A+
97/100

Penn Yan Manor Nursing Home Inc Inspection Report, Violations & Safety Grade (Penn Yan, New York)

655 North Liberty Street, Penn Yan, New York 14527

Phone: 3155362311

CMS Overall:5/5

Overview & Bed Count

Certified Beds
46
Avg Residents/Day
44.6
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Yates
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing4/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityNew York AvgDifference
RN Hours per Resident per Day0.470.73-0.26
Total Nurse Hours per Resident per Day3.773.69+0.08
CMS Staffing Rating4/52.9/5-
Nursing Staff Turnover30.4%40.3%-

Health Citation History

14 health citations on record

DateCategoryDescriptionSeverity
2024-04-25Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D – Moderate Harm Potential
2022-08-05Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.E – Moderate Harm Potential
2022-08-05Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.E – Moderate Harm Potential
2022-08-05Resident Rights DeficienciesHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D – Moderate Harm Potential
2022-08-05Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D – Moderate Harm Potential
2022-08-05Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2019-11-12Resident 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
2019-11-12Quality 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
2019-11-12Quality 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
2019-11-12Quality of Life and Care DeficienciesEnsure each resident must receive and the facility must provide necessary behavioral health care and services.D – Moderate Harm Potential
2019-11-12Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2019-11-12Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.B – Minimal Harm Potential
2019-11-12Resident Rights DeficienciesNotify the resident or the residentโ€™s representative in writing how long the nursing home will hold the residentโ€™s bed in cases of transfer to a hospital or therapeutic leave.B – Minimal Harm Potential
2019-11-12Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedB – Minimal Harm Potential

Fire Safety Citation History

9 fire safety citations on record

DateCategoryDescriptionSeverity
2024-04-25Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2024-04-25Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.D – Moderate Harm Potential
2024-04-25Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential
2024-04-25Services DeficienciesHave elevators that firefighters can control in the event of a fire.D – Moderate Harm Potential
2022-08-05Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2022-08-05Smoke DeficienciesHave an enclosure around a vertical opening shaft.E – Moderate Harm Potential
2022-08-05Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2022-08-05Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.E – Moderate Harm Potential
2022-08-05Electrical DeficienciesEnsure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.C – Minimal 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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