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Northwoods Rehab & E C F - Hilltop
1805 PROVIDENCE AVENUE
Niskayuna, NY 12309
(518) 374-2212
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 112 |
| Number of Residents: | 102 |
| Percent of Occupied Beds: | 91% |
| Sprinkler Status: | Partially Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | Yes |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: |  |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20070907 | Health | Resident Rights Deficiencies | Listen to the resident or family groups or act on their complaints or suggestions. | Pattern | Minimal harm or potential for actual harm | 20071106 |
| 20070924 | Fire Safety | Electrical Deficiencies | proper power supply for life support equipment. | Widespread | Minimal harm or potential for actual harm | 20071106 |
| 20071127 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Pattern | Minimal harm or potential for actual harm | 20080125 |
| 20071127 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20080125 |
| 20081105 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Pattern | Minimal harm or potential for actual harm | 20090104 |
| 20081105 | Health | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | Isolated | Actual harm | 20090104 |
| 20081201 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20090104 |
| 20090130 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20090228 |
| 20090423 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20090615 |
| 20090515 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Minimal harm or potential for actual harm | 20090615 |
| 20090515 | Health | Quality Care Deficiencies | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Isolated | Minimal harm or potential for actual harm | 20090615 |
| 20090701 | Health | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | Isolated | Actual harm | 20090723 |
| 20090701 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Pattern | Minimal harm or potential for actual harm | 20090723 |
| 20090701 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Widespread | Immediate jeopardy to resident health or safety | 20090723 |
| 20090701 | Health | Administration Deficiencies | 1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. | Widespread | Immediate jeopardy to resident health or safety | 20090723 |
| 20090701 | Health | Administration Deficiencies | Make sure that nurse aides show they have the skills to be able to care for residents. | Pattern | Minimal harm or potential for actual harm | 20090723 |
| 20090701 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Widespread | Immediate jeopardy to resident health or safety | 20090723 |
| 20090701 | Health | Administration Deficiencies | Set up or keep a group of people to review and ensure quality. | Widespread | Immediate jeopardy to resident health or safety | 20090723 |
| 20090909 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Pattern | Minimal harm or potential for actual harm | 20091009 |
| 20091105 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20091229 |
| 20100511 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20100910 |
| 20100511 | Health | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Actual harm | |
| 20100511 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20100910 |
| 20100511 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Potential for minimal harm | 20100910 |
| 20100511 | Health | Resident Assessment Deficiencies | Check and update (if needed) each resident's assessment every 3 months. | Isolated | Minimal harm or potential for actual harm | 20100910 |
| 20100511 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20100709 |
| 20100511 | Health | Mistreatment Deficiencies | Protect residents from mistreatment, neglect, and/or theft of personal property. | Isolated | Actual harm | |
| 20100511 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Pattern | Minimal harm or potential for actual harm | 20100910 |
| 20100721 | Health | Resident Assessment Deficiencies | Check and update (if needed) each resident's assessment every 3 months. | Isolated | Minimal harm or potential for actual harm | 20100910 |
| 20100721 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Pattern | Minimal harm or potential for actual harm | 20100910 |
| 20100721 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Potential for minimal harm | 20100910 |
| 20100721 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Actual harm | 20100910 |
| 20101001 | Health | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | Pattern | Minimal harm or potential for actual harm | 20101014 |
| 20101001 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20101014 |
| 20101001 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20101014 |
| 20101021 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | |
| 20101021 | Health | Mistreatment Deficiencies | Protect residents from mistreatment, neglect, and/or theft of personal property. | Isolated | Actual harm | |
| 20101021 | Health | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Actual harm |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 90 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 84 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 19 | |
| Percent of long-stay residents who have moderate to severe pain: | 2 | |
| Percent of high-risk long-stay residents who have pressure sores: | 12 | |
| Percent of low-risk long-stay residents who have pressure sores: | 7 | |
| Percent of long-stay residents who were physically restrained: | 1 | |
| Percent of long-stay residents who are more depressed or anxious: | 2 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 33 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 7 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 1 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 12 | |
| Percent of long-stay residents who had a urinary tract infection: | 13 | |
| Percent of long-stay residents who lose too much weight: | 10 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 72 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 63 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 14 | |
| Percent of short-stay residents who have pressure sores: | 17 | |
| # of Residents: | 102 |
| # RN Hours per Resident: | 0.8 |
| # LPN Hours per Resident: | 0.55 |
| # CNA Hours per Resident: | 1.03 |
| Total Staff Hours per Resident: | 1.35 |
