Table of Contents
Mercy Hospital Skilled Nursing Facility
Inspection Report, Updated April 2013
PFI: 0214
Regional Office: WRO--Buffalo 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 | 7 | 18 |
| Life Safety Code Deficiencies | 2 | 7 |
| Total Deficiencies | 9 | 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.
September 6, 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 |
|---|---|---|---|---|
FACILITY ESTABLISHES INFECTION CONTROL PROGRAM  | | |  | October 27, 2012 |
| PERSONAL PRIVACY/CONFIDENTIALITY OF RECORDS | | | | October 27, 2012 |
| PROPER TREATMENT/CARE FOR SPECIAL CARE NEEDS | | | | October 27, 2012 |
Standard Life Safety Code Inspection
| No Deficiencies |
|---|
August 15, 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 |
|---|---|---|---|---|
| RESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST | | | | September 30, 2011 |
| CLINICAL RECORDS MEET PROFESSIONAL STANDARDS | | | | September 30, 2011 |
| DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | | | | September 30, 2011 |
| PROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES | | | | September 30, 2011 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| MEDICAL GAS SYSTEM | | | | August 25, 2011 |
| CONSTRUCTION TYPE | | | | September 30, 2011 |
July 9, 2010 Certification Survey
Standard Health Inspection
| No Deficiencies |
|---|
Standard Life Safety Code Inspection
| No Deficiencies |
|---|
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.