Ira Davenport Memorial Hospital SNF/HRF

In the surveyor’s words

From the most serious findings on record at Ira Davenport Memorial Hospital SNF/HRF, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF609Aug 7, 2023

  Based on observations, interviews, and record review conducted during an Abbreviated Survey (Complaint #NY00321351) 8/4/23 to 8/7/23, for one (Resident #1) of three residents reviewed, the facility did not ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment were reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials in accordance with State law through established procedures. […]

• No harm, potential for more than minimal, isolatedF657Nov 18, 2022

  Based on observations, interviews and record review conducted during a Recertification Survey completed on 11/18/22, it was determined that for one (Resident #32) of three residents reviewed for pressure ulcers, the facility did not revise the resident's care plan to reflect the resident's current needs. Specifically, Resident #32's Comprehensive Care Plan (CCP) and Certified Nursing Assistant (CNA) Closet Care Card were not revised to include the use of a knee immobilizer, interventions for pressure ulcer prevention, or current interventions for an actual pressure ulcer. […]

• No harm, potential for more than minimal, isolatedF686Nov 18, 2022

  Based on observations, interviews, and record review conducted during a Recertification Survey, completed on 11/18/22, it was determined that for one (Resident #32) of three residents reviewed for pressure ulcers, the facility did not ensure the resident received the necessary treatment to promote healing of a pressure ulcer, prevent infection and prevent new ulcers from developing. Specifically, the facility could not provide evidence that physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This is evidenced by the following: Review of the facility's policy Skin Monitoring Protocol, dated December 2021, revealed that all skin conditions will be assessed, documented and tracked on a weekly basis. […]

• No harm, potential for more than minimal, isolatedF578Jun 18, 2021

  Based on observations, interviews, and record reviews conducted during the Recertification Survey, completed on [DATE], it was determined that for three (Residents #2, #42, and #92) of five residents reviewed, the facility did not ensure that information regarding residents' wishes for advance directives was consistently and accurately documented. Specifically, Resident's #2 and Resident #92's wishes included Cardiopulmonary Resuscitation (CPR) but physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF656Jun 18, 2021

  Based on observations, interviews and record reviews conducted during a Recertification Survey, completed on 6/18/21, it was determined that for 2 (Residents #26 and #66) of 21 residents the facility did not ensure a person-centered care plan was developed and implemented that addressed the residents' medical, physical, mental and psychosocial needs. Specifically, Resident #26's Comprehensive Care Plan (CCP) was not implemented to ensure their safety related to resident to resident altercations, and Resident #66's CCP did not address or implement escalating behaviors and non-pharmacological interventions for staff to utilize. […]