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Elderwood At North Creek

Inspection Results


Nursing Homes New York North Creek Elderwood At North Creek

Elderwood At North Creek has been cited for a total of 39 deficiencies in our most recent deficiency data, which typically covers 3 health and fire safety surveys.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Elderwood At North Creek.

There are 619 nursing homes in New York with a total of 16,403 deficiencies resulting in an average of 26.50 deficiencies per nursing home.



The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies


Deficiency Cited, Scope, and Date of Correction
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
12-31-2019

Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
12-31-2019

PASARR screening for Mental disorders or Intellectual Disabilities
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
12-31-2019

Provide activities to meet all resident's needs.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
12-31-2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
12-31-2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
04-06-2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
04-06-2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
09-17-2019

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Category:
Resident Rights Deficiencies
Scope:
C
Corrected:
07-24-2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
07-24-2018

Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
07-24-2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
07-24-2018

Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
07-24-2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
07-24-2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category:
Nutrition and Dietary Deficiencies
Scope:
E
Corrected:
07-24-2018

Dispose of garbage and refuse properly.
Category:
Nutrition and Dietary Deficiencies
Scope:
D
Corrected:
07-24-2018

Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
D
Corrected:
07-24-2018

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
12-10-2016

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Category:
Environmental Deficiencies
Scope:
D
Corrected:
12-10-2016

Ensure residents maintain acceptable nutritional status.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
12-10-2016

Include a process for Emergency Preparedness collaboration.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
12-30-2019

Establish roles under a Waiver declared by secretary.
Category:
Emergency Preparedness Deficiencies
Scope:
E
Corrected:
12-30-2019

Establish staff and initial training requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
12-30-2019

Conduct testing and exercise requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
E
Corrected:
12-30-2019

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
12-30-2019

Have simulated fire drills held at unexpected times.
Category:
Miscellaneous Deficiencies
Scope:
E
Corrected:
12-30-2019

Include a process for Emergency Preparedness collaboration.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
07-24-2018

Establish policies and procedures for volunteers.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
07-24-2018

Have a correctly designed non-healthcare occupancy area in a health care facility.
Category:
Construction Deficiencies
Scope:
E
Corrected:
07-24-2018

Keep aisles, corridors, and exits free of obstruction in case of emergency.
Category:
Egress Deficiencies
Scope:
F
Corrected:
07-24-2018

Have an enclosure around a vertical opening shaft.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
07-24-2018

Provide properly protected cooking facilities.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
07-24-2018

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
07-24-2018

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
07-24-2018

Have properly installed electrical wiring and gas equipment.
Category:
Services Deficiencies
Scope:
E
Corrected:
07-24-2018

Have a battery powered remote alarm panel in a location accessible by operating personnel.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
E
Corrected:
07-24-2018

Ensure that testing and maintenance of electrical equipment is performed.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
E
Corrected:
07-24-2018

Walls that prevent smoke from passing through and would resist fire for at least one hour.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
12-10-2016

An approved automatic sprinkler system connected to the fire alarm system.
Category:
Automatic Sprinkler Systems Deficiencies
Scope:
E
Corrected:
12-10-2016



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Elderwood At North Creek


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