Bishop Charles Waldo MacLean Episcopal Nursing Home

Health Inspections

Health Inspections 1
Health Deficiencies
This Nursing Home: 7
NY State Average: 6
U.S. Average: 6
NY Deficiencies Range: 1–31
Complaints & Incidents: 2
Updated April 18, 2013.

Our health inspections rating describes how well this home met health and safety standards for food preparation and other nursing-home activities in the latest three state inspections. Such inspections are conducted about every 15 months.

August 09, 2012 Health Inspection

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Provide activities to meet the interests and needs of each resident.	Low	Some	10/8/2012
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.	Low	Few	10/8/2012
Ensure residents maintain acceptable nutritional status.	Low	Few	10/8/2012
Provide necessary care and services to maintain or improve the highest well being of each resident.	Low	Few	10/8/2012
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.	Low	Few	10/8/2012
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.	Low	Few	10/8/2012
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.	Very Low	Many	10/8/2012

December 28, 2011 Health Inspection

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Let residents voice a complaint or grievance without being treated differently or badly.	Low	Some	3/27/2012
Allow residents the right to participate in the planning or revision of care and treatment.	Low	Some	3/27/2012
Provide housekeeping and maintenance services.	Low	Some	3/27/2012
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.	Low	Few	2/26/2012
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.	Low	Few	3/27/2012
Ensure that residents are safe from serious medication errors.	Low	Few	4/20/2012
Provide medically-related social services to help each resident achieve the highest possible quality of life.	Low	Few	3/27/2012
Make sure that a working call system is available in each resident's room or bathroom and bathing area.	Low	Few	2/26/2012
Provide care by qualified persons according to each resident's written plan of care.	Low	Few	2/26/2012
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident.	Low	Few	4/20/2012
Protect each resident from all abuse, physical punishment, and involuntary separation from others.	Low	Few	3/27/2012
Try to resolve each resident's complaints quickly.	Low	Few	3/27/2012
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.	Low	Few	4/20/2012
Reasonably accommodate the needs and preferences of each resident.	Low	Few	2/26/2012
Provide necessary care and services to maintain or improve the highest well being of each resident.	Low	Few	3/27/2012
1) hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Low	Few	3/27/2012
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Low	Few	2/26/2012
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.	Low	Few	3/27/2012
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.	Low	Few	3/27/2012
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.	Very Low	Many	2/26/2012
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.	Very Low	Many	2/26/2012
Give residents a notice of rights, rules, services and charges.	Very Low	Some	2/26/2012
Give notice to the resident before a room or roommate change.	Very Low	Some	3/27/2012

March 29, 2011 Health Inspection

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident.	Low	Few	5/28/2011
Provide housekeeping and maintenance services.	Low	Few	5/28/2011
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.	Low	Few	5/28/2011
1) hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Low	Few	5/28/2011
Reasonably accommodate the needs and preferences of each resident.	Low	Few	5/28/2011
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Low	Few	5/28/2011
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Low	Few	5/28/2011
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.	Low	Few	5/28/2011
Give or get x-rays and other tests in a timely manner to meet the needs of residents.	Low	Few	5/28/2011
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.	Low	Few	5/28/2011
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.	Low	Few	5/28/2011
Provide activities to meet the interests and needs of each resident.	Very Low	Some	5/28/2011

March 16, 2012 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.	High	Some	4/20/2012
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident.	High	Some	4/20/2012

September 30, 2011 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Provide timely notification to the resident before transfer or discharge.	Low	Few	10/31/2011

Note: Because of differences in calculation, all data may not match those shown on Nursing Home Compare, a website run by the federal Centers for Medicare & Medicaid Services. CMS has approved the U.S. News methodology.

Last updated April 18, 2013.