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WELLSVILLE MANOR CARE CENTER Inspection Report, Violations & Safety Grade (WELLSVILLE, New York)

4192A BOLIVAR ROAD, WELLSVILLE, New York 14895

Phone: 5855934400

CMS Overall:5/5

Overview & Bed Count

Certified Beds
120
Avg Residents/Day
114.2
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Allegany
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

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

Nurse Staffing Check

MetricThis FacilityNew York AvgDifference
RN Hours per Resident per Day0.760.73+0.03
Total Nurse Hours per Resident per Day3.803.69+0.11
CMS Staffing Rating4/52.9/5-
Nursing Staff Turnover40.7%40.3%-

Health Citation History

11 health citations on record

DateCategoryDescriptionSeverity
2024-06-14Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2024-06-14Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.D – Moderate Harm Potential
2024-06-14Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-06-14Resident Rights DeficienciesEnsure residents have reasonable access to and privacy in their use of communication methods.C – Minimal Harm Potential
2024-06-14Resident 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.B – Minimal Harm Potential
2024-05-09Freedom 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
2022-07-22Nursing and Physician Services DeficienciesEnsure that the resident and his/her doctor meet face-to-face at all required visits.D – Moderate Harm Potential
2022-07-22Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.B – Minimal Harm Potential
2019-08-02Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2019-08-02Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential
2019-08-02Pharmacy 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

Fire Safety Citation History

14 fire safety citations on record

DateCategoryDescriptionSeverity
2024-06-14Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2024-06-14Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2024-06-14Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2024-06-14Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2024-06-14Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2024-06-14Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.E – Moderate Harm Potential
2024-06-14Electrical DeficienciesEnsure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.E – Moderate Harm Potential
2024-06-14Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.E – Moderate Harm Potential
2024-06-14Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2024-06-14Smoke DeficienciesProperly provide smoke detection systems in areas open to corridors.D – Moderate Harm Potential
2022-07-22Smoke 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
2022-07-22Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2022-07-22Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2019-08-02Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.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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