACCIDENT HAZARDS | | | | April 30, 2012 |
| ACCOMMODATION OF NEEDS AND PREFERENCES | | | | April 30, 2012 |
| DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN | | | | April 30, 2012 |
| FOOD PROPERLY PREPARED, PALATABLE, ETC. | | | | April 30, 2012 |
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | April 30, 2012 |
| PROPER TREATMENT/CARE FOR SPECIAL CARE NEEDS | | | | April 30, 2012 |
| RANGE OF MOTION TREATMENT AND SERVICES | | | | April 30, 2012 |
Standard Life Safety Code Inspection
| No Deficiencies |
|---|
October 3, 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 |
|---|---|---|---|---|
| FACILITY IS FREE OF ACCIDENT HAZARDS | | |  | December 5, 2011 |
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | December 5, 2011 |
| FACILITY ADMINISTERED EFFECTIVELY TO OBTAIN HIGHEST PRACTICABLE WELL BEING | | | | December 5, 2011 |
| RESPONSIBILITIES OF MEDICAL DIRECTOR | | | | December 5, 2011 |
June 21, 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 |
|---|---|---|---|---|
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | | | | July 26, 2011 |
April 18, 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 |
|---|---|---|---|---|
| FACILITY IS FREE OF ACCIDENT HAZARDS | | | | May 21, 2011 |
| FACILITY ADMINISTERED EFFECTIVELY TO OBTAIN HIGHEST PRACTICABLE WELL BEING | | | | May 21, 2011 |
| REASONS FOR TRANSFER/DISCHARGE OF RESIDENT | | | | May 21, 2011 |
| REQUIREMENTS FOR POST-DISCHARGE PLAN OF CARE | | | | May 21, 2011 |
| PROPER NOTICE BEFORE TRANSFER/DISCHARGE OF RESIDENT | | | | May 21, 2011 |
February 15, 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 |
|---|---|---|---|---|
| MAINTAINS EFFECTIVE PEST CONTROL PROGRAM | | | | April 16, 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.