Table of Contents
Ira Davenport Memorial Hospital Snf/hrf
Inspection Report, Updated June 2013
PFI: 4156
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 | 11 | 18 |
| Life Safety Code Deficiencies | 11 | 7 |
| Total Deficiencies | 22 | 25 |
| Deficiencies Related to Actual Harm or Immediate Jeopardy | 1 | 1 |
| % of Deficiencies Related to Actual Harm or Immediate Jeopardy | 5% | 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.
January 23, 2013 Complaint Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity  | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
PROVIDES ORIENTATION TO RESIDENT FOR TRANSFER/DISCHARGE  | | |  | March 23, 2013 |
April 13, 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 |
|---|---|---|---|---|
| DEVELOP COMPREHENSIVE CARE PLANS | | | | June 12, 2012 |
| DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN | | | | June 12, 2012 |
| ESSENTIAL EQUIPMENT IN SAFE OPERATING CONDITION | | | | May 31, 2012 |
| RESIDENT CAN SEND/RECEIVE UNOPENED MAIL | | | | June 12, 2012 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| MAIN SPRINKLER CONTROL | | | | June 13, 2012 |
| CORRIDOR DOORS | | | | June 13, 2012 |
| EXIT PARTITIONS | | | | June 13, 2012 |
| SMOKE PARTITION CONSTRUCTION | | | | June 13, 2012 |
| STAIRWAY ENCLOSURES AND VERTICAL SHAFTS | | | | June 13, 2012 |
| FIRE DRILLS | | | | June 13, 2012 |
August 31, 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 |
|---|---|---|---|---|
| SERVICES PROVIDED MEET PROFESSIONAL STANDARDS | | | | October 30, 2011 |
February 4, 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 PROCESS COMPLETED, AUTHORIZED PERSON(S) ASSIGNED & DOH NOTIFIED | | | | April 5, 2011 |
| STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS | | | | April 5, 2011 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| TESTING OF FIRE ALARM | | | | April 5, 2011 |
| CORRIDOR DOORS | | | | April 5, 2011 |
| EXIT PARTITIONS | | | | April 5, 2011 |
| MEDICAL GAS SYSTEM | | | | April 5, 2011 |
December 10, 2009 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | | | | February 8, 2010 |
| STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS | | | | February 8, 2010 |
| FACILITY ESTABLISHES INFECTION CONTROL PROGRAM | | | | December 29, 2009 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| FURNISHING AND DECORATIONS | | | | February 8, 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.