Table of Contents
Tolstoy Foundation Rehabilitation and Nursing Center
Inspection Report, Updated April 2013
PFI: 0785
Regional Office: MARO--New Rochelle 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 | 15 | 18 |
| Life Safety Code Deficiencies | 9 | 7 |
| Total Deficiencies | 24 | 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.
August 24, 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  | | |  | October 20, 2012 |
| DIGNITY | | | | October 20, 2012 |
| POLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT | | | | October 20, 2012 |
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | | | | October 20, 2012 |
| SERVICES PROVIDED MEET PROFESSIONAL STANDARDS | | | | October 20, 2012 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| VENTILATING EQUIPMENT | | | | October 20, 2012 |
| COMMON WALL | | | | October 20, 2012 |
| FIRE DRILLS | | | | October 20, 2012 |
October 19, 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 |
|---|---|---|---|---|
| ACCURACY OF ASSESSMENTS/COORDINATED WITH PROFESSIONALS | | | | November 11, 2011 |
| DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN | | | | November 11, 2011 |
| DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | | | | November 11, 2011 |
| RESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST | | | | November 11, 2011 |
| RESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE | | | | November 11, 2011 |
| SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN | | | | November 11, 2011 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| SMOKE PARTITION CONSTRUCTION | | | | November 11, 2011 |
| HAZARDOUS AREAS - SEPARATION | | | | November 11, 2011 |
| VISION PANELS | | | | November 11, 2011 |
October 7, 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 |
|---|---|---|---|---|
| DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN | | | | October 21, 2010 |
| DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | | | | October 21, 2010 |
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | | | | October 21, 2010 |
| RESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST | | | | October 21, 2010 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| SMOKE DETECTOR MAINTENANCE | | | | October 21, 2010 |
| VENTILATING EQUIPMENT | | | | October 21, 2010 |
| MEDICAL GAS SYSTEM | | | | October 21, 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.