Table of Contents
Kingsbridge Heights Rehabilitation and Care Center
Inspection Report
Report Period: June 2011 to May 2015
PFI: 1234
Regional Office: MARO--New York City Area
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.
| Measure | This Facility | Statewide Average |
|---|---|---|
| Standard Health Deficiencies | 10 | 23 |
| Life Safety Code Deficiencies | 13 | 12 |
| Total Deficiencies | 23 | 35 |
| Deficiencies Related to Actual Harm or Immediate Jeopardy | 1 | 1 |
| % of Deficiencies Related to Actual Harm or Immediate Jeopardy | 4% | 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 28, 2014 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  | | |  | July 24, 2014 |
| ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | | | | July 24, 2014 |
Standard Life Safety Code Inspection
| No Deficiencies |
|---|
March 31, 2014 Complaint Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| No Deficiencies |
|---|
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| AUTOMATIC SPRINKLER SYSTEM | | | | May 30, 2014 |
April 24, 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 |
|---|---|---|---|---|
| SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN | | | | June 22, 2013 |
| DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | | | | June 22, 2013 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| PORTABLE FIRE EXTINGUISHERS | | | | June 22, 2013 |
| STANDARDS OF CONSTRUCTION FOR NEW NURSING HOME | | | | June 22, 2013 |
| CORRIDOR WALLS | | | | June 22, 2013 |
| EXIT ACCESS | | | | June 22, 2013 |
| FIRE DRILLS | | | | June 22, 2013 |
| HAZARDOUS AREAS - SEPARATION | | | | June 22, 2013 |
| SMOKE PARTITION CONSTRUCTION | | | | June 22, 2013 |
| VENTILATING EQUIPMENT | | | | June 22, 2013 |
March 26, 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 RIGHT TO BE FREE FROM ABUSE | | | | May 3, 2012 |
| FACILITY ESTABLISHES INFECTION CONTROL PROGRAM | | | | May 2, 2012 |
| MAINTAINS EFFECTIVE PEST CONTROL PROGRAM | | | | April 23, 2012 |
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | May 3, 2012 |
| POLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT | | | | May 3, 2012 |
| STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS | | | | April 30, 2012 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| CORRIDOR DOORS | | | | May 2, 2012 |
| EXIT ACCESS | | | | April 23, 2012 |
| NO SMOKING SIGNS WHERE OXYGEN USED | | | | May 2, 2012 |
| VENTILATING EQUIPMENT | | | | May 2, 2012 |
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.