Campbell Hall Rehabilitation Center received 48 citations for violations of public health code between 2016 and 2020, according to New York State Department of Health records accessed on February 20, 2020. The facility has also been the subject of a 2013 fine of $12,000 in connection to findings during a 2013 inspection that it violated health code provisions regarding accidents and resident assessments; a 2011 fine of $4,000 in connection to findings during a 2011 inspection that it violated health code provisions regarding accidents and administration; and a 2015 fine of $2,000 in connection to findings during a 2015 inspection that it violated health code provisions regarding the adequate maintenance of hydration. The Campbell Hall nursing home’s citations resulted from a total of five surveys by state inspectors. The deficiencies they describe include the following:
1. The nursing home did not adequately supervise its residents. Section 483.25 of the Federal Code requires nursing homes to provide a resident environment “as free of accident hazards as is possible” as well as “adequate supervision and assistance devices to prevent accidents.” A June 2019 citation found that Campbell Hall Rehabilitation Center did not adequately supervise a resident’s smoking and use of oxygen. The citation states specifically that a smoking assessment was not completed before the resident was provided cigarettes, and that such an assessment would have identified “smoking safety/hazard risks and strengths,” and would have “initiated care plans with measurable goals and interventions” for the resident. A plan of correction undertaken by the facility included the education of nursing staff and a smoking assessment of the resident.
2. The nursing home did not take adequate measures to ensure the prevention and control of infection. Under Section 483.80 of the Federal Code, nursing homes “must establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment.” A June 2019 citation found that Campbell Hall Rehabilitation Center did not establish and/or maintain such. The citation states specifically that the nursing home neglected to “develop a site-specific water management plan for testing for Legionella.” The citation goes on to state that the nursing home had no “sampling plan” established, and “did not obtain required water samples” to test for Legionella. A plan of correction undertaken by the facility included the contacting of its water system operator to take the necessary tests.
3. The nursing home did not provide residents with sufficient fluid. Section 483.25 of the Federal Code states that nursing homes must ensure that residents are “offered sufficient fluid intake to maintain proper hydration and health.” A July 2017 citation found that Campbell Hall Rehabilitation Center did not implement necessary interventions to maintain one resident’s proper hydration. The citation states specifically that the resident’s care planning team “did not ensure that supplemental fluids prescribed by the physician were offered and monitored and the resident’s total daily fluid intake was reassessed to determine the resident’s hydration status.” In an interview, the facility’s Diet Technician did not offer “any explanation as to how she was monitoring the resident’s acceptance” of extra fluids ordered by the facility’s physician. The citation states that this deficiency had the “potential to cause more than minimal harm.”
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