General Information: WASHINGTON CENTER FOR REHABILITATION & HEALTHCARE
Nursing home name WASHINGTON CENTER FOR REHABILITATION & HEALTHCARE
AddressROUTE 40
ARGYLE, NY 12809
Phone number (518) 638-8274
Located within a hospital No
Type of ownership Government - County
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 122
Total number of residents 119
Perc of occupied beds 97
Sprinkler status Partial
Number of Facility Reported Incidents14
Number of Substantiated Complaints7
Number of Fines1
Total Amount of Fines$1040
Total Number of Penalties1
Total Number of Penalties2
Ratings Summary: WASHINGTON CENTER FOR REHABILITATION & HEALTHCARE
Overall rating 2
2
Nursing Home Staffing 4
4
Registered Nurses only 3
3
Health Inspections 1
1
Quality Measures 3
3
Nursing Home Staffing Info: WASHINGTON CENTER FOR REHABILITATION & HEALTHCARE
National AverageNew York AverageWASHINGTON CENTER FOR REHABILITATION & HEALTHCARE
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 119
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.95 hours 4.59 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.56 hours 1.66 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.72 hours 0.59 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.84 hours 1.07 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.39 hours 2.93 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.1 hours 0.05 hours
Health Survey: WASHINGTON CENTER FOR REHABILITATION & HEALTHCARE
Heath Survey Summary on 2013-09-12
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2013-03-07
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-09-11
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: WASHINGTON CENTER FOR REHABILITATION & HEALTHCARE
Inspection Results: 09/12/2013
Corrected Deficiency Scope and Severity
11/10/2013 Keep residents' personal and medical records private and confidential. Pattern/Minimal harm or potential for actual harm
11/10/2013 Keep each resident free from physical restraints, unless needed for medical treatment. Isolated/Minimal harm or potential for actual harm
11/10/2013 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
11/10/2013 Ensure services provided by the nursing facility meet professional standards of quality. Pattern/Minimal harm or potential for actual harm
11/10/2013 Ensure residents maintain acceptable nutritional status. Pattern/Minimal harm or potential for actual harm
11/10/2013 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern/Minimal harm or potential for actual harm
Inspection Results: 03/07/2013
Corrected Deficiency Scope and Severity
05/01/2013 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
05/01/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
05/01/2013 Develop policies and procedures for influenza and pneumococcal immunizations. Pattern/Minimal harm or potential for actual harm
05/01/2013 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
05/01/2013 Ensure residents maintain acceptable nutritional status. Isolated/Minimal harm or potential for actual harm
05/01/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
05/01/2013 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated/Minimal harm or potential for actual harm
Inspection Results: 09/11/2012
Corrected Deficiency Scope and Severity
11/01/2012 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
11/01/2012 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated/Minimal harm or potential for actual harm
11/01/2012 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
11/01/2012 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
11/01/2012 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
11/01/2012 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
11/01/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: WASHINGTON CENTER FOR REHABILITATION & HEALTHCARE
Fire Safety Survey Summary on 2013-09-12
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2013-03-07
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-09-11
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey: WASHINGTON CENTER FOR REHABILITATION & HEALTHCARE
Fire Safety Survey Results: 09/12/2013
Corrected Deficiency Severity
11/10/2013 Record of quarterly fire drills for each shift under varying conditions. Pattern/Minimal harm or potential for actual harm
11/10/2013 An approved automatic sprinkler system connected to the fire alarm system. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 03/07/2013
Corrected Deficiency Severity
05/01/2013 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Minimal harm or potential for actual harm

Resident Complaints: WASHINGTON CENTER FOR REHABILITATION & HEALTHCARE
Date Complaint Substantiated: 03/07/2013
CorrectedCategoryDeficiencySeverity
05/01/2013Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
05/01/2013Allow residents the right to participate in the planning or revision of care and treatment. D
Date Complaint Substantiated: 11/05/2012
CorrectedCategoryDeficiencySeverity
11/30/2012Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. G
11/30/2012Provide necessary care and services to maintain or improve the highest well being of each resident . D
Date Complaint Substantiated: 06/18/2012
CorrectedCategoryDeficiencySeverity
07/10/2012Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
Date Complaint Substantiated: 03/28/2012
CorrectedCategoryDeficiencySeverity
05/25/2012Ensure that residents are safe from serious medication errors. L
05/25/2012Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. L
05/25/2012Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . L
Date Complaint Substantiated: 03/20/2012
CorrectedCategoryDeficiencySeverity
07/30/2012Ensure services provided by the nursing facility meet professional standards of quality. E
05/25/2012Protect each resident from mistreatment, neglect and misappropriation of personal property. D
05/25/20121) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. L
05/25/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. L
05/25/2012Have a program that investigates, controls and keeps infection from spreading. L
05/25/2012Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . L
05/25/2012Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. L

Quality Measures: WASHINGTON CENTER FOR REHABILITATION & HEALTHCARE
Quality Measures National Average New York Average WASHINGTON CENTER FOR REHABILITATION & HEALTHCARE
Overall quality rating NA NA 3
3
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 14.3% 20.9%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.9% 4.0%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 7.7% 4.6%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.3% 7.3%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 44.4% 30.8%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.7% 4.1%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.8% 12.3%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 11.6% 44.9%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.8% 0.3%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.7% 5.6%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 93.9% 100.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 96.9% 98.7%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 18.7% 17.9%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 14.6% 22.2%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 0.7%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 83.1% 94.9%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 83.8% 95.2%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.4% 1.2%

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