Troy Center for Nursing and Rehabilitation received 52 citations for violations of public health code between 2018 and 2022, according to New York State Department of Health records accessed on June 17, 2022. The Troy nursing home’s citations resulted from a total of six inspections by state surveyors. The violations they describe include the following:
1. The nursing home did not keep medication rates low enough. Section 483.45 of the Federal Code stipulates that nursing homes just ensure “Medication error rates are not 5 percent or greater.” A February 2021 citation found that Troy Center for Nursing and Rehabilitation failed to ensure such. The citation specifically describes an instance in which a medication pass resulted in an error rate of 30.77%. Among other errors, the citation states, a medication that should have been administered with food was not administered with food; in another instance, a resident’s medications were administered late. A plan of correction undertaken by the facility included the education of relevant staff.
2. The nursing home did not adequately protect residents from accident hazards. Under Section 483.25 of the Federal Code, nursing homes are required to provide residents with adequate supervision and assistance devices to prevent accidents. A March 2021 citation found that Troy Center for Nursing and Rehabilitation failed to ensure such. The citation states specifically that the facility failed to adequately supervise a resident “with a known history of wandering.” In an interview, a Licensed Practical Nurse said that the resident “was allowed to wander out of his room, and that there were no care planned interventions for supervising or monitoring” the resident. A plan of correction undertaken by the facility included the review and updating of the resident’s care plan.

3. The nursing home did not adequately prevent medication errors. Section 483.45 of the Federal Code stipulates that nursing homes must ensure that residents “are free of any significant medication errors.” A March 2021 citation found that Troy Center for Nursing and Rehabilitation failed to ensure such. The citation states specifically that a resident did not receive blood pressure medication as ordered. The citation also describes another resident woh did not receive anti-anxiety medication as ordered. A plan of correction undertaken by the facility included the education of the nurses responsible for the errors.
4. The nursing home did not adequately prevent medication errors. Section 483.45 of the Federal Code requires nursing homes to ensure that their medication error rates “are not 5 percent or greater.” An October 2021 citation found that Troy Center for Rehabilitation and Nursing failed to ensure such. The citation states specifically that the facility failed to adhere to providers’ orders in eight of 26 instances, resulting in an error rate of 30.77 percent. A plan of correction undertaken by the facility included the education of licensed nurses and an audit of medication passes.
5. The nursing home did not maintain sufficient nursing staff. Section 483.35 of the Federal Code requires nursing home facilities to employ “sufficient nursing staff with the appropriate competencies and skills sets” to care for residents. A February 2020 citation found that Troy Center for Rehabilitation and Nursing failed to ensure such. The citation specifically describes the facility’s failure to ensure minimum certified nursing assistant (CNA) staffing levels on 14 calendar days. The citation states further that the facility failed to ensure residents received incontinence care during the facility’s night shift, and to ensure the timely service of meals in four of the facility’s four dining areas. A plan of correction undertaken by the facility included the education of nursing staff and an initiative to “exhaust all efforts to ensure that minimum staffing levels for CNAs will be met.”
6. The nursing home did not adequately provide residents with a safe environment. Section 483.10 of the Federal Code states that nursing home residents have “a right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.” An October 2021 citation found that Troy Center for Rehabilitation and Nursing failed to ensure such. The citation specifically describes “door frames and baseboards [that] were not clean and in good repair” in two of two resident units. In a facility, the facility’s Director of Maintenance and the Environmental Services Manager said that the nursing home “would repaint the door frames and clean the baseboards in the resident rooms.” A plan of correction undertaken by the facility also included the completion of an environmental audit to ensure compliance.
The attorneys at the Law Offices of Thomas L. Gallivan, PLLC work diligently to protect the rights of nursing home residents. Please contact us to discuss in the event you have a potential case involving neglect or abuse.




