SeniorHomeViolations
B+
84/100

ST MARGARETS CENTER Inspection Report, Violations & Safety Grade (ALBANY, New York)

27 HACKETT BLVD, ALBANY, New York 12208

Phone: 5185913300

CMS Overall:4/5

Overview & Bed Count

Certified Beds
92
Avg Residents/Day
73.8
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Albany
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing4/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityNew York AvgDifference
RN Hours per Resident per Day1.880.73+1.15
Total Nurse Hours per Resident per Day8.523.69+4.83
CMS Staffing Rating4/52.9/5-
Nursing Staff Turnover39.3%40.3%-

Health Citation History

15 health citations on record

DateCategoryDescriptionSeverity
2025-02-18Pharmacy Service DeficienciesImplement 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 necessary and PRN use is limited.E – Moderate Harm Potential
2025-02-18Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-02-18Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2025-02-18Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-02-18Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2023-10-05Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2023-10-05Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2022-06-29Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E – Moderate Harm Potential
2022-06-29Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2022-06-29Resident Rights DeficienciesNotify 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.D – Moderate Harm Potential
2022-06-29Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2020-02-11Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D – Moderate Harm Potential
2020-02-11Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2020-02-11Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2020-02-11Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.D – Moderate Harm Potential

Fire Safety Citation History

14 fire safety citations on record

DateCategoryDescriptionSeverity
2025-02-18Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.F – Moderate Harm Potential
2025-02-18Emergency Preparedness DeficienciesDevelop a communication plan.F – Moderate Harm Potential
2025-02-18Emergency Preparedness DeficienciesEstablish staff and initial training requirements.F – Moderate Harm Potential
2025-02-18Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-02-18Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.E – Moderate Harm Potential
2025-02-18Egress DeficienciesInstall proper backup exit lighting.E – Moderate Harm Potential
2025-02-18Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2025-02-18Smoke DeficienciesHave an enclosure around a vertical opening shaft.E – Moderate Harm Potential
2025-02-18Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2022-06-29Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2022-06-29Smoke DeficienciesHave an enclosure around a vertical opening shaft.E – Moderate Harm Potential
2022-06-29Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2022-06-29Services DeficienciesHave elevators that firefighters can control in the event of a fire.E – Moderate Harm Potential
2022-06-29Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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