Table of Contents
Elcor Nursing and Rehabilitation Center
Inspection Report, Updated April 2013
PFI: 0124
Regional Office: WRO--Rochester 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 | 24 | 18 |
| Life Safety Code Deficiencies | 5 | 7 |
| Total Deficiencies | 29 | 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.
May 16, 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 |
|---|---|---|---|---|
STANDARDS OF CONSTRUCTION FOR NEW EXISTING NURSING HOME  | | |  | July 11, 2012 |
| ACTIVITY PROGRAM MEETS INDIVIDUAL NEEDS | | | | July 11, 2012 |
| DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | | | | July 11, 2012 |
| MEDICALLY RELATED SOCIAL SERVICES | | | | July 11, 2012 |
| RESIDENT RECEIVE TREATMENT TO MAINTAIN HEARING/VISION | | | | July 11, 2012 |
| SELF-DETERMINATION - RESIDENT MAKES CHOICES | | | | July 11, 2012 |
| ESSENTIAL EQUIPMENT IN SAFE OPERATING CONDITION | | | | July 11, 2012 |
| ACCURACY OF ASSESSMENTS/COORDINATED WITH PROFESSIONALS | | | | July 11, 2012 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| AUTOMATIC SPRINKLER SYSTEM | | | | July 11, 2012 |
| HAZARDOUS AREAS - SEPARATION | | | | July 11, 2012 |
March 25, 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 |
|---|---|---|---|---|
| CRIMINAL HISTORY RECORD CHECK NOT PERFORMED PROVIDER SHALL SUBMIT REQUEST FOR CHECK | | | | May 20, 2011 |
| CRIMINAL HISTORY RECORD CHECK TEMPORARY APPROVAL PENDING RESULTS/ SUPERVISION REQUIRED | | | | May 20, 2011 |
| DEVELOP COMPREHENSIVE CARE PLANS | | | | May 20, 2011 |
| DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | | | | May 20, 2011 |
| PASARR REQUIREMENTS FOR MI AND MR | | | | May 20, 2011 |
| RANGE OF MOTION TREATMENT AND SERVICES | | | | May 20, 2011 |
| SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN | | | | May 20, 2011 |
| ENVIRONMENT IS SAFE/FUNCTIONAL/SANITARY/COMFORTABLE | | | | May 20, 2011 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| CORRIDOR WALLS | | | | May 20, 2011 |
| STAIRWAY ENCLOSURES AND VERTICAL SHAFTS | | | | May 20, 2011 |
January 20, 2011 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 MANAGEMENT OF RESIDENT FUNDS | | | | March 10, 2011 |
October 8, 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 |
|---|---|---|---|---|
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | November 24, 2010 |
January 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 |
|---|---|---|---|---|
| FACILITY ESTABLISHES INFECTION CONTROL PROGRAM | | | | February 26, 2010 |
| RESIDENT NOT CATHETERIZED UNLESS UNAVOIDABLE | | | | February 12, 2010 |
| SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN | | | | February 12, 2010 |
| SERVICES PROVIDED MEET PROFESSIONAL STANDARDS | | | | February 12, 2010 |
| HOUSEKEEPING AND MAINTENANCE SERVICES | | | | February 12, 2010 |
| SURVEY RESULTS READILY ACCESSIBLE TO RESIDENTS | | | | February 5, 2010 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| GENERATORS INSPECTED/TESTED | | | | January 15, 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.