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T L C Health Network Lake Shore Hosp Nursing Fac
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845 Routes 5 And 20
Irving, NY 14081
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Details
| Type of Ownership | Non profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 120 |
| 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
Health Inspections
Most Recent Inspection: 07/07/2011
| Date of last standard health inspection: | 07/07/2011 |
| 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 |
Inspection, 00/07/2007
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. | 00/07/2007 | 03/01/2008 | 2 | Few |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 00/07/2007 | 03/01/2008 | 2 | Some |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 00/07/2007 | 02/09/2007 | 2 | Some |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 00/07/2007 | 02/09/2007 | 2 | Some |
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. | 00/07/2007 | 03/01/2008 | 2 | Some |
| 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. | 00/07/2007 | 03/01/2008 | 2 | Few |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | 00/07/2007 | 03/01/2007 | 2 | Some |
| Provide or obtain dental services for each resident. | 00/07/2007 | 03/01/2008 | 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. | 00/07/2007 | 03/00/2008 | 2 | Few |
| Allow residents the right to participate in the planning or revision of care and treatment. | 00/07/2007 | 03/01/2007 | 2 | Few |
| Make sure that doctors visit residents regularly, as required. | 00/07/2007 | 03/01/2008 | 2 | Some |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | 00/07/2007 | 03/00/2008 | 2 | Some |
Inspection, 01/01/2005
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | 01/01/2005 | 00/06/2007 | 1 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | 01/01/2005 | 00/06/2007 | 2 | Few |
| Ensure residents maintain acceptable nutritional status. | 01/01/2005 | 00/06/2007 | 2 | Few |
| Provide or obtain dental services for each resident. | 01/01/2005 | 00/06/2007 | 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. | 01/01/2005 | 00/06/2007 | 2 | Few |
| Allow residents the right to participate in the planning or revision of care and treatment. | 01/01/2005 | 00/06/2007 | 2 | Few |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | 01/01/2005 | 00/06/2007 | 2 | Few |
Inspection, 00/07/2002
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. | 00/07/2002 | 00/08/2004 | 2 | Few |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 00/07/2002 | 02/07/2002 | 1 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | 00/07/2002 | 00/08/2004 | 2 | Few |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | 00/07/2002 | 00/08/2004 | 2 | Few |
| Ensure residents maintain acceptable nutritional status. | 00/07/2002 | 00/01/2004 | 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. | 00/07/2002 | 00/08/2004 | 2 | Few |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | 00/07/2002 | 00/05/2004 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | 00/07/2002 | 00/08/2004 | 2 | Some |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 00/07/2002 | 00/08/2004 | 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. | 00/07/2002 | 00/08/2004 | 2 | Few |
Nursing Home Staffing
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 | 94 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 13 hours 34 minutes | 1 hour 55 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 12 hours 47 minutes | 28 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 12 hours 59 minutes | 1 hour 27 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 14 hours 28 minutes | 2 hours 28 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.
Quality Measures
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.
Long-Term Residents
Short-Term Residents
Fire Safety Inspections
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.
Most Recent Inspection: 07/07/2011
| Automatic Sprinkler Systems in all required areas | Partial |
| Date of last standard fire safety inspection: | 07/07/2011 |
| 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 |
Inspection, 00/07/2007
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. | 00/07/2007 | 00/02/2009 | 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. | 00/07/2007 | 03/01/2008 | 2 | Some |
Miscellaneous Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Other fire safety features required by fire safety codes. | 00/07/2007 | 03/01/2007 | 2 | Some |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 00/07/2007 | 00/02/2009 | 2 | Some |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | 00/07/2007 | 03/01/2008 | 2 | Some |
Inspection, 01/01/2005
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. | 01/01/2005 | 00/02/2007 | 2 | Some |
| Portable fire extinguishers. | 01/01/2005 | 00/02/2007 | 2 | Some |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridors or aisles that are unobstructed and are at least 8 feet in width. | 01/01/2005 | 00/02/2007 | 2 | Some |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved installation, maintenance and testing program for fire alarm systems. | 01/01/2005 | 00/02/2007 | 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. | 01/01/2005 | 00/02/2007 | 2 | Some |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper medical gas storage and administration areas. | 01/01/2005 | 00/02/2007 | 2 | Some |
| Properly constructed piped-in oxygen systems. | 01/01/2005 | 00/02/2007 | 2 | Some |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 01/01/2005 | 00/02/2007 | 2 | Some |
Vertical Openings Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | 01/01/2005 | 00/02/2007 | 2 | Some |
Inspection, 00/07/2002
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 00/07/2002 | 02/05/2003 | 2 | Some |
| Portable fire extinguishers. | 00/07/2002 | 03/01/2003 | 2 | Some |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly protected cooking facilities. | 00/07/2002 | 01/02/2003 | 2 | Some |
Furnishings and Decorations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are free from obstructions and can be used at all times. | 00/07/2002 | 03/01/2003 | 2 | Some |
| Properly sized and located linen or trash receptacles. | 00/07/2002 | 03/01/2003 | 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. | 00/07/2002 | 03/01/2003 | 2 | Some |
| Properly installed hallway dispensers for alcohol-based hand rub. | 00/07/2002 | 03/01/2003 | 2 | Some |
