Daleview Care Center received 19 citations for violations of public health code between 2016 and 2020, according to New York State Department of Health records accessed on February 27, 2020. The Farmingdale nursing home’s citations resulted from a total of three surveys by state inspectors. The deficiencies they describe include the following:
1. The nursing home did not implement adequate measures to protect residents from accidents. Section 483.25 of the Federal Code requires nursing homes to ensure resident environments are maintained “as free of accident hazards as is possible” and to provide residents with “adequate supervision and assistance devices to prevent accidents.” A November 2016 citation found that Daleview Care Center did not ensure such in one of its two facility buildings. An inspector specifically found that one building “no exit alarm system in place for the front and back exit doors for residents who utilized a wanderguard.” Although the building’s back doors had exit alarms, according to the citation, they did not have alarms that were triggered by the devices, and the front doors did not have exit alarms. A plan of correction undertaken by the facility included the transfer of a resident with a wanderguard to a more secure building.
2. The nursing home did not comply with food safety standards. Section 483.60 of the Federal Code stipulates that nursing home facilities must “Store, prepare, distribute and serve food in accordance with professional standards.” A December 2017 citation found that Daleview Care Center did not maintain all equipment in its two kitchens in a clean and sanitary fashion. An inspector specifically observed a “heavily soiled” stainless steel dish machine “with dried-on splashes and in need of thorough cleaning”; a heavily soiled stainless steal box covering part of the kitchen’s Ansel system; and a heavily soiled broiler rack and pan. A plan of correction undertaken by the facility included the cleaning of the relevant equipment.
3. The nursing home did not adequately implement infection prevention and control measures. Section 483.80 of the Federal Code requires nursing home facilities to “establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.” An August 2019 citation found that Daleview Care Center did not ensure such in connection to two residents. The citation states specifically that a nurse did not observe proper hand hygiene measures while cleaning one resident’s pressure ulcer, and that another resident’s Foley catheter bag was observed touching the facility’s floor. A plan of correction undertaken by the facility included the in-servicing of the nurse on proper treatment procedure, and the replacement of the Foley bag, with the replacement positioned such that it did not make contact with the floor.
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