Table of Contents
Gowanda Rehabilitation and Nursing Center
Inspection Report, Updated April 2013
PFI: 1032
Regional Office: WRO--Buffalo Area Office
This report displays citations for the three most recent Certification Surveys, and citations for Complaint Surveys during the past three years.
Summary
This table summarizes the citations in the details section of this report and compares them against the statewide average.
| Measure | This Facility | Statewide Average |
|---|---|---|
| Standard Health Deficiencies | 25 | 18 |
| Life Safety Code Deficiencies | 8 | 7 |
| Total Deficiencies | 33 | 25 |
| Deficiencies Related to Actual Harm or Immediate Jeopardy | 0 | 1 |
| % of Deficiencies Related to Actual Harm or Immediate Jeopardy | 0% | 4% |
Details of Certification and Complaint Surveys
Key to understanding citations and surveys:
Potential for no more than Minimal Harm
Potential for more than Minimal Harm
Actual Harm
Immediate Jeopardy
Isolated
Pattern
Widespread
- Certification surveys are on-site inspections required every 9-15 months by the federal government.
- Complaint surveys are on-site inspections held as the result of a complaint. They are only shown here if they resulted in a citation.
September 14, 2012 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity  | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN  | | |  | October 8, 2012 |
| PASARR REQUIREMENTS FOR MI AND MR | | | | October 12, 2012 |
| RANGE OF MOTION TREATMENT AND SERVICES | | | | October 8, 2012 |
| RIGHT TO BE FREE FROM PHYSICAL RESTRAINTS NOT REQUIRED FOR TREATMENT | | | | October 5, 2012 |
Standard Life Safety Code Inspection
| No Deficiencies |
|---|
October 18, 2011 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| FACILITY IS FREE OF ACCIDENT HAZARDS | | | | November 2, 2011 |
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | | | | November 2, 2011 |
| DEVELOP COMPREHENSIVE CARE PLANS | | | | November 2, 2011 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| DOORS IN FIRE AND SMOKE PARTITIONS | | | | November 9, 2011 |
| SPRINKLER SYSTEM MAINTENANCE | | | | November 9, 2011 |
| TESTING OF FIRE ALARM | | | | November 9, 2011 |
December 15, 2010 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| DEPARTMENT CRIMINAL HISTORY REVIEW DOH PROPOSED DISAPPROVAL/DIRECT CARE PROHIBITED | | | | December 31, 2010 |
| DEPARTMENT CRIMINAL HISTORY REVIEW FELONY CHARGES/DIRECT CARE & SUPERVISION PROHIBITED | | | | December 31, 2010 |
| FACILITY PROVIDES DRUGS AND BIOLOGICALS | | | | January 12, 2011 |
| SERVICES PROVIDED MEET PROFESSIONAL STANDARDS | | | | January 3, 2011 |
| ADL CARE PROVIDED FOR DEPENDENT RESIDENTS | | | | January 13, 2011 |
| DENTAL SERVICES IN SKILLED NURSING FACILITIES | | | | January 12, 2011 |
| DEVELOP COMPREHENSIVE CARE PLANS | | | | January 14, 2011 |
| DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN | | | | January 12, 2011 |
| FACILITY ESTABLISHES INFECTION CONTROL PROGRAM | | | | January 12, 2011 |
| FACILITY IS FREE OF ACCIDENT HAZARDS | | | | January 12, 2011 |
| FACILITY PROVIDES SPECIALIZED REHABILITATION SERVICES | | | | January 7, 2011 |
| MEDICALLY RELATED SOCIAL SERVICES | | | | January 7, 2011 |
| POLICIES, PROCEDURES PROHIBIT ABUSE, NEGLECT | | | | January 7, 2011 |
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | | | | January 16, 2011 |
| RANGE OF MOTION TREATMENT AND SERVICES | | | | December 31, 2010 |
| RESIDENT RECEIVES NOTICE BEFORE ROOM/ROOMMATE CHANGE | | | | January 7, 2011 |
| SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN | | | | January 12, 2011 |
| INFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC. | | | | December 29, 2010 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| EMERGENCY LIGHTING | | | | December 31, 2010 |
| GENERATORS INSPECTED/TESTED | | | | December 31, 2010 |
| MEDICAL GAS SYSTEM | | | | January 14, 2011 |
| PORTABLE FIRE EXTINGUISHERS | | | | January 14, 2011 |
| SMOKE PARTITION CONSTRUCTION | | | | December 31, 2010 |
Note: If the latest survey included in this report is more than 12 months old, the Department of Health may have recently surveyed this nursing home or is currently inspecting this home.
If you have questions about the current quality of service delivery at the nursing home, you should contact the facility and request a copy of the latest survey inspection report. The facility is required to post the report in a public area of the nursing home. If you request the report and the nursing home refuses to provide it, please call the New York State Nursing Home Complaint hotline at 1-888-201-4563.