Table of Contents
Momentum at South Bay for Rehabilitation and Nursing
Inspection Report, Updated June 2013
PFI: 0934
Regional Office: MARO--Long Island sub-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 | 23 | 18 |
| Life Safety Code Deficiencies | 8 | 7 |
| Total Deficiencies | 31 | 25 |
| Deficiencies Related to Actual Harm or Immediate Jeopardy | 1 | 1 |
| % of Deficiencies Related to Actual Harm or Immediate Jeopardy | 3% | 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.
May 29, 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 |
|---|---|---|---|---|
RESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS  | | |  | August 3, 2012 |
| DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | | | | August 3, 2012 |
| PHYSICAL ENVIRONMENT | | | | August 3, 2012 |
| PHYSICIAN RESPONSIBILITIES DURING VISITS | | | | August 18, 2012 |
| STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS | | | | August 3, 2012 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| DOORS IN FIRE AND SMOKE PARTITIONS | | | | July 27, 2012 |
June 20, 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 | | | | August 10, 2011 |
| DEVELOP COMPREHENSIVE CARE PLANS | | | | August 10, 2011 |
| DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | | | | August 10, 2011 |
| FACILITY ESTABLISHES INFECTION CONTROL PROGRAM | | | | August 10, 2011 |
| FACILITY IS FREE OF ACCIDENT HAZARDS | | | | August 10, 2011 |
| HOUSEKEEPING AND MAINTENANCE SERVICES | | | | August 10, 2011 |
| INFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC. | | | | August 10, 2011 |
| POLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT | | | | August 10, 2011 |
| PROPER LABELING OF DRUGS AND BIOLOGICALS | | | | August 10, 2011 |
| RESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE | | | | August 10, 2011 |
| SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN | | | | August 10, 2011 |
| CRIMINAL HISTORY RECORD CHECK PROCESS COMPLETED, AUTHORIZED PERSON(S) ASSIGNED & DOH NOTIFIED | | | | August 10, 2011 |
| CRIMINAL HISTORY RECORD CHECK SUBJECT'S SIGNED INFORMED CONSENT REQUIRED | | | | August 10, 2011 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| DOORS IN FIRE AND SMOKE PARTITIONS | | | | August 10, 2011 |
| INTERIOR FINISH - CORRIDOR | | | | August 10, 2011 |
| STAIRS AND SMOKE PROOF TOWERS | | | | August 10, 2011 |
| INTERIOR FINISH - ROOMS | | | | August 10, 2011 |
| STAIRWAY ENCLOSURES AND VERTICAL SHAFTS | | | | August 10, 2011 |
June 15, 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 |
|---|---|---|---|---|
| SUFFICIENT NURSING STAFF ON A 24-HOUR BASIS | | | | July 30, 2010 |
| ACCOMMODATION OF NEEDS AND PREFERENCES | | | | July 30, 2010 |
| ADLS DO NOT DECLINE UNLESS UNAVOIDABLE | | | | July 30, 2010 |
| HOUSEKEEPING AND MAINTENANCE SERVICES | | | | July 30, 2010 |
| SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN | | | | July 30, 2010 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| FURNISHING AND DECORATIONS | | | | July 30, 2010 |
| STAIRWAY ENCLOSURES AND VERTICAL SHAFTS | | | | July 30, 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.