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120 Highland Avenue
Middletown, NY 10940
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| Type of Ownership | Non profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 98 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | Yes |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
| Date of last standard health inspection: | 12/09/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 0 |
| Average number of Health Deficiencies in NY: | 2 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in NY: | 0 - 10 |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | 00/09/2012 | 03/00/2001 | 2 | Few |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 00/09/2012 | 03/00/2001 | 2 | Few |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | 00/09/2012 | 03/00/2001 | 2 | Few |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 00/09/2012 | 03/00/2001 | 2 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 00/09/2012 | 03/00/2001 | 2 | Some |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 00/09/2012 | 03/00/2001 | 2 | Few |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 00/09/2012 | 03/00/2001 | 2 | Few |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care by qualified persons according to each resident's written plan of care. | 00/09/2012 | 03/00/2001 | 2 | Few |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 00/09/2012 | 03/00/2001 | 2 | Few |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Allow residents the right to participate in the planning or revision of care and treatment. | 00/09/2012 | 03/00/2001 | 2 | Some |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | 00/09/2012 | 03/00/2001 | 2 | Some |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide housekeeping and maintenance services. | 01/07/2010 | 03/00/2011 | 2 | Some |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/07/2010 | 03/00/2011 | 2 | Some |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 01/07/2010 | 03/00/2011 | 2 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Allow residents the right to participate in the planning or revision of care and treatment. | 01/07/2010 | 03/00/2011 | 2 | Few |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | 01/07/2010 | 03/00/2011 | 2 | Some |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/08/2001 | 02/04/2002 | 2 | Few |
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 01/03/2001 | 02/08/2002 | 2 | Few |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 01/03/2001 | 02/08/2002 | 2 | Few |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program that investigates, controls and keeps infection from spreading. | 01/03/2001 | 02/08/2002 | 2 | Few |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 01/03/2001 | 02/08/2002 | 2 | Some |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 01/03/2001 | 02/08/2002 | 2 | Few |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | 01/03/2001 | 02/08/2002 | 2 | Few |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/03/2001 | 02/08/2002 | 2 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 01/03/2001 | 02/08/2002 | 2 | Few |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | 01/03/2001 | 02/08/2002 | 2 | Few |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 01/03/2001 | 02/08/2002 | 2 | Few |
| Allow residents the right to participate in the planning or revision of care and treatment. | 01/03/2001 | 02/08/2002 | 2 | Few |
| Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. | 01/03/2001 | 02/08/2002 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 01/03/2001 | 02/08/2002 | 2 | Few |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | 01/03/2001 | 02/08/2002 | 1 | Some |
| Try to resolve each resident's complaints quickly. | 01/03/2001 | 02/08/2002 | 2 | Few |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 01/03/2001 | 02/08/2002 | 2 | Few |
| 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. | 01/03/2001 | 02/08/2002 | 2 | Few |
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in NY | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 1 out of 5 stars |
| Total Number of Residents | 86 | 167 | 86 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
16 hours 19 minutes | 13 hours 37 minutes | 1 hour 12 minutes |
|
RN Hours per Resident per Day |
15 hours 30 minutes | 12 hours 51 minutes | 24 minutes |
|
LPN/LVN Hours per Resident per Day |
15 hours 45 minutes | 13 hours 1 minute | 48 minutes |
|
CNA Hours per Resident per Day |
17 hours 14 minutes | 14 hours 32 minutes | 2 hours 9 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
| Automatic Sprinkler Systems in all required areas | Partial |
| Date of last standard fire safety inspection: | 12/09/2011 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in NY: | 1 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in NY: | 0 - 1 |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly protected cooking facilities. | 00/09/2012 | 03/00/2001 | 1 | Some |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | 01/07/2010 | 03/00/2011 | 1 | Some |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | 01/03/2001 | 02/08/2002 | 1 | Some |
Vertical Openings Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper stairway enclosures and vertical shafts. | 01/03/2001 | 02/08/2002 | 2 | Few |