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Monroe Community Hospital

Details

Type of Ownership Government - County
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 566
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: 02/29/2012

Date of last standard health inspection: 02/29/2012
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, 00/02/2008

Environmental Deficiencies
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. 00/02/2008 01/05/2008 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse 00/02/2008 01/05/2008 and involuntary separation from others. physical punishment

Inspection, 00/02/2007

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 00/02/2007 00/01/2009 Few grooming and personal and oral hygiene.

Inspection, 02/09/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 02/09/2003 02/04/2005 4 Some
Environmental Deficiencies
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. 02/09/2003 00/01/2005 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 02/09/2003 02/04/2005 4 Some
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. 02/09/2003 02/04/2005 4 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 02/09/2003 01/00/2005 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/09/2003 02/04/2005 3 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. 02/09/2003 01/06/2005 2 Some

Inspection, 02/09/2002

Environmental Deficiencies
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. 02/09/2002 02/02/2003 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/09/2002 02/03/2003 2 Some

Inspection, 02/01/2001

Environmental Deficiencies
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. 02/01/2001 00/01/2003 2 Some
Keep all essential equipment working safely. 02/01/2001 00/04/2003 2 Few
Keep all essential equipment working safely. 02/01/2001 00/04/2003 2 Few
Mistreatment Deficiencies
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. 02/01/2001 00/01/2003 2 Few
1) Hire only people with no legal history of abusing 02/01/2001 00/01/2003 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
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. 02/01/2001 00/01/2003 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/01/2001 00/01/2003 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 86 167 548
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 16 hours 51 minutes 1 hour 57 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 16 hours 4 minutes 37 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 16 hours 15 minutes 1 hour 19 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 17 hours 45 minutes 2 hours 13 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: 02/29/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 02/29/2012
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, 02/09/2003

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 02/09/2003 02/04/2005 2 Some
An elevator that firefighters can control in the event of a fire. 02/09/2003 00/03/2005 1 Many
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. 02/09/2003 00/05/2004 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/09/2003 00/01/2005 2 Some

Inspection, 02/09/2002

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Signs that state that exit doors are to be kept closed. 02/09/2002 02/07/2004 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 02/09/2002 00/02/2004 2 Some
Smoke Compartmentation and Control Deficiencies
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. 02/09/2002 01/06/2003 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/09/2002 03/00/2003 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper stairway enclosures and vertical shafts. 02/09/2002 02/06/2003 2 Some

Inspection, 02/01/2001

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/01/2001 01/07/2003 2 Some
Corridor Walls and Doors Deficiencies
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. 02/01/2001 02/08/2002 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 02/01/2001 02/08/2002 2 Some
Record of quarterly fire drills for each shift under varying conditions. 02/01/2001 01/00/2002 1 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/01/2001 00/03/2003 2 Some
Smoke Compartmentation and Control Deficiencies
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. 02/01/2001 02/08/2002 2 Some
Smoke barrier doors that can resist smoke for at least 20 minutes. 02/01/2001 02/08/2002 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protected exits that allow the resident to escape the building. 02/01/2001 02/08/2002 2 Some
 

435 East Henrietta Road
Rochester, NY 14620

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