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ELIZABETH CHURCH MANOR NURSING HOME Inspection Report, Violations & Safety Grade (BINGHAMTON, New York)

863 FRONT STREET, BINGHAMTON, New York 13905

Phone: 6077223463

CMS Overall:2/5

Overview & Bed Count

Certified Beds
120
Avg Residents/Day
115.2
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Broome
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health1/5
Staffing3/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityNew York AvgDifference
RN Hours per Resident per Day0.480.73-0.25
Total Nurse Hours per Resident per Day3.813.69+0.13
CMS Staffing Rating3/52.9/5-
Nursing Staff Turnover53.7%40.3%-

Health Citation History

25 health citations on record

DateCategoryDescriptionSeverity
2025-08-01Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.F – Moderate Harm Potential
2025-08-01Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E – Moderate Harm Potential
2025-08-01Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-08-01Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.E – Moderate Harm Potential
2025-08-01Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2025-08-01Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.D – Moderate Harm Potential
2025-08-01Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-08-01Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.D – Moderate Harm Potential
2024-09-30Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.L – Immediate Jeopardy
2024-09-30Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.L – Immediate Jeopardy
2024-09-30Administration DeficienciesEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.F – Moderate Harm Potential
2024-08-22Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E – Moderate Harm Potential
2024-08-22Resident 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.E – Moderate Harm Potential
2024-08-22Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2024-08-22Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2024-08-22Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2024-08-22Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2024-08-22Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-08-22Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-08-22Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2024-08-22Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-04-10Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2024-04-10Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2022-09-01Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2022-09-01Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential

Fire Safety Citation History

25 fire safety citations on record

DateCategoryDescriptionSeverity
2025-08-01Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-08-01Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-08-01Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2025-08-01Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.E – Moderate Harm Potential
2025-08-01Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2025-08-01Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2025-08-01Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.D – Moderate Harm Potential
2025-08-01Construction DeficienciesInstall a two-hour-resistant firewall separation.D – Moderate Harm Potential
2025-08-01Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2025-08-01Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2024-08-22Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2024-08-22Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2024-08-22Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2024-08-22Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2024-08-22Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2024-08-22Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2024-08-22Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.E – Moderate Harm Potential
2024-08-22Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.D – Moderate Harm Potential
2024-08-22Smoke DeficienciesHave an enclosure around a vertical opening shaft.D – Moderate Harm Potential
2024-08-22Miscellaneous DeficienciesHave restrictions on the use of portable space heaters.D – Moderate Harm Potential
2024-08-22Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2024-08-22Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2022-09-01Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2022-09-01Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2022-09-01Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential

Total Penalties & Fines

$151,625
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-08-22Fine$151,625-

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