Lutheran Retirement Home

Health Inspections

Health Inspections
1
Health Deficiencies
This Nursing Home: 9
NY State Average: 5
U.S. Average: 6
NY Deficiencies Range: 1–23
Complaints & Incidents: 1
Updated June 19, 2014.

This rating indicates how well this home has complied with standards for food preparation and other health-related activities in state inspections conducted approximately every 15 months. Results from inspections after the latest date shown below may be available at Nursing Home Compare.

September 27, 2013 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
High
Some
11/1/2013
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
High
Some
11/1/2013
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
High
Some
11/1/2013
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
High
Some
11/1/2013
Ensure that residents are safe from serious medication errors.
Low
Some
11/1/2013
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Low
Some
11/1/2013
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Low
Some
11/1/2013
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
Low
Some
11/1/2013
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Low
Few
11/8/2013

October 03, 2012 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 .
Some
Few
12/2/2012
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Low
Few
12/2/2012
Allow residents the right to participate in the planning or revision of care and treatment.
Low
Few
12/2/2012
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Low
Few
12/2/2012
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
12/2/2012
Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances.
Low
Few
12/2/2012

October 26, 2011 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Low
Some
12/26/2011
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing.
Low
Some
12/26/2011
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Some
12/26/2011
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
Low
Some
12/26/2011
Develop policies and procedures for influenza and pneumococcal immunizations.
Low
Few
12/26/2011
Ensure that residents are safe from serious medication errors.
Low
Few
12/26/2011
Provide care by qualified persons according to each resident's written plan of care.
Low
Few
12/26/2011
Allow residents the right to participate in the planning or revision of care and treatment.
Low
Few
12/26/2011
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
12/26/2011

October 02, 2013 Complaints & Incidents

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
Not Corrected

May 15, 2013 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Low
Few
7/14/2013

July 13, 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.
Low
Some
9/11/2012

May 11, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Low
Few
Not Corrected
Ensure services provided by the nursing facility meet professional standards of quality.
Low
Few
Not Corrected

July 19, 2011 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
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
Not Corrected

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 June 19, 2014.


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