Seneca Nursing & Rehabilitation Center, LLC

Inspection Report
Report Period: July 2010 to June 2014

PFI: 0863
Regional Office: WRO--Rochester Area 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 Deficiencies1723
Life Safety Code Deficiencies310
Total Deficiencies2033
Deficiencies Related to Actual Harm or Immediate Jeopardy01
% of Deficiencies Related to Actual Harm or Immediate Jeopardy0%4%

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.
 

May 16, 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
ENVIRONMENT IS SAFE/FUNCTIONAL/SANITARY/COMFORTABLE View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of caren/a
FACILITY IS FREE OF ACCIDENT HAZARDS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of caren/a
POLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of caren/a
ACCOMMODATION OF NEEDS AND PREFERENCES View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of caren/a
DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of caren/a
NOT EMPLOY PERSONS GUILTY OF ABUSE View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of caren/a
PROPER LABELING OF DRUGS AND BIOLOGICALS View details of this deficiencyPotential for no more than Minimal HarmPatternNot substandard quality of caren/a
SELF-DETERMINATION - RESIDENT MAKES CHOICES View details of this deficiencyPotential for no more than Minimal HarmPatternNot substandard quality of caren/a

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 caren/a

April 22, 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 ESTABLISHES INFECTION CONTROL PROGRAM View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMay 5, 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
EMERGENCY PLAN View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMay 22, 2013

March 16, 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
FACILITY ESTABLISHES INFECTION CONTROL PROGRAM View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careApril 4, 2012
FACILITY IS FREE OF ACCIDENT HAZARDS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careApril 12, 2012
PROPER LABELING OF DRUGS AND BIOLOGICALS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careApril 11, 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
MEDICAL GAS SYSTEM View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 16, 2012

February 25, 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
FACILITY ESTABLISHES INFECTION CONTROL PROGRAM View details of this deficiencyPotential for more than Minimal HarmWidespreadNot substandard quality of careMarch 31, 2011
FACILITY IS FREE OF ACCIDENT HAZARDS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMarch 1, 2011
SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMarch 31, 2011
SERVICES PROVIDED MEET PROFESSIONAL STANDARDS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMarch 31, 2011
HOUSEKEEPING AND MAINTENANCE SERVICES View details of this deficiencyPotential for no more than Minimal HarmPatternNot substandard quality of careMarch 15, 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.