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2178 North Fifth Street
Allegany, NY 14706
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| Type of Ownership | For profit - Individual |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 37 |
| 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: | 11/18/2011 |
| 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 |
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. | 01/08/2011 | 00/09/2012 | 2 | Few |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 01/08/2011 | 00/09/2012 | 2 | Few |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | 01/08/2011 | 00/09/2012 | 2 | Few |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 01/08/2011 | 00/09/2012 | 2 | Many |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 01/08/2011 | 00/09/2012 | 2 | Few |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | 01/08/2011 | 00/09/2012 | 2 | Few |
| 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. | 01/08/2011 | 00/09/2012 | 2 | Few |
| Ensure residents maintain acceptable nutritional status. | 01/08/2011 | 00/05/2012 | 2 | Few |
| Provide routine and 24-hour emergency dental care for each resident. | 01/08/2011 | 01/01/2012 | 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. | 01/08/2011 | 01/00/2012 | 2 | Some |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | 01/08/2011 | 00/09/2012 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 01/08/2011 | 00/09/2012 | 2 | Few |
| Give notice to the resident before a room or roommate change. | 01/08/2011 | 00/09/2012 | 2 | Few |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | 02/00/2010 | 03/00/2011 | 2 | Few |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program that investigates, controls and keeps infection from spreading. | 02/00/2010 | 03/00/2011 | 2 | Some |
Pharmacy Service Deficiencies |
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| 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. | 02/00/2010 | 03/00/2011 | 2 | Few |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 02/00/2010 | 03/00/2011 | 2 | Some |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 02/00/2010 | 00/06/2011 | 2 | Few |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | 02/00/2010 | 03/00/2011 | 2 | Few |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 02/00/2010 | 00/06/2011 | 2 | Few |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | 02/00/2010 | 00/06/2011 | 2 | Few |
| Develop policies and procedures for influenza and pneumococcal immunizations. | 02/00/2010 | 00/06/2011 | 2 | Few |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Conduct initial and periodic assessments of each resident's functional capacity. | 02/00/2010 | 00/06/2011 | 2 | Few |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 02/00/2010 | 01/05/2012 | 2 | Some |
| Allow residents the right to participate in the planning or revision of care and treatment. | 02/00/2010 | 01/05/2011 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Allow residents to easily view the results of the nursing home's most recent inspection. | 02/00/2010 | 00/06/2011 | 1 | Some |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 01/09/2007 | 00/02/2009 | 2 | Few |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/09/2007 | 03/00/2008 | 2 | Few |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | 01/09/2007 | 00/02/2009 | 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 | 3 out of 5 stars |
| Total Number of Residents | 85 | 167 | 37 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 13 hours 34 minutes | 1 hour 5 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 12 hours 47 minutes | 34 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 12 hours 59 minutes | 30 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 14 hours 28 minutes | 2 hours |
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 | Yes |
| Date of last standard fire safety inspection: | 11/18/2011 |
| 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 |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 01/08/2011 | 00/09/2012 | 2 | Some |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 01/08/2011 | 00/09/2012 | 2 | Some |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 02/00/2010 | 02/09/2011 | 2 | Some |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 02/00/2010 | 00/03/2012 | 2 | Some |
Hazardous Area Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 01/09/2007 | 00/02/2008 | 2 | Some |