D+
54/100

LEWIS COUNTY GENERAL HOSPITAL-NURSING HOME UNIT Inspection Report, Violations & Safety Grade (LOWVILLE, New York)

7785 NORTH STATE STREET, LOWVILLE, New York 13367

Phone: 3153765200

CMS Overall:2/5

Overview & Bed Count

Certified Beds
160
Avg Residents/Day
115.4
Ownership
Government - County
Provider Type
Medicare and Medicaid
County
Lewis
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing4/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityNew York AvgDifference
RN Hours per Resident per Day0.790.73+0.06
Total Nurse Hours per Resident per Day4.103.69+0.42
CMS Staffing Rating4/52.9/5-
Nursing Staff Turnover36.8%40.3%-

Health Citation History

21 health citations on record

DateCategoryDescriptionSeverity
2026-07-10Resident 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
2026-07-10Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.E – Moderate Harm Potential
2026-07-10Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2026-07-10Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2026-07-10Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2026-07-10Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.B – Minimal Harm Potential
2026-07-10Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.B – Minimal Harm Potential
2024-10-10Freedom 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.K – Immediate Jeopardy
2024-10-10Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.E – Moderate Harm Potential
2024-10-10Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D – Moderate Harm Potential
2024-07-30Quality 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
2024-07-30Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2024-07-30Nutrition 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
2024-07-30Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2024-07-30Nutrition and Dietary DeficienciesProvide special eating equipment and utensils for residents who need them and appropriate assistance.D – Moderate Harm Potential
2022-07-06Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2022-07-06Administration DeficienciesEnsure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.E – Moderate Harm Potential
2022-07-06Freedom 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
2022-07-06Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2022-07-06Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2022-07-06Pharmacy 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

Fire Safety Citation History

22 fire safety citations on record

DateCategoryDescriptionSeverity
2026-07-10Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2026-07-10Services DeficienciesHave elevators that firefighters can control in the event of a fire.E – Moderate Harm Potential
2026-07-10Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2026-07-10Egress DeficienciesInstall proper backup exit lighting.D – Moderate Harm Potential
2026-07-10Miscellaneous DeficienciesHave restrictions on the use of portable space heaters.D – Moderate Harm Potential
2024-07-30Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2024-07-30Services DeficienciesHave elevators that firefighters can control in the event of a fire.E – Moderate Harm Potential
2024-07-30Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.E – Moderate Harm Potential
2024-07-30Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2024-07-30Smoke 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
2024-07-30Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.D – Moderate Harm Potential
2024-07-30Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.D – Moderate Harm Potential
2022-07-06Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.E – Moderate Harm Potential
2022-07-06Gas, Vacuum, and Electrical Systems DeficienciesHave a properly installed medical gas master alarm panel.E – Moderate Harm Potential
2022-07-06Smoke DeficienciesHave an enclosure around a vertical opening shaft.D – Moderate Harm Potential
2022-07-06Smoke 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
2022-07-06Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2022-07-06Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2022-07-06Gas, Vacuum, and Electrical Systems DeficienciesEnsure gas and vacuum systems are inspected and tested as part of a maintenance program.D – Moderate Harm Potential
2022-07-06Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2022-07-06Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2022-07-06Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.C – Minimal Harm Potential

Total Penalties & Fines

$160,046
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-10-10Fine$160,046-
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