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T L C Health Network Lake Shore Hosp Nursing Fac

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
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
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
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
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
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
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
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
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
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
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
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
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 86 167 94
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 16 hours 51 minutes 1 hour 55 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 16 hours 4 minutes 28 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 16 hours 15 minutes 1 hour 27 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 17 hours 45 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
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
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
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
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
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
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
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
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
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
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
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
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/07/2002 03/01/2003 2 Some
Furnishings and Decorations Deficiencies
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
 

845 Routes 5 And 20
Irving, NY 14081

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