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MOUNTAINSIDE RESIDENTIAL CARE CENTER Inspection Report, Violations & Safety Grade (MARGARETVILLE, New York)

42158 STATE HIGHWAY 28, MARGARETVILLE, New York 12455

Phone: 8455861800

CMS Overall:2/5

Overview & Bed Count

Certified Beds
82
Avg Residents/Day
64.7
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Delaware
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing4/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityNew York AvgDifference
RN Hours per Resident per Day0.900.73+0.17
Total Nurse Hours per Resident per Day3.823.69+0.13
CMS Staffing Rating4/52.9/5-
Nursing Staff Turnover57.0%40.3%-

Health Citation History

14 health citations on record

DateCategoryDescriptionSeverity
2024-07-29Freedom 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
2024-07-29Freedom 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
2024-07-29Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.D – Moderate Harm Potential
2024-07-26Quality 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
2024-07-26Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2024-07-26Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2024-07-26Pharmacy 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.D – Moderate Harm Potential
2024-07-26Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2021-11-18Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2019-09-19Quality 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
2019-09-19Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2019-09-19Nutrition 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
2019-09-19Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.D – Moderate Harm Potential
2019-09-19Environmental DeficienciesKeep all essential equipment working safely.D – Moderate Harm Potential

Fire Safety Citation History

14 fire safety citations on record

DateCategoryDescriptionSeverity
2024-07-26Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-07-26Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-07-26Smoke DeficienciesHave an enclosure around a vertical opening shaft.E – Moderate Harm Potential
2024-07-26Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2024-07-26Services DeficienciesHave elevators that firefighters can control in the event of a fire.E – Moderate Harm Potential
2024-07-26Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.E – Moderate Harm Potential
2021-11-18Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2021-11-18Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2019-09-19Smoke DeficienciesHave an enclosure around a vertical opening shaft.E – Moderate Harm Potential
2019-09-19Services DeficienciesHave an externally vented heating system.E – Moderate Harm Potential
2019-09-19Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2019-09-19Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2019-09-19Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.E – Moderate Harm Potential
2019-09-19Gas, Vacuum, and Electrical Systems DeficienciesHave a battery powered remote alarm panel in a location accessible by operating personnel.C – Minimal Harm Potential

Total Penalties & Fines

$8,512
Total Fine Amount (CMS)
1
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2024-07-26Fine$8,512-
2024-07-26Payment Denial-80 days starting 2024-10-26

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