New Gouverneur Hospital SNF

Inspection Report, Updated April 2013

PFI: 1606
Regional Office: MARO--New York City Area

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.

MeasureThis FacilityStatewide Average
Standard Health Deficiencies1318
Life Safety Code Deficiencies117
Total Deficiencies2425
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.
 

October 11, 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
COMPREHENSIVE ASSESSMENTS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careNovember 28, 2012
RESIDENT RECEIVES NOTICE BEFORE ROOM/ROOMMATE CHANGE View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careOctober 16, 2012
SURVEY RESULTS READILY ACCESSIBLE TO RESIDENTS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careDecember 10, 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
DOORS IN SMOKE PARTITIONS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careDecember 10, 2012
EXIT ACCESS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careDecember 10, 2012
STAIRWAY ENCLOSURES AND VERTICAL SHAFTS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careDecember 10, 2012
AUTOMATIC SMOKE DETECTION SYSTEM View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careDecember 10, 2012
AUTOMATIC SPRINKLER SYSTEM View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careDecember 10, 2012
EXIT SIGNS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careDecember 10, 2012
HAZARDOUS AREAS - SEPARATION View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careDecember 10, 2012
INTERIOR WALLS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careDecember 10, 2012

October 7, 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
FREQUENCY AND TIMELINESS OF PHYSICIAN VISIT View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careDecember 6, 2011
RESPONSIBILITIES OF MEDICAL DIRECTOR View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careNovember 18, 2011

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
STAIRWAY ENCLOSURES AND VERTICAL SHAFTS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careOctober 10, 2011

June 1, 2011 Complaint 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
COMFORTABLE AND SAFE TEMPERATURE LEVELS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careJune 17, 2011
PHYSICAL ENVIRONMENT View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careJune 17, 2011

October 13, 2010 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
ACCOMMODATION OF NEEDS AND PREFERENCES View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careDecember 10, 2010
PHYSICIAN RESPONSIBILITIES DURING VISITS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careDecember 3, 2010
POLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careOctober 22, 2010
PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careDecember 3, 2010
RESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careNovember 29, 2010
SERVICES PROVIDED MEET PROFESSIONAL STANDARDS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careDecember 3, 2010

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
EXIT SIGNS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careDecember 17, 2010
PHYSICAL ENVIRONMENT View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careDecember 17, 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.