Table of Contents
The Dutch Manor Nursing and Rehabilitation Centre
Inspection Report, Updated April 2013
PFI: 0850
Regional Office: Capital District 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 | 18 | 18 |
| Life Safety Code Deficiencies | 4 | 7 |
| Total Deficiencies | 22 | 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 3, 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 |
|---|---|---|---|---|
REQUIREMENTS FOR MAINTAINING CLINICAL RECORDS  | | |  | October 29, 2012 |
September 13, 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 |
|---|---|---|---|---|
| SERVICES PROVIDED MEET PROFESSIONAL STANDARDS | | | | October 29, 2012 |
June 28, 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 | | | | August 24, 2012 |
| CRIMINAL HISTORY RECORD CHECK GENERAL REQUIREMENTS SUPERVISION OF TEMPORARY EMPLOYEES IN A NH | | | | August 24, 2012 |
| DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | | | | August 24, 2012 |
| INFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC. | | | | August 24, 2012 |
| POLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT | | | | August 24, 2012 |
| INFECTION CONTROL | | | | August 24, 2012 |
| NURSE STAFFING | | | | August 24, 2012 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| FIRE DRILLS | | | | August 24, 2012 |
| CORRIDOR WALLS | | | | August 24, 2012 |
March 12, 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 PROVIDES DRUGS AND BIOLOGICALS | | | | April 3, 2012 |
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | April 3, 2012 |
February 3, 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 |
|---|---|---|---|---|
| POLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT | | | | March 30, 2012 |
July 28, 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 |
|---|---|---|---|---|
| PASARR REQUIREMENTS FOR MI AND MR | | | | August 31, 2011 |
| SERVICES PROVIDED MEET PROFESSIONAL STANDARDS | | | | August 31, 2011 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| SMOKE PARTITION CONSTRUCTION | | | | August 31, 2011 |
| TESTING OF FIRE ALARM | | | | August 31, 2011 |
September 23, 2010 Complaint Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| DIETARY SERVICES | | | | September 30, 2010 |
July 20, 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 |
|---|---|---|---|---|
| SERVICES PROVIDED MEET PROFESSIONAL STANDARDS | | | | September 1, 2010 |
| MEDICATION ERROR RATES OF 5% OR MORE | | | | September 1, 2010 |
| SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN | | | | September 1, 2010 |
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.